Testicular Pain: Causes and Concerns Explained - Urology

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Testicular issues


Hello doctor, today while taking a shower, I checked my testicles to see if there were any hard areas.
I ended up squeezing them to confirm, and now after showering, they feel a bit painful and uncomfortable.
I'm worried that I might have ruptured them or caused some kind of injury.

Ren, 10~19 year old female. Ask Date: 2024/07/26

Dr. Du Shixi reply Urology


Hello: It's unlikely to break, wishing you good health.

Reply Date: 2024/07/26

More Info


Testicular pain can be concerning, especially when it arises suddenly or after physical manipulation. It's important to understand that there are various potential causes for testicular pain, and while some may be benign, others can be serious and require immediate medical attention.

Firstly, the most common causes of testicular pain include:
1. Trauma or Injury: If you have manipulated or squeezed the testicles, it can lead to bruising or swelling, resulting in pain. This is often self-limiting and may resolve with time and rest.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms may 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. Testicular torsion requires immediate surgical intervention to save the testicle.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles, which can cause discomfort in the groin and testicular area.

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

6. Tumors: Although less common, testicular tumors can cause pain or discomfort. This is usually accompanied by a noticeable lump or swelling in the testicle.

Given your situation, if the pain is mild and subsides with rest, it may not be a cause for concern. However, if you experience severe pain, swelling, or any other alarming symptoms such as fever, nausea, or vomiting, it is crucial to seek medical attention promptly. A healthcare provider can perform a physical examination and may recommend an ultrasound to assess the condition of the testicles and surrounding structures.

It's also worth noting that anxiety about potential injuries can exacerbate the perception of pain. If your pain is mild and you are not experiencing any other symptoms, it may be beneficial to monitor the situation and avoid further manipulation of the area. However, if your anxiety persists or worsens, consider discussing it with a healthcare professional who can provide reassurance and guidance.

In conclusion, while testicular pain can arise from various causes, most cases are manageable with appropriate care. If you have any doubts or if the pain worsens, do not hesitate to consult a healthcare professional for a thorough evaluation. Your health and peace of mind are paramount, and addressing any concerns early can help prevent complications.

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