Left Testicular Pain: Causes and When to See a Doctor

Q: Left Testicular Pain: Causes and When to See a Doctor

A 27-year-old male： Hello, I have testicular pain, and it suddenly became severe, to the point where I can't sit or stand comfortably. <br>I suspect it might be localized nerve pain. <br>Of course, it could also be caused by an infection, inflammation, or even urinary tract stone

Pain in the left testicle?

Hello, doctor.
Today, while sitting in a chair, I suddenly felt a sharp pain in my left testicle that was so intense I couldn't sit still.
After a while, the pain subsided, but I still feel a lingering discomfort in the left testicle.
This happens occasionally.
Could this be due to varicocele, or is it testicular inflammation? Do I need to see a doctor? What should I do if I don't have time to see a doctor during work hours?

Nan 27 sui, 20~29 year old female. Ask Date: 2005/05/09

Dr. Xu Weikai reply Urology

A 27-year-old male: Hello, I have testicular pain, and it suddenly became severe, to the point where I can't sit or stand comfortably.
I suspect it might be localized nerve pain.
Of course, it could also be caused by an infection, inflammation, or even urinary tract stones.
On the other hand, varicocele rarely causes severe pain; it is usually a dull ache.
The diagnosis of varicocele is quite simple; just stand up, bear down as if you are trying to have a bowel movement, and check your scrotum, especially on the left side, to see if it appears larger, as if there are many worms inside.
Most larger hospitals offer evening outpatient services, so you can seek medical attention nearby.
Urology Department Chief, Hsu Wei-Kai, responding on behalf of the Taitung Hospital of the Department of Health, Executive Yuan, cares about you.

Reply Date: 2005/05/09

More Info

Left testicular pain can be a concerning symptom and may arise from various causes. Understanding these causes is crucial for determining whether medical attention is necessary.

Potential Causes of Left Testicular Pain
1. Varicocele: This is a condition characterized by enlarged veins within the scrotum, similar to varicose veins in the legs. Varicoceles are often associated with a dull ache or discomfort, particularly after prolonged sitting or standing. They can also cause a feeling of heaviness in the affected testicle.

2. 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 typically include sudden pain, swelling, 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 nausea. Immediate medical attention is required to save the testicle.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause pain in the groin and may extend to the testicle.

5. Trauma or Injury: Any direct injury to the testicles can result in acute pain. This could be due to sports injuries, accidents, or other physical impacts.

6. Tumors: Although less common, testicular tumors can cause pain and discomfort. These may be benign or malignant and require medical evaluation.

When to See a Doctor
Given the sudden onset of severe pain that you experienced, it is advisable to seek medical attention, especially if the pain recurs or is accompanied by other symptoms such as swelling, redness, fever, or nausea. Here are some guidelines on when to see a doctor:
- Severe Pain: If the pain is intense and sudden, especially if it feels like a sharp or stabbing sensation.

- Swelling or Redness: Any visible swelling or redness in the scrotum or testicle should be evaluated.

- Accompanying Symptoms: If you experience fever, chills, or nausea along with the pain, it could indicate an infection or other serious condition.

- Persistent Discomfort: If the pain persists or recurs frequently, it is important to have it assessed.

Managing Time Constraints
If you have a busy schedule and find it challenging to see a doctor, consider the following options:
- Urgent Care Clinics: These facilities often have extended hours and can provide immediate care for non-life-threatening conditions.

- Telemedicine: Many healthcare providers offer virtual consultations, allowing you to discuss your symptoms with a doctor without needing to visit a clinic in person.

- Schedule an Appointment: Try to find a time that works for you, even if it means taking a few hours off work. Your health should be a priority.

Conclusion
While left testicular pain can have various causes, some of which are benign, others may require immediate medical attention. Given your symptoms, it is prudent to consult a healthcare professional for a thorough evaluation and appropriate management. Early diagnosis and treatment can prevent complications and ensure better outcomes.

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