Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Hello： If the pain persists and affects your daily life, you should seek medical examination. <br>Wishing you good health. <br>(It is difficult to determine the issue before an examination, and our facility also has regulations against making diagnoses.)

Painful testicles

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: 2021/05/13

Dr. Du Shixi reply Urology

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

Reply Date: 2021/05/13

More Info

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

Firstly, testicular pain can arise from various conditions, including trauma, inflammation, or infections. Given that you mentioned the pain started after a DIY project, it's possible that you may have inadvertently injured the area, leading to a condition known as testicular trauma. This can result in pain, swelling, or bruising, and while it may not always require immediate medical attention, persistent or severe pain should not be ignored.

Another potential cause of testicular pain is epididymitis, which is the inflammation of the epididymis, the tube that stores and carries sperm. This condition is often caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms typically include pain, swelling, and sometimes fever. If you notice any additional symptoms such as discharge, fever, or increased swelling, it would be advisable to seek medical attention promptly.

Testicular torsion is another serious condition that can cause acute testicular pain. It occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This is a medical emergency and requires immediate attention. Symptoms of testicular torsion include sudden, severe pain, swelling, and sometimes nausea. If you experience these symptoms, you should seek emergency medical care.

In your case, since you mentioned that the pain is mild and intermittent, and there are no visible signs of swelling or varicocele (enlarged veins), it may not be an urgent issue. However, it is essential to monitor your symptoms closely. If the pain persists, worsens, or if you develop any additional symptoms such as swelling, redness, or fever, you should definitely seek medical evaluation.

In terms of further evaluation, if the pain continues or if you have concerns, it would be wise to consult a healthcare professional. They may perform a physical examination and possibly order imaging studies, such as an ultrasound, to assess the condition of the testicles and surrounding structures. This can help rule out any serious conditions and provide peace of mind.

In summary, while mild and intermittent testicular pain may not always indicate a serious problem, it is crucial to be vigilant. If you experience worsening pain, additional symptoms, or if you have any concerns about your health, do not hesitate to seek medical advice. Early intervention can be key in addressing any underlying issues effectively.

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