Testicular Pain: Causes, Symptoms, and Treatment Options

Testis

It is possible that while showering yesterday, you may have accidentally rubbed against your scrotum.
At the time, you did not feel any pain in your testicles, but after a while, you started to experience a dull ache in your left testicle.
You suspect that the pain might be coming from the blood vessels next to the testicle, as sometimes moving the testicle to the side causes pain, while at other times it does not.
You would like to know what steps to take to alleviate this issue and whether surgery is necessary.

Mr. Li, 20~29 year old female. Ask Date: 2011/05/01

Dr. Zhou Xinpei reply Urology

Regarding your inquiry, it is still recommended that you visit a urologist for a detailed evaluation by a professional physician to clarify the cause of your testicular pain.
Thank you!

Reply Date: 2011/05/01

More Info

Testicular pain can be a concerning symptom, and it’s important to understand the potential causes, symptoms, and treatment options available. Based on your description, it seems you experienced discomfort in your left testicle after washing, which may have been exacerbated by movement or pressure on the area.

Causes of Testicular Pain
Testicular pain can arise from various sources, including:
1. Trauma or Injury: Physical trauma, such as hitting or squeezing the testicles, can lead to pain. Even minor injuries can cause discomfort that may not be immediately apparent.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can be caused by infections, sexually transmitted infections, or other factors.

3. 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. If you experience this, immediate medical attention is necessary.

4. Varicocele: This condition involves enlarged veins within the scrotum, similar to varicose veins. It can cause a dull, aching pain, especially after standing or physical activity.

5. Hernia: An inguinal hernia can cause pain in the groin or testicular area, particularly when lifting or straining.

6. Infections: Infections of the testicles or surrounding structures can lead to pain and swelling.

7. Tumors: Although less common, testicular tumors can cause pain or discomfort.

Symptoms to Monitor
In addition to pain, you should be aware of other symptoms that may indicate a more serious condition:
- Swelling or redness in the scrotum
- A lump in the testicle or scrotum
- Fever or chills
- Nausea or vomiting
- Changes in urination or bowel habits

Treatment Options
1. Rest and Ice: If the pain is mild and due to minor trauma, resting and applying ice to the area may help reduce discomfort and swelling.

2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help alleviate pain.

3. Medical Evaluation: Given that you are experiencing persistent pain, it is advisable to consult a healthcare provider. They may perform a physical examination and possibly order imaging tests (like an ultrasound) to determine the cause of your pain.

4. Antibiotics: If an infection is diagnosed, antibiotics may be prescribed.

5. Surgery: In cases of testicular torsion, severe varicocele, or tumors, surgical intervention may be necessary.

When to Seek Immediate Help
If you experience sudden, severe pain, swelling, or any of the symptoms mentioned above, seek immediate medical attention. Testicular torsion, for example, requires urgent treatment to prevent permanent damage.

Conclusion
While the discomfort you are experiencing may be due to a minor issue, it is essential to have it evaluated by a healthcare professional to rule out any serious conditions. Early diagnosis and treatment can lead to better outcomes and prevent complications. If surgery is indicated, your doctor will discuss the risks and benefits with you, ensuring you are well-informed about your options.

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