Scrotal Pain: Causes and When to Seek Help

Scrotal pain?

In the past couple of days, it seems that my scrotum has hardened and is painful, somewhat resembling dehydration as it feels dry, but there is no swelling.
However, it does appear red.
I'm not sure what the issue might be.
Thank you.

Niming, 10~19 year old female. Ask Date: 2006/02/24

Dr. Lin Wenxu reply Urology

Based on your description, it is possible that this is an early manifestation of an infection, such as epididymitis, acute orchitis, or scrotal dermatitis.
It is recommended to visit a urology clinic for further evaluation and treatment.

Reply Date: 2006/02/24

More Info

Scrotal pain can be a concerning symptom, and understanding its potential causes is crucial for determining when to seek medical help. Based on your description of experiencing hardness, dryness, and redness in the scrotal area without swelling, there are several possible explanations for your symptoms.

One common cause of scrotal pain is epididymitis, which is the inflammation of the epididymis, a tube located at the back of the testicle that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms typically include pain, swelling, and sometimes redness in the scrotal area. Although you mentioned no swelling, the redness and discomfort could still suggest an inflammatory process.

Another possibility is testicular torsion, which is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition usually presents with sudden, severe pain and swelling, but it can sometimes start with milder symptoms. If you experience acute pain, nausea, or vomiting, you should seek immediate medical attention.

Hernias can also cause discomfort in the scrotal area. An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can lead to pain and a feeling of heaviness in the scrotum, especially when standing or straining.

Other potential causes of scrotal pain include trauma or injury to the area, varicocele (enlargement of veins within the scrotum), or even referred pain from conditions affecting the lower abdomen or pelvis. In some cases, skin conditions such as dermatitis or infections can lead to redness and discomfort in the scrotal area.

Given your symptoms of hardness and dryness, it is also worth considering dermatological issues. Conditions like fungal infections or contact dermatitis can cause localized redness and discomfort. Dehydration can lead to dry skin, but it is less common for it to cause scrotal pain specifically.

When to seek help is an important consideration. If the pain is persistent, worsening, or accompanied by other symptoms such as fever, nausea, vomiting, or changes in urination, it is advisable to consult a healthcare professional. Additionally, if you notice any swelling, lumps, or changes in the appearance of the scrotum, you should seek medical evaluation promptly.

In summary, scrotal pain can arise from various causes, including infections, torsion, hernias, or dermatological issues. It is essential to monitor your symptoms closely and seek medical attention if they persist or worsen. A healthcare provider can perform a thorough examination, possibly including imaging studies or laboratory tests, to determine the underlying cause and recommend appropriate treatment. Remember, early intervention can often lead to better outcomes, especially in cases of acute conditions like testicular torsion.

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