Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Hello： It could be a neurological or vascular issue. <br>It is advisable not to wear tight underwear or to sit or stand for prolonged periods. <br>Please monitor the situation. <br>Of course, if there is swelling of the testicles, redness of the skin, or painful urination, seek m

Genital pain

Hello, doctor.
I've recently noticed some unexplained pain on the left side of my abdomen.
It hurts when I walk or run for too long.
What could this be?

Sheng Ge, 10~19 year old female. Ask Date: 2021/05/31

Dr. Du Shixi reply Urology

Hello: It could be a neurological or vascular issue.
It is advisable not to wear tight underwear or to sit or stand for prolonged periods.
Please monitor the situation.
Of course, if there is swelling of the testicles, redness of the skin, or painful urination, seek medical attention.
Wishing you good health.

Reply Date: 2021/05/31

More Info

Testicular pain can be a concerning symptom and may arise from various causes. It's essential to understand the potential reasons behind this discomfort and when to seek medical help.

Firstly, testicular pain can be categorized into acute and chronic pain. Acute pain is sudden and severe, often requiring immediate medical attention, while chronic pain is more persistent and may develop over time.

Common causes of testicular pain include:
1. 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 (STIs) or urinary tract infections (UTIs). Symptoms may include swelling, redness, and tenderness in the affected area.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain and swelling. Immediate surgical intervention is crucial to save the testicle.

3. 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 in the groin and may lead to pain in the testicles.

4. Trauma or Injury: Any direct injury to the testicles can result in pain. This could be due to sports injuries, accidents, or even vigorous sexual activity.

5. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It can cause a dull ache or discomfort, especially after prolonged standing or physical activity.

6. Testicular Cancer: Although less common, a lump or mass in the testicle can be a sign of cancer. This may or may not be accompanied by pain.

Given your description of pain on the left side of the testicle, especially during activities like walking or running, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend an ultrasound to assess the blood flow and structure of the testicles.
When to seek help:
- If the pain is sudden and severe.

- If there is swelling or redness in the scrotum.

- If you experience nausea or vomiting along with the pain.

- If you notice any lumps or changes in the testicle.

- If the pain persists or worsens over time.

In summary, while testicular pain can stem from various benign conditions, it can also indicate serious issues that require prompt evaluation. Do not hesitate to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can make a significant difference in outcomes, especially in cases like testicular torsion or cancer.

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