Right Testicle Swelling and Pain: Possible Causes and Solutions

Q: Right Testicle Swelling and Pain: Possible Causes and Solutions

Hello： If inflammation is left untreated, it often changes. <br>If you have engaged in unsafe sexual behavior, it is advisable to seek medical evaluation to confirm your condition. <br>Wishing you good health.

The right testicle is slightly swollen, and there is a dull aching sensation in the lower right abdomen?

I have masturbated this week, but the ejaculation was normal, and I did not experience any burning sensation while urinating.
However, I feel pain when I touch my right testicle, and it seems slightly swollen compared to the left one.
The discomfort extends from the right testicle to the lower right abdomen, where I feel a dull ache and soreness.
I would like to know if this is due to varicocele or inflammation.

Lin, 20~29 year old female. Ask Date: 2022/04/13

Dr. Du Shixi reply Urology

Hello: If inflammation is left untreated, it often changes.
If you have engaged in unsafe sexual behavior, it is advisable to seek medical evaluation to confirm your condition.
Wishing you good health.

Reply Date: 2022/04/13

More Info

Experiencing swelling and pain in one testicle can be concerning, and it’s important to understand the potential causes and appropriate actions to take. Based on your description, the right testicle is swollen and painful, with discomfort extending to the lower abdomen. While you have not experienced burning during urination, the symptoms you describe warrant further investigation.

There are several possible causes for testicular swelling and pain:
1. Epididymitis: This is an inflammation of the epididymis, the tube that stores and carries sperm. It can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms typically include swelling, pain, and sometimes fever.

2. Orchitis: This is inflammation of one or both testicles, often due to viral or bacterial infections. Mumps is a common viral cause, especially if vaccination history is incomplete.

3. 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.

4. Varicocele: This is the enlargement of veins within the scrotum, similar to varicose veins. It can cause a dull ache or discomfort and may be more noticeable when standing or during physical activity.

5. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles, which can cause pain and swelling in the groin or scrotum.

6. Trauma or injury: Any recent injury to the groin area can lead to swelling and pain in the testicle.

Given that you have experienced pain and swelling, it is crucial to seek medical evaluation. A healthcare provider will likely perform a physical examination and may order an ultrasound to assess the blood flow to the testicle and check for any abnormalities.
In the meantime, here are some general recommendations:
- Avoid strenuous activities: Refrain from heavy lifting or vigorous exercise until you have been evaluated by a healthcare professional.

- Pain management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort, but consult with a doctor before taking any medication.

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

It is important not to ignore these symptoms, especially if they worsen or if you develop additional symptoms such as fever, nausea, or vomiting. Early diagnosis and treatment are key to preventing complications, especially in cases of infections or torsion.

In summary, while there are several potential causes for your symptoms, a thorough evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment. Do not hesitate to seek medical attention, as timely intervention can make a significant difference in your health outcomes.

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