Testicular Pain: When to Seek Medical Attention

Q: Testicular Pain: When to Seek Medical Attention

Hello, A-Wen： You are currently in your puberty, and your sexual desire is awakening. <br>Masturbating every other day is not excessive; however, I recommend engaging in other beneficial activities for both your body and mind, whether they are active or passive. <br>I'm not sure

Dull pain in the testicles?

Hello Doctor, in the past few weeks, I've been experiencing a dull pain in my testicles.
It started with a slight pain in the left testicle during urination, and later, during masturbation, both testicles felt like they were cramping.
Could this be due to the frequency (once every two days)? Additionally, when the weather is very cold and I go outside, it feels like they "shrink," and I also experience pain in both sides.
I also have some cramping pain in the lower abdomen and groin area.
However, during normal times, it feels okay, and there doesn't seem to be any visible abnormalities; both sides appear to be the same size.
Doctor, is there any problem with this? Should I see a doctor immediately? Thank you.

A-Wen, 20~29 year old female. Ask Date: 2004/02/11

Dr. Lin Hexing reply Urology

Hello, A-Wen: You are currently in your puberty, and your sexual desire is awakening.
Masturbating every other day is not excessive; however, I recommend engaging in other beneficial activities for both your body and mind, whether they are active or passive.
I'm not sure if you prefer wearing tight underwear and jeans, but this could be an external factor causing mild discomfort in your testicles.
It is advisable to wear looser clothing for better health.
If you are experiencing only mild testicular pain without any swelling, there should be no cause for concern.
You can take warm baths in the evening.
During ejaculation, the testicles may slightly swell, and the cremaster muscle contracts, which can lead to a pulling sensation in both testicles.
In cold weather, the cremaster muscle contracts to keep the testicles closer to the body for temperature regulation, which can cause discomfort.
Overall, your concerns seem to be normal physiological responses, and as long as there is no accompanying testicular swelling, there is no need to worry about any abnormal conditions.

Reply Date: 2004/02/11

More Info

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, it seems you are experiencing intermittent pain in your testicles, particularly during urination and sexual activity, along with some discomfort in the lower abdomen and groin area.
First, let's discuss some common causes of testicular pain. One of the most common causes is epididymitis, which is inflammation of the epididymis, the tube that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Another potential cause is testicular torsion, a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition typically presents with sudden, severe pain and requires immediate medical intervention. Other possible causes include hernias, varicoceles (enlarged veins within the scrotum), and trauma.

Given that your pain is associated with urination and sexual activity, it could suggest an issue related to the urinary tract or reproductive system. The fact that you mention the pain is more pronounced during cold weather when your testicles may retract could indicate a sensitivity to temperature changes, which is not uncommon. However, the presence of pain during urination and sexual activity, especially if it is persistent or worsening, warrants further investigation.

In terms of frequency of sexual activity, while masturbation is a normal and healthy activity, excessive frequency can sometimes lead to temporary discomfort or soreness. However, if the pain persists or is accompanied by other symptoms such as swelling, redness, fever, or discharge, it is essential to consult a healthcare professional.

You should seek medical attention if:
1. The pain is severe or worsening.

2. You experience swelling or redness in the scrotum.

3. There is any discharge from the penis.

4. You have fever or chills.

5. You notice any changes in urination, such as blood in the urine or difficulty urinating.

A healthcare provider will likely perform a physical examination and may order tests such as an ultrasound to assess the blood flow to the testicles and check for any abnormalities. They might also conduct urine tests to rule out infections.

In conclusion, while some testicular pain can be benign, your symptoms suggest that it would be prudent to consult a healthcare professional to rule out any serious conditions. Early diagnosis and treatment are crucial, especially for conditions like testicular torsion or infections that could lead to complications if left untreated. Don't hesitate to reach out to a urologist or your primary care physician for an evaluation. Your health and peace of mind are important, and addressing these symptoms promptly is the best course of action.

Similar Q&A

Understanding Testicular Pain: When to Seek Medical Attention

Hello doctor, last night before bed, I suddenly felt a sharp pain in my left testicle that lasted quite a while before it subsided. However, upon close examination, the testicle appears normal. Could this be related to my recent prolonged sitting? Should I seek medical attention ...

Dr. Du Shixi reply Urology
Hello: If it occurs 1-2 times a week, you should seek medical attention. If it's only once, try to stay active; improving circulation may alleviate the pain. Wishing you good health.

Understanding Testicular Discomfort: When to Seek Medical Attention

Hello, doctor. Recently, I noticed a soft mass on the upper part of my right testicle, which is painful to touch, but there doesn't seem to be any swelling. After two or three days, I started experiencing sharp pain in my lower right abdomen, which occurs occasionally. Overa...

Dr. Du Shixi reply Urology
Hello: It may be related to poor vascular circulation. If you do not sit for long periods and frequently move around, but still experience this condition, you should consider seeking medical attention. The doctor will examine you based on your symptoms. Wishing you good health. I...

Understanding Right Testicular Pain: Causes and When to Seek Help

Hello Doctor, since I woke up last Saturday, February 18th, I've been experiencing some sharp pain in my right testicle. Upon closer examination, I noticed a small raised spot on either the epididymis or the testicle itself. Pressing on that spot causes noticeable pain, alth...

Dr. Jiang Yini reply Urology
Testicular pain can have several possible causes: 1. Epididymitis 2. Trauma 3. Varicocele 4. Testicular torsion. It is advisable to seek medical attention promptly to rule out more serious issues such as testicular torsion. Our urology department has evening clinics from Monday t...

Understanding Testicular Discomfort: When to Seek Medical Attention

Hello doctor, today when I was swimming, I felt a sensation of my right testicle being pulled upwards towards the groin area. However, when I gently pressed on it, the sensation went away. Is there any issue with this? Do I need to seek medical attention?

Dr. Xu Weikai reply Urology
Hello, it's difficult to determine. It could be testicular torsion or neuropathic pain. If you're concerned, it's advisable to seek medical attention as soon as possible. If there are any unclear points, feel free to ask again, and we can discuss and research furth...