Testicular Pain: Causes and When to Seek Help

Q: Testicular Pain: Causes and When to Seek Help

PE： Hello, which side of the testicle is painful? Is the pain located in the testicle itself, on top of the testicle, or on the skin of the scrotum? Does the pain radiate to other areas, such as near the anus, groin, or lower back? How long does the pain last? When does it hurt t

Testicular pain

Hello Doctor: Recently, I have been experiencing severe pain in my testicles and lower abdomen.
However, after a night's sleep, the pain seems to go away, but it gradually returns in the evening.
Initially, there is only mild pain in the testicles, but by bedtime, it spreads to the lower abdomen, making it very uncomfortable to walk.
Touching my testicles also causes pain.
I'm not sure what the issue could be.
I have had testicular pain in the past, but it has never been this severe.
I recently started dating a girlfriend; could this be due to excitement? Thank you.

pe, 20~29 year old female. Ask Date: 2010/10/13

Dr. Xu Weikai reply Urology

PE: Hello, which side of the testicle is painful? Is the pain located in the testicle itself, on top of the testicle, or on the skin of the scrotum? Does the pain radiate to other areas, such as near the anus, groin, or lower back? How long does the pain last? When does it hurt the most? Is it during cold weather, at night, after a shower, during an erection, after ejaculation, or while walking or running? What positions or actions (ice application, heat application, twisting, pressure, etc.) increase or decrease the pain? There are many causes of testicular pain, including orchitis, epididymitis, kidney stones, and testicular torsion, which need to be differentiated carefully.
After considering the above factors, please consult a physician.
If necessary, tests such as ultrasound or urinalysis may be performed to achieve an accurate diagnosis.
If there are any unclear points, feel free to ask again for further discussion and research.
This message is from the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, responding to you by Director Hsu Wei-kai.

Reply Date: 2010/10/13

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, the pain you are experiencing in your testicles and lower abdomen could be due to several factors, ranging from benign to more serious conditions.

One of the most common causes of testicular pain is epididymitis, which is the inflammation of the epididymis, the tube that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections. Symptoms often include swelling, redness, and tenderness in the affected testicle, along with pain that may radiate to the lower abdomen.

Another possible cause is testicular torsion, a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition typically presents with sudden, severe pain in the testicle, swelling, and sometimes nausea and vomiting. Testicular torsion requires immediate medical attention to prevent permanent damage to the testicle.

Hernias can also lead to pain in the testicular area. 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 or pain in the groin and may extend to the testicles.

In your case, since the pain seems to be intermittent and resolves after rest, it could be related to muscle strain or tension, especially if you have been engaging in physical activities or experiencing stress. However, given that you mentioned the pain has become more severe recently and is associated with tenderness upon touch, it is crucial to consult a healthcare professional for a thorough evaluation.

It is also worth noting that psychological factors, such as anxiety or excitement related to new relationships, can sometimes manifest as physical symptoms, including pain. However, it is essential to rule out any underlying medical conditions first.

When to Seek Help:
1. Severe Pain: If you experience sudden, severe pain in the testicle, seek immediate medical attention.

2. Swelling or Redness: If you notice swelling, redness, or warmth in the testicle, this could indicate an infection or torsion.

3. Persistent Symptoms: If the pain persists or worsens over time, it is important to see a doctor.

4. Accompanying Symptoms: If you experience nausea, vomiting, fever, or any other concerning symptoms, seek medical help promptly.

In summary, while there are various potential causes for testicular pain, it is essential to take your symptoms seriously. A healthcare provider can perform a physical examination, possibly order imaging studies, and conduct laboratory tests to determine the underlying cause of your pain. Early diagnosis and treatment are crucial to prevent complications and ensure your health and well-being.

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