Testicular Pain: Causes and When to Seek Help - Urology

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Testicular issues


Hello doctor, after doing DIY last night, I started to feel pain in my testicles, but I was still able to sleep.
The next day, the pain in my left testicle was milder and came in waves.
I don't see any obvious varicose veins, and it doesn't feel twisted when I touch it.
What could this situation be? Should I seek further examination? Thank you.

Niming, 20~29 year old female. Ask Date: 2021/05/09

Dr. Jian Weihong reply Urology


Hello: If the pain persists and affects your daily life, you should seek medical evaluation.
Wishing you good health.
(It is difficult to determine the issue before an examination, and our facility also prohibits making a diagnosis.)

Reply Date: 2021/05/09

More Info


Testicular pain can be a concerning symptom, and it’s important to understand the potential causes and when to seek medical help. Based on your description, it seems that you experienced pain in your left testicle after a DIY activity, which could suggest a few different possibilities.

Firstly, testicular pain can arise from various conditions, some of which may require immediate medical attention. Common causes of testicular pain include:
1. Trauma or Injury: If you engaged in an activity that could have caused trauma to the groin area, this could lead to pain. Even if you did not notice any visible injury, internal trauma can still occur.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can be caused by infections, including sexually transmitted infections, or non-infectious causes. Symptoms often include swelling, redness, and pain in the affected testicle.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include sudden, severe pain, swelling, and sometimes nausea. If you experience intense pain that comes on suddenly, this requires immediate medical attention.

4. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort or pain in the groin and may extend to the testicle.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, particularly after physical activity.

6. Hydrocele: This is a fluid-filled sac surrounding a testicle that can cause swelling and discomfort.

Given that you mentioned the pain is mild and intermittent, it may not be an emergency, but it is still important to monitor your symptoms closely. Here are some recommendations:
- Self-Examination: Continue to perform gentle self-examinations of your testicles. Look for any changes in size, shape, or texture, and note any swelling or lumps.

- Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort. However, avoid excessive use without consulting a healthcare provider.

- Rest and Avoid Strain: If the pain is related to physical activity, consider resting and avoiding strenuous activities until you have a clearer understanding of the cause.

- Seek Medical Attention: If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or nausea, it is crucial to seek medical attention promptly. A healthcare provider may perform a physical examination and possibly order imaging tests, such as an ultrasound, to determine the underlying cause.

In conclusion, while mild and intermittent testicular pain may not always indicate a serious condition, it is essential to remain vigilant and consult a healthcare professional if symptoms change or worsen. Early diagnosis and treatment can help prevent complications and ensure proper management of any underlying issues.

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