Testicular Pain After Injury: When to See a Doctor? - Urology

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The testicle is slightly bruised?


Three days ago, a classmate inappropriately hit my genital area.
Since there were several boys and girls present, I didn't confront him at the time.
It was quite painful afterward, with a throbbing pain.
Now, three days later, the pain has decreased, but there is still some throbbing discomfort.
Should I see a doctor, or are there any home remedies that could help alleviate this throbbing pain?

Xiao Chen, 20~29 year old female. Ask Date: 2006/03/26

Dr. Chen Xiuyi reply Urology


Hello: When trauma occurs to the vulva, it is essential to consider the location and severity of the injury.
Commonly injured areas include the testicles and urethra.
If there is no swelling of the scrotum or signs of hematoma, and no urethral bleeding is present, observation may be appropriate.
During the acute phase (approximately 3 days), ice packs can be applied to reduce pain.
Sincerely, Dr.
Chen Hsiu-Yi, Urology.

Reply Date: 2006/03/26

More Info


Testicular pain following an injury can be concerning, and it's important to assess the situation carefully. Based on your description, it seems that you experienced a direct impact to the testicular area, which can lead to various types of injuries, including bruising, swelling, or even more serious conditions such as testicular torsion or rupture.

In your case, since the pain has decreased over the past three days, this is a positive sign. However, the presence of lingering pain, especially if it is described as "sharp" or "throbbing," warrants attention. Here are some considerations to help you decide whether to see a doctor:
1. Severity of Pain: If the pain is mild and gradually improving, you may not need to see a doctor immediately. However, if the pain worsens, becomes severe, or is accompanied by other symptoms such as swelling, redness, or fever, you should seek medical attention promptly.

2. Duration of Symptoms: If the pain persists beyond a week or does not improve, it is advisable to consult a healthcare professional. Chronic pain can sometimes indicate underlying issues that need to be addressed.

3. Associated Symptoms: Pay attention to any additional symptoms that may arise. These can include nausea, vomiting, changes in urination, or any unusual discharge. The presence of these symptoms could indicate a more serious condition that requires immediate medical evaluation.

4. Self-Care Measures: In the meantime, you can manage the pain at home with some self-care strategies:
- Rest: Avoid activities that may aggravate the pain, such as heavy lifting or vigorous exercise.

- Ice Application: Applying ice packs to the affected area for 15-20 minutes at a time can help reduce swelling and numb the pain.

- Over-the-Counter Pain Relief: Medications such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. Be sure to follow the recommended dosage on the package.

5. When to Seek Immediate Care: If you experience any of the following, seek medical attention immediately:
- Severe, sudden pain that does not improve.

- Swelling or a noticeable lump in the scrotum.

- Nausea or vomiting.

- Fever or chills.

- Changes in the color of the testicles or scrotum.

In conclusion, while it is encouraging that your pain has decreased, it is essential to remain vigilant for any changes in your symptoms. If you have any doubts or if the pain persists, it is always better to err on the side of caution and consult a healthcare provider. They can perform a physical examination and, if necessary, order imaging studies to rule out any serious injuries. Your health and well-being are paramount, so do not hesitate to seek help if you feel it is needed.

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