Testicular Pain: Causes, Symptoms, and Relief Strategies

Testicular pain

Hello Dr.
Liu: When I am with my girlfriend, after about three to four hours of penile erection, I start to experience pain in my lower abdomen (approximately around the bladder and its sides) and in my testicles.
Touching my testicles also causes pain, and my scrotum appears to shrink.
The temperature of the scrotum is higher than normal body temperature.
However, after some time and by changing into looser pants, the pain gradually subsides and returns to normal.
This has happened three times now, and I was wearing jeans each time.
I would like to ask if this situation is normal.
If it is normal, what methods can I use to alleviate the pain when it occurs again? Could this condition lead to decreased sperm motility and insufficient sperm count? Or should I go to the hospital for an examination? I would appreciate your clarification on this matter.
Thank you.

Kong Bai, 20~29 year old female. Ask Date: 2005/07/24

Dr. Liu Jianting reply Urology

It's normal! Don't wear tight jeans! Don't be with your girlfriend! Go to the hospital and see a urologist for an examination.

Reply Date: 2005/07/24

More Info

Testicular pain can be a concerning symptom, and understanding its causes, symptoms, and relief strategies is essential for anyone experiencing it. Based on your description, it seems that you are experiencing discomfort in the lower abdomen and testicles after prolonged erections, particularly when wearing tight clothing like jeans. This situation can be attributed to several factors, and I will outline them below.

Causes of Testicular Pain
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can cause pain and swelling in the testicles and is often associated with infections.

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. Inguinal Hernia: This occurs when tissue protrudes through a weak spot in the abdominal muscles, which can lead to discomfort in the groin and testicular area.

4. 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.

5. Trauma or Injury: Any direct injury to the testicles can lead to pain and swelling.

6. Clothing and Positioning: Tight clothing, such as jeans, can restrict blood flow and cause discomfort, especially during prolonged erections. The increased temperature in the scrotum may also contribute to discomfort.

Symptoms to Monitor
- Pain Intensity: Note if the pain is sharp, dull, or throbbing.

- Duration: How long does the pain last? Is it consistent or intermittent?
- Swelling or Changes: Observe if there is any swelling, redness, or changes in the appearance of the testicles.

- Associated Symptoms: Be aware of any additional symptoms such as fever, nausea, or changes in urination.

Relief Strategies
1. Wear Loose Clothing: Switching to looser-fitting underwear and pants can help alleviate pressure on the testicles and reduce discomfort.

2. Cold Compress: Applying a cold pack to the affected area can help reduce swelling and numb the pain.

3. Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort.

4. Avoid Prolonged Erections: If possible, try to avoid situations that lead to prolonged erections, as this can exacerbate discomfort.

5. Rest: Taking breaks and avoiding strenuous activities can help reduce pain.

Concerns About Fertility
Regarding your concerns about sperm motility and count, while temporary discomfort and pain may not directly affect sperm production, chronic pain or conditions like epididymitis can potentially impact fertility. If you are experiencing recurrent pain, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend tests such as an ultrasound or semen analysis to assess your reproductive health.

When to Seek Medical Attention
You should seek medical attention if:
- The pain is severe or sudden.

- You notice swelling or changes in the testicles.

- You experience fever, nausea, or vomiting.

- The pain persists despite home treatment.

In conclusion, while your symptoms may be related to clothing and positioning, it is essential to monitor your condition and consult a healthcare provider if the pain continues or worsens. Early intervention can help prevent potential complications and ensure your reproductive health remains intact.

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