Testicular Pain: Causes and When to Seek Help

Regarding testicular pain..?

In the past few weeks, I have been experiencing a dull pain in my testicles.
It's not extremely painful, but it is uncomfortable, similar to the sensation after being kicked.
The discomfort is persistent, and I have noticed that when it hurts, it also radiates along the spermatic cord on both sides.
This is really bothersome.
Could you please advise me on what this issue might be? Is it an acute problem? Since I am currently abroad, if it is acute, I may need to find a doctor immediately.
Otherwise, I am considering waiting until December to see a doctor in Taiwan, as I would prefer to be treated there.
Thank you for your advice!

bs, 20~29 year old female. Ask Date: 2005/10/30

Dr. Xu Weikai reply Urology

Hello, testicular pain during puberty may raise concerns about testicular torsion, which typically occurs on one side, although it can occasionally affect both sides.
Once it occurs, some individuals may experience spontaneous resolution, while others may not and will require immediate surgical intervention.
Additionally, testicular pain can also be caused by conditions such as stones or inflammation, which can present similarly.
Therefore, if the pain persists, it is indicative of a problem, and it is best to seek medical attention promptly.
In the case of testicular torsion, it can affect the blood supply to the testicle, potentially leading to testicular necrosis.

Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, Hsu Wei-Kai.

Reply Date: 2005/10/30

More Info

Testicular pain can be a concerning symptom, and it is important to understand the potential causes and when to seek medical help. Based on your description of the pain being mild but persistent, similar to the sensation of being kicked, and radiating along the spermatic cord, there are several possible explanations for your discomfort.

One common cause of testicular pain is epididymitis, which is an inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms often include swelling, tenderness, and sometimes fever. Another potential cause is testicular torsion, a more serious condition where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This usually presents with sudden, severe pain and requires immediate medical attention.

Other possible causes of testicular pain include trauma, hernias, varicocele (enlargement of veins within the scrotum), or referred pain from other areas such as the abdomen or lower back. Given that you mentioned the pain is not severe but still uncomfortable, it may not be an emergency, but it is essential to monitor the situation closely.

If the pain worsens, becomes severe, or is accompanied by other symptoms such as swelling, redness, fever, or nausea, you should seek medical attention immediately. In cases of testicular torsion, prompt treatment is crucial to prevent permanent damage to the testicle.

Since you are currently abroad, it is advisable to consult a local healthcare provider if the pain persists or worsens. They can perform a physical examination and possibly order imaging studies, such as an ultrasound, to determine the cause of your symptoms. If you feel comfortable waiting until you return to Taiwan, ensure that you schedule an appointment with a urologist, who specializes in male reproductive health.

In summary, while mild testicular pain can sometimes be benign, it is essential to take it seriously. Keep track of your symptoms, and do not hesitate to seek medical help if you notice any changes or worsening of your condition. Your health and well-being should always come first, and addressing any concerns early can lead to better outcomes.

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