Testicular Pain: Causes, Concerns, and Treatment Options - Urology

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Testicular pain issues?


Hello doctor, during my last intimate encounter with my girlfriend, I experienced pain in my lower abdomen and testicles after an erection.
Initially, it was tolerable, but the pain intensified, making it uncomfortable to stand or walk.
It took about an hour for the pain to subside.
I've had similar pain after jogging and playing basketball.
I found information online about a condition called "varicocele." I would like to ask you the following questions:
1.
Is it possible that I have this condition?
2.
If so, is it necessary to seek medical attention immediately? I have a lot of commitments lately, and it’s inconvenient to see a doctor.
If I delay too long, will it become untreatable or cause permanent damage?
3.
I read that it could lead to testicular atrophy.
If atrophy has already occurred, is there a way to restore the testicles to their original size or function?
4.
I have a habit of weight training.
If I have varicocele, can I continue lifting weights and doing push-ups? What about jogging and playing basketball?
5.
Recently, I have been experiencing frequent soreness in my left lower back and side.
Could this be related to the condition?
I apologize for the numerous questions, but these issues are really troubling me.
I don’t want to worry my family or make my girlfriend unhappy.
I would greatly appreciate your detailed responses.
Thank you!

A-Zhe, 20~29 year old female. Ask Date: 2012/01/17

Dr. Xu Weikai reply Urology


A-Zhe: Hello, based on your description, it is difficult to make a judgment.
I recommend seeking medical attention as soon as possible.
Delaying too long may affect fertility.
As for whether it is a varicocele, a diagnosis in an outpatient setting is necessary.
Other questions are hypothetical; without a definitive diagnosis, I cannot provide answers.
I apologize.

Reply Date: 2012/01/17

More Info


Testicular pain can be a concerning symptom, and it’s important to understand the potential causes, implications, and treatment options available. Based on your description, it seems you are experiencing pain in the lower abdomen and testicles, particularly after physical activity or sexual arousal. Let’s address your questions one by one.

1. Could this be Varicocele?
Yes, the symptoms you describe could be indicative of a condition known as varicocele, which is characterized by enlarged veins within the scrotum. This condition is relatively common and can lead to discomfort, especially after physical exertion or sexual activity. However, testicular pain can also arise from other conditions such as epididymitis, testicular torsion, or hernias, so it’s essential to have a thorough evaluation by a healthcare professional to determine the exact cause.

2. Is immediate medical attention necessary?
While varicocele is often not an emergency, it is advisable to seek medical attention sooner rather than later, especially if the pain persists or worsens. Delaying treatment could potentially lead to complications, including chronic pain or fertility issues. If you experience severe pain, swelling, or any other alarming symptoms, you should seek immediate medical care.

3. Can testicular atrophy be reversed?
If testicular atrophy has occurred due to varicocele or another condition, treatment options may vary. Surgical intervention, such as varicocelectomy, can improve blood flow and potentially restore testicular size and function. However, the success of such treatments can depend on various factors, including the duration of the condition and the individual’s overall health. It’s best to discuss this with a urologist who can provide tailored advice based on your specific situation.

4. Can I continue weight training and other physical activities?
If you have been diagnosed with varicocele, moderate exercise is generally encouraged, but you should avoid heavy lifting or strenuous activities that could exacerbate your symptoms. Activities like running and playing basketball may also be fine, but it’s crucial to listen to your body. If you experience increased pain during or after these activities, it may be wise to modify your routine and consult with a healthcare provider.

5. Could my back and side pain be related?
Yes, the pain in your left side and back could potentially be related to the same underlying issue affecting your testicles. Conditions like varicocele can sometimes lead to referred pain in the lower back or abdomen. However, other causes such as muscle strain or kidney issues could also be responsible. A comprehensive evaluation is necessary to determine the relationship between these symptoms.

In summary, while varicocele is a possibility, it’s essential to have a proper diagnosis to rule out other conditions. Seeking medical attention is crucial, especially if your symptoms persist or worsen. Early intervention can help prevent complications and ensure better outcomes. Remember, your health is paramount, and addressing these concerns sooner rather than later will help alleviate your worries and allow you to focus on your daily activities without discomfort.

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