Testicular Swelling: Causes, Symptoms, and When to Seek Help

Q: Testicular Swelling: Causes, Symptoms, and When to Seek Help

Hello： Based on what you described, you may have right-sided epididymitis. <br>If you are concerned, you can go to the urology department for further examination. <br>Thank you!

Testicular enlargement

Hello Doctor, I haven't engaged in DIY for a while (about a month and a half; previously, I would do it every two to three days).
About six days ago, I noticed that my right testicle had swollen significantly and felt hard, accompanied by intermittent pain similar to a hernia.
I looked up some information online and realized that a few days before the swelling (about four days ago), I had a severe fever and chills.
I'm not sure if this is related.
Recently, I couldn't help but engage in DIY again (three times).
Later, I was planning to see a doctor, but I noticed that the swelling in my testicle seems to have subsided.
I was initially very worried about the possibility of cancer, so I would like to hear your opinion.
Thank you.

Xiao Lan, 20~29 year old female. Ask Date: 2006/09/14

Dr. Lai Ronghao reply Urology

Hello: Based on what you described, you may have right-sided epididymitis.
If you are concerned, you can go to the urology department for further examination.
Thank you!

Reply Date: 2006/09/14

More Info

Testicular swelling can be a concerning symptom, and it's important to understand the potential causes, associated symptoms, and when to seek medical help. Based on your description, there are several factors to consider regarding your condition.

Possible Causes of Testicular Swelling
1. Epididymitis: This is an inflammation of the epididymis, often caused by infections, including sexually transmitted infections (STIs). Symptoms may include swelling, pain, and sometimes fever.

2. Orchitis: This is inflammation of the testicle, which can also be due to viral or bacterial infections. Mumps is a common viral cause, particularly in individuals who are not vaccinated.

3. Hydrocele: This is a fluid-filled sac surrounding a testicle that can cause swelling. It is usually painless and may resolve on its own.

4. Varicocele: This is an enlargement of the veins within the scrotum and can cause a feeling of heaviness or swelling.

5. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain and swelling. This condition requires immediate medical attention.

6. Tumors: While less common, testicular cancer can present with swelling or a lump in the testicle. It is crucial to monitor any changes in size or shape.

Symptoms to Monitor
- Pain: The presence of pain, especially if it is severe or sudden, should be taken seriously.

- Fever: Your mention of fever and chills could indicate an infection, which may be related to the swelling.

- Changes in Size: If the swelling fluctuates or resolves, it may indicate a less serious condition, but persistent swelling should be evaluated.

- Other Symptoms: Any additional symptoms such as nausea, vomiting, or changes in urination should also be noted.

When to Seek Help
You should seek medical attention if you experience any of the following:
- Severe or sudden pain in the testicle.

- Swelling that does not improve or worsens over time.

- Accompanying fever or chills.

- Any changes in urination or bowel habits.

- If you notice any lumps or masses in the testicle.

Conclusion
While it is reassuring that the swelling has decreased, it is still important to consult a healthcare professional for a thorough evaluation. They may perform a physical examination, and possibly an ultrasound, to determine the underlying cause of the swelling. Early diagnosis and treatment are crucial, especially if an infection or other serious condition is present.

In summary, testicular swelling can arise from various causes, and while some may resolve on their own, others may require medical intervention. Given your symptoms of fever and the recent changes in your testicle, it is advisable to follow up with a healthcare provider to ensure proper diagnosis and treatment. Your health and peace of mind are paramount, so do not hesitate to seek help.

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