Testicular Pimples: When to Seek Medical Advice - Urology

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Pimple on the testicles?


I am a middle school student, and I have a small bump on my testicle.
I'm not sure what it is, but I had a pus-filled cyst before, and it took me a long time to see a doctor.
The doctor had to drain it with a needle, which was very painful.
I don't want to wait too long to see a doctor again.
I hope the doctor can first examine my symptoms and then decide whether I need to see a specialist.

Guózhōng shēng, 10~19 year old female. Ask Date: 2021/07/27

Dr. Li Xinyi reply Urology


It is still recommended to observe the situation first.
If the redness and swelling worsen, go to the hospital early to get medication to take and apply.

Reply Date: 2021/07/27

More Info


Testicular pimples, or small bumps on the scrotum, can be concerning, especially for adolescents who may not have encountered such issues before. It's important to understand that while some conditions are benign, others may require medical attention.
First, let's discuss what these pimples could be. Common causes of bumps on the scrotum include:
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria or irritation. It can appear as small red or white bumps and may be itchy or painful.

2. Sebaceous Cysts: These are non-cancerous lumps filled with a fatty substance. They are usually painless and can occur anywhere on the body, including the scrotum.

3. Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the glans penis. They are normal anatomical variations and do not require treatment.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may be itchy or uncomfortable and require medical evaluation.

5. Herpes Simplex Virus (HSV): This can cause painful blisters or sores in the genital area. If you experience symptoms like itching, burning, or painful sores, it’s important to see a doctor.

6. Infections: Conditions like scrotal abscesses or sexually transmitted infections (STIs) can also present as bumps. These often come with additional symptoms such as pain, swelling, or discharge.

Given your previous experience with a pus-filled bump, it’s understandable that you would want to avoid a similar situation. Here are some guidelines on when to seek medical advice:
- Pain or Discomfort: If the bump is painful, tender, or causing discomfort, it’s advisable to consult a healthcare provider.

- Changes in Size or Appearance: If the bump grows larger, changes color, or develops additional symptoms (like redness or warmth), it’s important to get it checked.

- Persistent Symptoms: If the bump does not resolve on its own within a few weeks or if you notice new bumps appearing, it’s best to seek medical advice.

- Accompanying Symptoms: If you experience fever, chills, or any systemic symptoms along with the bump, you should see a doctor promptly.

- Anxiety or Concern: If you are feeling anxious or worried about the bump, it’s always better to err on the side of caution and consult a healthcare professional.

In your case, since you are a middle school student, it might be helpful to talk to a trusted adult, such as a parent or guardian, about your concerns. They can help you decide whether to see a doctor. Remember, healthcare providers are there to help, and discussing your symptoms can lead to peace of mind and appropriate treatment if necessary.

In conclusion, while many bumps on the testicles can be harmless, it’s crucial to pay attention to your body and seek medical advice when in doubt. Early intervention can prevent complications and ensure that any underlying conditions are addressed promptly.

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