Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Hello： If the frequency is very high, you should visit a urologist for an examination (for example, if you feel uncomfortable every day). <br>It is recommended to avoid prolonged sitting and to get up and move around. <br>Additionally, temporarily reduce exercises that put strain

Testicular issues

I am currently in the second year of high school, and I have noticed that the blood vessel on my left testicle has been enlarged since middle school.
At that time, I didn't experience much pain, but recently I have been having noticeable sharp pains in my left testicle.
Initially, it was only on the left side, but now I also feel pain on the right side, although the right testicle appears normal without any prominent blood vessels.
Regardless of how I sleep, I feel discomfort in the groin and testicles, and even sitting causes discomfort.
I masturbate about once a day on average.
I would like to know what I should do, as I am hesitant to talk to my family about it.

J, 10~19 year old female. Ask Date: 2021/07/21

Dr. Du Shixi reply Urology

Hello: If the frequency is very high, you should visit a urologist for an examination (for example, if you feel uncomfortable every day).
It is recommended to avoid prolonged sitting and to get up and move around.
Additionally, temporarily reduce exercises that put strain on the abdomen.
Wear loose-fitting underwear, as this is mostly a circulation issue.
Of course, it is difficult to make a judgment without an examination.
Wishing you good health.

Reply Date: 2021/07/21

More Info

Testicular pain can be a concerning symptom, especially when it has been present for an extended period and is accompanied by changes in the appearance of the testicles. Based on your description, it sounds like you have been experiencing significant discomfort in your left testicle, which has now extended to the right side. The presence of a prominent blood vessel on the left side, along with the pain, warrants careful consideration.

There are several potential causes of testicular pain, and it is important to understand them in order to determine the appropriate course of action. Here are some common causes:
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. Testicular Torsion: This is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and nausea. This condition requires immediate medical attention to prevent permanent damage.

3. 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. While it is often harmless, it can sometimes affect fertility.

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: Any injury to the testicles can lead to pain and swelling. This could be from sports, accidents, or other physical activities.

6. Tumors: Although less common, testicular tumors can cause pain and changes in the size or shape of the testicles. It is important to rule out this possibility, especially if there are any unusual lumps or masses.

Given your symptoms, it is crucial to seek medical attention. While it may feel uncomfortable to discuss this with family, it is important to prioritize your health. A healthcare professional can perform a physical examination, possibly including an ultrasound, to determine the cause of your pain. Early diagnosis and treatment can prevent complications and ensure that any serious conditions are addressed promptly.

In the meantime, here are some steps you can take to manage your discomfort:
- Avoid Strenuous Activity: If certain movements or activities exacerbate your pain, try to avoid them until you can see a doctor.

- Supportive Underwear: Wearing supportive underwear can help reduce discomfort by providing support to the testicles.

- Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate pain temporarily. However, this should not replace a visit to a healthcare provider.

In conclusion, while testicular pain can arise from various causes, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan. Do not hesitate to reach out for help, as addressing these symptoms early can lead to better outcomes. Your health is important, and seeking assistance is a responsible step to take.

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