Testicular Pain: When to Seek Medical Advice - Urology

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Testicular pain can be a concerning symptom, and it's important to understand when to seek medical advice. Based on your description, it seems that you are experiencing mild discomfort in the testicles during an erection, but no pain when they are not stimulated. Additionally, you mentioned that the size of your testicles is slightly larger than the size of an "OK" hand gesture, which is a bit unusual but not necessarily alarming.

First, let's address the anatomy and function of the testicles. The testicles, or testes, are responsible for producing sperm and hormones, primarily testosterone. They are typically oval-shaped and vary in size among individuals, but they usually measure about 1.5 to 2 inches in length. A slight increase in size could be due to various factors, including temperature changes, sexual arousal, or even minor swelling.

The pain you are experiencing during an erection could be due to several reasons:
1. Epididymitis: This is an inflammation of the epididymis, the tube that stores and carries sperm. It can cause discomfort, especially during sexual arousal or ejaculation.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition usually presents with severe pain and swelling, but if you are only experiencing mild discomfort, it may be less likely.

3. Varicocele: This is a condition characterized by enlarged veins within the scrotum, which can cause a feeling of heaviness or discomfort, particularly during an erection.

4. Hernia: An inguinal hernia can sometimes cause discomfort in the testicular area, especially when straining or during an erection.

5. Trauma or Injury: If you have had any recent trauma to the groin area, this could also lead to localized pain.

Given that you are experiencing pain only during an erection and not at other times, it may not be an immediate cause for alarm. However, it is crucial to monitor the situation. If the pain worsens, becomes persistent, or is accompanied by other symptoms such as swelling, redness, fever, or changes in urination, you should seek medical attention promptly.

In general, it is advisable to consult a healthcare provider if you notice any of the following:
- Persistent or severe pain in the testicles.

- Swelling or changes in the size of the testicles.

- Pain that radiates to the abdomen or lower back.

- Any unusual discharge or changes in urination.

- Symptoms of infection, such as fever or chills.

A healthcare provider will likely perform a physical examination and may order imaging tests, such as an ultrasound, to assess the condition of the testicles and surrounding structures. They will also take a detailed medical history to understand any potential underlying issues.

In conclusion, while mild discomfort during an erection may not be a significant concern, it is essential to remain vigilant about your symptoms. If you have any doubts or if the situation changes, do not hesitate to seek medical advice. Early intervention can help address any potential issues before they develop into more serious conditions.