Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Hello： You should seek medical attention as your condition may be due to inflammation. <br>It is important to consult a healthcare professional. <br>Wishing you good health.

There is a slight discomfort and pain in the testicles?

After resting while sitting at noon, I got up in the afternoon and noticed a dull pain in my testicles.
At first, I didn't pay much attention to it, but later when I got home to take a shower, I discovered that the right testicle was larger than the left (it felt swollen).
It was very painful to touch.
The next day, I woke up feeling a sore throat and a slight fever, which I wasn't sure if it was related to the testicular issue.
I took painkillers, which alleviated the symptoms, but once the medication wore off, it seemed like I wasn't feeling any better.
However, I didn't experience any unusual sensations during ejaculation or urination; the pain was only in the testicles.
I would like to know what possible issues could be causing these symptoms.

Niming, 10~19 year old female. Ask Date: 2023/05/18

Dr. Du Shixi reply Urology

Hello: You should seek medical attention as your condition may be due to inflammation.
It is important to consult a healthcare professional.
Wishing you good health.

Reply Date: 2023/05/18

More Info

Testicular pain can be a concerning symptom and may arise from various causes, some of which require immediate medical attention. Based on your description, it sounds like you are experiencing pain and swelling in the right testicle, along with some systemic symptoms like a sore throat and mild fever. Here’s a breakdown of potential causes and when you should seek help.

Possible Causes of Testicular Pain
1. Epididymitis: This is an inflammation of the epididymis, 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, pain, and sometimes fever.

2. Orchitis: This is an inflammation of one or both testicles, which can occur due to viral infections (like mumps) or bacterial infections. Symptoms include swelling, pain, and sometimes fever.

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.

4. Hernia: An inguinal hernia can cause pain in the testicular area if abdominal contents protrude into the scrotum. This may also be accompanied by swelling and discomfort.

5. Trauma or Injury: Any recent injury to the groin area can lead to pain and swelling in the testicles.

6. Tumors: Although less common, testicular tumors can present with pain and swelling. This is usually accompanied by other symptoms, such as a lump in the testicle.

When to Seek Medical Help
Given your symptoms of testicular pain, swelling, and the development of systemic symptoms like a sore throat and fever, it is crucial to seek medical attention promptly. Here are specific indicators that warrant immediate evaluation:
- Severe Pain: If the pain is intense and sudden, especially if it is associated with nausea or vomiting, this could indicate testicular torsion.

- Swelling: If one testicle is significantly larger than the other, this could suggest an infection or torsion.

- Fever: A fever accompanying testicular pain may indicate an infection that requires treatment.

- Changes in Urination or Sexual Function: While you mentioned no significant changes in urination or ejaculation, any new symptoms in these areas should be discussed with a healthcare provider.

Conclusion
In summary, the symptoms you are experiencing could be indicative of several conditions, some of which are serious and require immediate medical intervention. It is essential to consult a healthcare professional, preferably a urologist, who can perform a thorough examination, possibly including an ultrasound of the testicles, to determine the underlying cause of your symptoms. Early diagnosis and treatment are crucial for conditions like testicular torsion and infections to prevent complications.
Do not hesitate to seek help, as timely intervention can make a significant difference in outcomes.

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