Lower Abdominal Pain: Is It Related to Varicocele? - Urology

Share to:

Lower abdominal issues?


Hello doctor, I have been experiencing discomfort in the lower left abdomen (near the upper left side of the pubic bone) for the past month.
Sometimes it feels dull and at other times slightly painful.
Last year, I was diagnosed with mild varicocele, but at that time, the symptoms were only dull pain behind the left testicle.
Recently, the dull pain in the lower abdomen has become much more frequent than the pain behind the left testicle.
I would like to know if varicocele can cause lower abdominal pain? Also, I noticed that after holding my urine for a while during a movie, I have been experiencing increased frequency of urination.
Could this be related?

Huang, 20~29 year old female. Ask Date: 2023/04/03

Dr. Du Shixi reply Urology


Hello: Varicocele may cause discomfort in the lower abdomen, but it is usually not very painful and can be intermittent.
It is important to avoid prolonged sitting or standing to maintain good circulation.
Generally, holding urine for a short period should not have a significant impact.
Drink plenty of water and limit the intake of irritating foods.
Wishing you good health.

Reply Date: 2023/04/03

More Info


Lower abdominal pain can be a complex issue, and it is important to consider various potential causes, especially in the context of your previous diagnosis of a mild varicocele. A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. While varicoceles are primarily associated with discomfort in the scrotal area, they can sometimes lead to referred pain in the lower abdomen.
The discomfort you are experiencing in the left lower abdomen could indeed be related to your varicocele, particularly if the pain is more pronounced on that side. The mechanism behind this could involve increased venous pressure and congestion in the pelvic region, which may lead to discomfort or pain in the lower abdomen. However, it is essential to note that lower abdominal pain can arise from various other conditions, including but not limited to:
1. Gastrointestinal Issues: Conditions such as irritable bowel syndrome (IBS), constipation, or diverticulitis can cause lower abdominal pain. If you have experienced changes in bowel habits, this could be a contributing factor.

2. Urinary Tract Issues: Given your mention of increased urinary frequency after holding your bladder for an extended period, it is possible that you may be experiencing a urinary tract infection (UTI) or bladder irritation. UTIs can cause lower abdominal pain and discomfort, particularly if they lead to bladder spasms.

3. Reproductive System Concerns: In males, conditions such as epididymitis or orchitis (inflammation of the epididymis or testicle) can cause pain that radiates to the lower abdomen. In females, conditions like ovarian cysts or pelvic inflammatory disease (PID) could lead to similar symptoms.

4. Musculoskeletal Issues: Sometimes, pain in the lower abdomen can be related to muscle strain or other musculoskeletal issues, particularly if you have engaged in physical activities that may have strained your abdominal muscles.

Regarding your experience of increased urinary frequency, this could be related to several factors. Holding urine for prolonged periods can irritate the bladder, leading to increased urgency and frequency. Additionally, if there is any underlying infection or inflammation, this could exacerbate the symptoms.

In summary, while your varicocele may contribute to the discomfort you are feeling in the lower abdomen, it is crucial to consider other potential causes. It would be advisable to consult with a healthcare professional who can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the exact cause of your symptoms. They may also recommend tests such as a urinalysis to check for signs of infection or other abnormalities.

In the meantime, keeping track of your symptoms, including their frequency, intensity, and any associated factors (such as bowel habits or urinary changes), can provide valuable information for your healthcare provider. This comprehensive approach will help ensure that any underlying issues are addressed appropriately, leading to effective management of your symptoms.

Similar Q&A

Is Testicular and Lower Abdominal Pain Due to Varicocele?

Hello Doctor, every time I go out on a date with my girlfriend, I end up experiencing pain in my testicles and lower abdomen. I'm not sure if this is due to excessive excitement leading to an erection or if it could be related to varicocele. Additionally, this phenomenon usu...


Dr. Xu Weikai reply Urology
CJ: Hello, varicocele is the enlargement of veins within the scrotum, typically located near the testicles. It is usually easy to diagnose. The cause of pain may not necessarily be related. It is recommended to visit a medical facility for a definitive diagnosis. If there are any...

[Read More] Is Testicular and Lower Abdominal Pain Due to Varicocele?


Can Varicocele Cause Abdominal Pain? Understanding Symptoms and Treatment

Hello, Dr. Hsu. I would like to ask if varicocele can cause discomfort and a feeling of fullness in the lower back and abdomen? This has been bothering me for many years. I have seen orthopedic and nephrology specialists, and their reports showed no issues. I have also had blood ...


Dr. Xu Weikai reply Urology
Bruce: Hello, varicocele may cause lower back pain. However, it should not affect the feet; if there is an impact from the lower back to the feet, it is likely a neurological issue, most probably due to compression of the sciatic nerve or other lumbar nerves. Varicocele generally...

[Read More] Can Varicocele Cause Abdominal Pain? Understanding Symptoms and Treatment


Understanding Pain from Lower Abdomen to Left Testicle: Causes and Concerns

Hello! I would like to ask about the pain I have in my lower abdomen extending to my left testicle. There is a lump next to the epididymis that feels swollen. I'm unsure if this is epididymitis or a varicocele. I visited two urologists; one diagnosed it as epididymitis, whil...


Dr. Xu Wencang reply Urology
Return to the outpatient clinic for follow-up examination and discussion with the physician.

[Read More] Understanding Pain from Lower Abdomen to Left Testicle: Causes and Concerns


Understanding the Link Between Varicocele and Lower Back Pain

Hello Dr. Hsu, regarding the phenomenon of varicocele possibly causing lower back pain that we discussed last time, what kind of examination should be performed to confirm whether it is indeed caused by varicocele? Additionally, if it is confirmed to be the cause, is there a nece...


Dr. Xu Weikai reply Urology
Hello, the examination may still not be able to determine the correlation. Generally, varicocele can cause scrotal swelling and pain, which can worsen with prolonged standing, heavy lifting, or constipation due to increased abdominal pressure. You can use this principle to assess...

[Read More] Understanding the Link Between Varicocele and Lower Back Pain


Related FAQ

Lower Abdomen

(Urology)

Varicocele

(Urology)

Lower Abdominal Pain

(Internal Medicine)

Lower Abdominal Pain

(Gastroenterology and Hepatology)

Low Back Pain

(Urology)

Hernia

(Urology)

Abdominal Pain

(Family Medicine)

Pain After Ejaculation

(Urology)

Pelvic Pain

(Orthopedics)

Abdominal Pain

(Obstetrics and Gynecology)