Testicular Pain: When to See a Urologist - Urology

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I have pain in my testicles?


Doctor, I would like to ask you something.
I have had several girlfriends in the past, but every time I enter a relationship, I often experience testicular pain.
Just having physical contact causes pain, which is really frustrating.
Sometimes even holding hands can be painful.
However, during masturbation or at other times, I do not experience this pain.
It only occurs when I spend time with my girlfriend; after a while, the pain in my testicles starts, and it even hurts when I walk.
I need to rest for quite a while before it gets better.
I also notice some fluid secretion, but I am not sure what that fluid is.
What could be the problem? This has been bothering me for a long time.
Should I see a urologist?

Ye Fei, 20~29 year old female. Ask Date: 2004/03/25

Dr. Liu Jianting reply Urology


That's really disappointing! Could it be a phenomenon of penile cramping caused by excitement, and is it bilateral or unilateral? However, we should first rule out the possibility of inflammation.
Please consult a urologist for an examination.
As for the secretion of fluid, it could possibly be due to the secretion from the urethral glands during arousal!

Reply Date: 2004/03/25

More Info


Testicular pain can be a distressing and complex issue, especially when it occurs in specific situations such as physical intimacy. Based on your description, it seems that you experience pain in your testicles primarily during intimate moments with your girlfriend, which can be quite frustrating and concerning.
First and foremost, it is important to understand that testicular pain can arise from a variety of causes, ranging from benign to more serious conditions. Some common causes of testicular pain include:
1. 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), and may present with pain, swelling, and sometimes discharge.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain and requires immediate medical attention.

3. Hernia: An inguinal hernia can cause pain in the groin and testicular area, especially when engaging in physical activities.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can lead to a dull ache or discomfort, particularly after prolonged standing or physical activity.

5. Psychogenic Pain: Sometimes, pain can be related to anxiety or psychological factors, especially if it only occurs in specific situations, such as during intimacy.

Given that your pain is specifically triggered by physical contact and is accompanied by some form of discharge, it is advisable to consult a urologist. A urologist specializes in male reproductive health and can conduct a thorough evaluation, including a physical examination and possibly imaging studies or laboratory tests, to determine the underlying cause of your symptoms.

When you visit the urologist, be prepared to discuss the following:
- The exact nature of your pain (sharp, dull, intermittent, constant).

- Any associated symptoms (swelling, redness, discharge).

- The frequency and duration of the pain episodes.

- Any other medical history that may be relevant, including previous infections or surgeries.

It is also important to mention any psychological factors that may be contributing to your discomfort, as this can help the doctor understand your situation better.

In terms of treatment, it will depend on the underlying cause identified by the urologist. If it is an infection, antibiotics may be prescribed. If it is related to anxiety or psychological factors, counseling or therapy might be beneficial.
In conclusion, while testicular pain can be caused by various factors, your specific symptoms warrant a professional evaluation. Seeing a urologist is a prudent step to ensure that any potential issues are addressed and to help alleviate your discomfort during intimate moments. Remember, seeking help is a positive step towards understanding and managing your health concerns effectively.

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