Testicular Pain: Causes, Symptoms, and Concerns

Testicular issues

Hello, doctor.
I apologize for bothering you again.
I have a question: I have noticed something that feels like a string in my testicles, but this only started this year; it wasn't there last year.
Additionally, it sometimes hurts, but sometimes it doesn't.
I admit that I used to masturbate, but I don't do it as much now due to academic pressure.
Can testicular pain cause discomfort in my legs and lower back? I experience that.
Also, I feel that my organs are quite small compared to my peers.
I got hit near my knee by a baseball at school, and it seems like that might be when the discomfort in my testicles, legs, and back started.
I feel a pulling sensation because pressing on the tendon near my knee still hurts.
I'm not sure if this is related to that incident or if it's due to masturbation.
I also worry about my parents being concerned.
Does masturbation affect memory? I've been masturbating since middle school.
I don't understand why I became so obsessed with it.
Is it okay to stop now? Please help me with these questions, doctor.
I apologize for my poor ability to express myself.

Xiao Lu, 10~19 year old female. Ask Date: 2010/01/26

Dr. Lai Ronghao reply Urology

Masturbation is normal and does not affect the body; however, if you are experiencing any discomfort, please seek medical attention to determine the underlying cause.

Reply Date: 2010/01/26

More Info

Testicular pain can be a concerning symptom, and it's important to understand the potential causes, associated symptoms, and when to seek medical attention. Based on your description, it seems you are experiencing discomfort in the testicular area, along with some pain radiating to your legs and lower back. Additionally, you mentioned feeling a "stringy" sensation in the testicles that you did not notice before this year.
There are several potential causes of testicular pain, including:
1. Epididymitis: This is an inflammation of the epididymis, the tube that stores and carries sperm. It can be caused by infections, including sexually transmitted infections, or by trauma. Symptoms often include swelling, redness, and pain in the testicle.

2. 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.

3. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause discomfort in the groin and may radiate to the testicles.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort in the testicular area.

5. Trauma: You mentioned being hit by a baseball near the knee, which could potentially cause referred pain to the testicular area or lower back, especially if there was any injury to the nerves or muscles in that region.

6. Psychological Factors: Stress and anxiety, particularly related to academic pressures, can manifest as physical symptoms, including pain in various parts of the body.
Regarding your concerns about masturbation, it is a normal activity and does not typically have negative effects on physical health or memory. However, excessive guilt or anxiety about masturbation can lead to stress, which may contribute to physical discomfort.
It's crucial to address your symptoms with a healthcare professional, especially since you are experiencing pain and discomfort. A doctor can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the testicles and surrounding structures.
In summary, while some causes of testicular pain may be benign, others can be serious and require prompt medical attention. If the pain persists, worsens, or is accompanied by other concerning symptoms (such as swelling, fever, or changes in urination), it is essential to seek medical care. Your health and well-being are important, and a healthcare provider can help you navigate these concerns effectively.

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