Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Hello： If there is swelling combined with urinary symptoms, please seek medical attention promptly. <br>If there are no symptoms at all, it may be a circulation issue. <br>Be mindful to avoid prolonged sitting or standing, wear loose-fitting underwear, and reduce spicy and irrita

Testicular pain

Hello doctor, sometimes I experience pain in my testicles while sitting or lying down for a short period.
What could be the issue?

Willy Lee, 10~19 year old female. Ask Date: 2024/02/27

Dr. Du Shixi reply Urology

Hello: If there is swelling combined with urinary symptoms, please seek medical attention promptly.
If there are no symptoms at all, it may be a circulation issue.
Be mindful to avoid prolonged sitting or standing, wear loose-fitting underwear, and reduce spicy and irritating foods.
Monitor the situation to see if it improves.
Wishing you good health.

Reply Date: 2024/02/27

More Info

Testicular pain can be a concerning symptom and may arise from various causes. Understanding the underlying reasons for this discomfort is crucial for determining the appropriate course of action.
Firstly, it's important to note that testicular pain can be categorized into acute and chronic pain. Acute pain is often sudden and severe, while chronic pain persists over a longer period. The causes of testicular pain can range from benign conditions to more serious medical issues.

1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It is often caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms may include swelling, redness, and tenderness in the affected area.

2. Testicular Torsion: This is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. Testicular torsion requires immediate medical attention to prevent permanent damage.

3. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort in the groin and testicular area, especially when sitting or standing for prolonged periods.

4. Trauma or Injury: Any direct injury to the testicles can lead to pain. This could be from sports, accidents, or other physical activities.

5. Varicocele: This condition involves enlarged veins within the scrotum and can cause a dull ache or discomfort, particularly after prolonged sitting or standing.

6. Hydrocele: This is a fluid-filled sac surrounding a testicle, which can cause swelling and discomfort.

7. Tumors: Although less common, testicular tumors can cause pain or discomfort. It’s essential to monitor any changes in size or shape of the testicles.

Given your symptoms of pain while sitting or lying down, it is advisable to seek medical attention, especially if the pain is persistent, severe, or accompanied by other symptoms such as swelling, redness, fever, or nausea. A healthcare provider will likely perform a physical examination and may order imaging tests, such as an ultrasound, to determine the cause of the pain.

In summary, while testicular pain can stem from various causes, some of which are benign, others can be serious and require prompt medical intervention. If you experience ongoing discomfort, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can often lead to better outcomes and prevent complications.

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