Testicular Pain: Causes and When to Seek Help

Testicular issues

Doctor, my right testicle has been experiencing occasional pain, which is not very severe but does hurt from time to time.
Today is the second day since I noticed it, and I'm not sure what could be causing it (I haven't masturbated or experienced any trauma this week).

Zeng Tongxue, 10~19 year old female. Ask Date: 2021/06/26

Dr. Xu Wencang reply Urology

You can go for an outpatient examination.

Reply Date: 2021/06/26

More Info

Testicular pain can be a concerning symptom, and it's important to understand the potential causes and when to seek medical attention. The testicles are sensitive organs, and any discomfort can arise from a variety of issues, some of which may require immediate medical intervention.

Common Causes of Testicular Pain
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 testicle.

2. Orchitis: This is an inflammation of one or both testicles, often due to viral infections like mumps or bacterial infections. Symptoms can include swelling, pain, and sometimes fever.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms typically include sudden, severe pain, swelling, and nausea. This condition requires immediate surgical intervention to save the testicle.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause discomfort in the groin and may extend to the testicles.

5. Trauma or Injury: Even if you haven't experienced a direct injury, minor trauma can sometimes lead to pain. Activities that involve heavy lifting or straining can also contribute to discomfort.

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

7. Testicular Cancer: Although less common, a lump or swelling in the testicle can be a sign of cancer. It's important to monitor any changes in size or shape.

When to Seek Medical Help
You should seek medical attention if you experience any of the following:
- Severe Pain: If the pain becomes intense or unbearable.

- Swelling: Noticeable swelling or changes in the size of the testicle.

- Nausea or Vomiting: Accompanying symptoms like nausea or vomiting can indicate a more serious condition.

- Fever: A fever may suggest an infection that requires treatment.

- Changes in Urination: Pain during urination or blood in the urine should be evaluated.

- Lumps or Masses: Any new lumps or changes in the testicle should be assessed by a healthcare provider.

Conclusion
While occasional mild discomfort in the testicle may not be a cause for alarm, it is essential to pay attention to your body and any changes you experience. If the pain persists or worsens, or if you develop additional symptoms, it is crucial to consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can prevent complications and ensure better outcomes. Remember, when it comes to testicular pain, it's always better to err on the side of caution and seek medical advice.

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