Testicular Pain: Causes and When to Seek Help - Urology

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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 of experiencing a sharp pain in the lower right abdomen after lightly squeezing the right testicle, it’s essential to consider several factors.

First, let’s discuss the anatomy and function of the testicles. The testicles are responsible for producing sperm and hormones, primarily testosterone. They are located in the scrotum, which is sensitive to touch and pressure. Pain in this area can arise from various sources, including the testicles themselves, the surrounding structures, or referred pain from other areas of the body.

Common causes of testicular pain include:
1. Trauma or Injury: Even light squeezing can cause discomfort if there is an underlying issue or if the area is particularly sensitive.
2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can cause pain and swelling and is often due to infection.

3. Orchitis: This is inflammation of the testicle, which can be caused by viral or bacterial infections.

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

5. Hernia: An inguinal hernia can cause pain in the lower abdomen and may be felt in the testicular area.

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

7. Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the abdomen or lower back.

Given that your pain is localized in the lower right abdomen and not directly in the testicle, it’s crucial to consider whether the pain might be related to one of these conditions. While it may not seem severe at the moment, any persistent or worsening pain should not be ignored.


When to Seek 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 of the testicle or scrotum.

- Changes in Color: If the testicle appears discolored or if there is redness in the scrotum.

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

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

- Persistent Symptoms: If the pain does not resolve or continues to recur.


Conclusion
In summary, while the pain you are experiencing may not seem severe, it is essential to monitor your symptoms closely. If the pain persists, worsens, or is accompanied by other concerning symptoms, it is advisable to consult a healthcare professional. They may perform a physical examination, and possibly imaging studies, to determine the underlying cause of your discomfort and recommend appropriate treatment. Remember, it’s always better to err on the side of caution when it comes to testicular pain, as some conditions can lead to serious complications if not treated promptly.