Right Testicular Pain: Causes and Insights - Urology

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Right testicular pain?


Hello Doctor: About a year and a half ago, I experienced similar symptoms.
The situation at that time was quite similar to this one, with a small spot in the area of the right testicle and epididymis that causes sharp pain when pressed, but it’s not severe enough to disrupt my daily activities.
The previous condition lasted for a week and then resolved on its own.
This time, it seems to be accompanied by a pulling sensation in the inner thigh of the right leg.
Two days before the pain started, I went to the gym to use equipment and jog.
I would appreciate your diagnosis.

Xiao Huang, 20~29 year old female. Ask Date: 2013/08/22

Dr. Lin Hexing reply Urology


Hello: Since you have been exercising at the gym, it is likely that you are experiencing soreness related to muscle and ligament strain.
Resting and taking warm baths should help improve the condition.
If it does not get better after a week, please consult a urologist to check for any other underlying issues.
Wishing you good health.

Reply Date: 2013/08/22

More Info


Right testicular pain can be concerning and may arise from various causes, ranging from benign to more serious conditions. Given your history of similar symptoms and the current discomfort you are experiencing, it is essential to consider several potential causes.

1. Musculoskeletal Issues: Since you mentioned that the pain is accompanied by a sensation of muscle strain in the inner thigh, it is possible that the discomfort is related to musculoskeletal issues. Activities like running or using gym equipment can lead to muscle strains or pulls, which may manifest as referred pain in the testicular area. The groin and testicular regions share nerve pathways, so pain in one area can often be felt in another.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can cause localized pain and tenderness in the testicular area. Epididymitis can be caused by infections, including sexually transmitted infections, or non-infectious factors such as trauma or strenuous exercise.

3. Testicular Torsion: Although less likely given your description of the pain, testicular torsion is a medical emergency that involves the twisting of the spermatic cord, cutting off blood supply to the testicle. This condition typically presents with sudden, severe pain and requires immediate medical attention. If you experience severe pain, swelling, or nausea, seek emergency care.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause discomfort in the groin and may radiate to the testicular area. If you notice a bulge in the groin or experience increased pain when lifting or straining, this could be a possibility.

5. Varicocele: This condition involves enlarged veins within the scrotum and can lead to a dull ache or discomfort in the testicular area. It is often more noticeable after physical activity or prolonged standing.

6. Referred Pain from Other Conditions: Conditions affecting the lower back, pelvis, or abdomen can also cause referred pain to the testicular area. Issues such as kidney stones or urinary tract infections may present with similar symptoms.

Given your previous experience with similar symptoms that resolved on their own, it is possible that this episode may also be self-limiting. However, the addition of thigh pain and the recurrence of symptoms warrant a thorough evaluation. It is advisable to consult a healthcare provider, preferably a urologist, who can perform a physical examination and may recommend imaging studies, such as an ultrasound, to rule out any serious conditions.

In summary, while your symptoms may be related to benign musculoskeletal issues or minor conditions like epididymitis, it is essential to monitor your symptoms closely. If the pain worsens, persists, or is accompanied by other concerning symptoms (such as swelling, fever, or changes in urination), seek medical attention promptly. Early diagnosis and treatment can help prevent complications and ensure a swift recovery.

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