Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Hello： If you experience pain in the testicles or have redness on the skin, please seek medical attention. <br>If you have lower abdominal pain, you may observe it first and take some rest. <br>Wishing you good health.

Pain in the lower body, which also occurs while walking?

Today, after a DIY activity, I experienced pain in my lower body, specifically near the left testicle.
I initially thought it was nothing serious, but now it hurts even when I walk, and it's been almost half a day.
What could be the issue?

Yang, 10~19 year old female. Ask Date: 2022/09/03

Dr. Du Shixi reply Urology

Hello: If you experience pain in the testicles or have redness on the skin, please seek medical attention.
If you have lower abdominal pain, you may observe it first and take some rest.
Wishing you good health.

Reply Date: 2022/09/03

More Info

Testicular pain can be concerning and may arise from various causes, some of which require immediate medical attention. Given your description of pain localized to the left side near the testicle, it is essential to consider several potential causes.

1. Trauma or Injury: If you engaged in any physical activity or DIY work that may have involved impact or strain to the groin area, this could lead to pain. Trauma can cause bruising or swelling, leading to discomfort.

2. Epididymitis: This is an inflammation of the epididymis, which is 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 often include swelling, redness, and pain in the affected testicle.

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, swelling, and sometimes nausea. This condition requires immediate surgical intervention to save the testicle.

4. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause pain in the groin or scrotal area, especially when lifting or straining.

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

6. Testicular Cancer: While less common, a lump or swelling in the testicle can be a sign of testicular cancer. Early detection is crucial for effective treatment.

Given that your pain has persisted for several hours and is affecting your ability to walk comfortably, it is advisable to seek medical attention promptly. A healthcare provider will perform a physical examination and may order imaging tests, such as an ultrasound, to determine the cause of your pain.
In summary, while some causes of testicular pain may be benign and self-limiting, others can be serious and require immediate treatment. It is always better to err on the side of caution when it comes to symptoms involving the testicles. If you experience severe pain, swelling, nausea, or any other concerning symptoms, do not hesitate to seek emergency medical care.

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