Testicular Pain: Causes and When to Seek Help - Urology

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Testicular pain can be a concerning symptom, and it is essential to understand its potential causes and when to seek medical help. Based on your description, it seems you have noticed a soft mass beneath your left testicle after physical activity, accompanied by occasional pain in the same area. This situation warrants careful consideration, as various conditions can lead to testicular pain or discomfort.

One common cause of testicular pain is a condition known as epididymitis, which is the inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can result from infections, often sexually transmitted, or from non-infectious causes. Symptoms may include swelling, tenderness, and pain in the testicle or the area surrounding it.

Another possibility is testicular torsion, a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition typically presents with sudden, severe pain and swelling and requires immediate medical attention to prevent permanent damage to the testicle.

You mentioned a soft mass that moves with abdominal contraction. This could potentially be a hernia, particularly an inguinal hernia, where tissue protrudes through a weak spot in the abdominal muscles. Hernias can cause discomfort and may lead to complications if not treated.
Additionally, varicocele, which is an enlargement of the veins within the scrotum, can also cause a dull ache or discomfort in the testicular area. Varicoceles are often described as feeling like "a bag of worms" and can be more prominent when standing or straining.

Given that you have experienced pain and noticed a change in your anatomy, it is crucial to seek medical evaluation. A healthcare provider will typically perform a physical examination and may order imaging studies, such as an ultrasound, to assess the testicles and surrounding structures. This will help determine the exact cause of your symptoms and guide appropriate treatment.

In summary, while there are several potential causes for your symptoms, including epididymitis, testicular torsion, hernia, or varicocele, it is vital to consult a healthcare professional for an accurate diagnosis. Do not delay seeking help, especially if the pain worsens or if you experience additional symptoms such as swelling, redness, or fever. Early intervention can prevent complications and ensure proper management of your condition.