Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

Xiao Hong： Hello, I cannot make a judgment, but generally, a urologist can easily make a diagnosis during an outpatient visit. <br>Based on your description, it could be epididymitis, orchitis, or neuralgia, among other possibilities. <br>Of course, there could be other issues as

Testicular pain

Hello doctor, I have been experiencing slight pain and discomfort in my right testicle for a few weeks, along with some swelling.
The symptoms become more pronounced after ejaculation (increased pain).
This has happened before, and it resolved naturally in about two to three months, but it started hurting again six months later.
Could this be testicular inflammation?

Xiao Hong, 30~39 year old female. Ask Date: 2009/10/30

Dr. Xu Weikai reply Urology

Xiao Hong: Hello, I cannot make a judgment, but generally, a urologist can easily make a diagnosis during an outpatient visit.
Based on your description, it could be epididymitis, orchitis, or neuralgia, among other possibilities.
Of course, there could be other issues as well, and without seeing the lesions, a definitive diagnosis cannot be made.

Reply Date: 2009/10/30

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 experiencing discomfort and swelling in the right testicle, particularly after ejaculation, there are several possible explanations for your symptoms.

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) like chlamydia or gonorrhea, or by non-infectious factors such as trauma or a reaction to certain medications. Symptoms of epididymitis typically include swelling, redness, and pain in the affected testicle, which may worsen during or after ejaculation.

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

Orchitis, an inflammation of the testicle itself, can also result in pain and swelling. This condition may occur due to viral infections, such as mumps, or bacterial infections. Symptoms can include pain, swelling, and sometimes fever.

Given that you have experienced similar symptoms in the past that resolved on their own, it is possible that you are dealing with a recurring issue, such as mild epididymitis. However, the fact that your symptoms have persisted for several weeks and are accompanied by swelling and increased pain after ejaculation warrants further evaluation.

It is crucial to seek medical attention, especially if you experience any of the following:
- Severe or worsening pain
- Swelling that does not improve
- Fever or chills
- Nausea or vomiting
- Changes in urination, such as burning or increased frequency
A healthcare provider will likely perform a physical examination and may order tests such as an ultrasound to assess blood flow to the testicle and to check for any abnormalities. They may also conduct urine tests to identify any infections.

In summary, while your symptoms could be indicative of a condition like epididymitis, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure the best possible outcome for your health.

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