Testicular Pain: Causes, Concerns, and Treatment Options

Q: Testicular Pain: Causes, Concerns, and Treatment Options

Ignorance： Hello, it will not cause testicular torsion. <br>Unless there is vascular damage, it will not lead to testicular atrophy. <br>If you are concerned, you can undergo a semen analysis. <br>If there are any unclear points, feel free to ask again, and we can discuss and res

Testicular pain

Hello doctor, on Thursday while playing soccer, I accidentally hit my groin (it should be the testicles) against someone else's thigh.
At that moment, I was rolling on the ground in pain.
Later, I went to the restroom to check, and there was no redness or swelling, but it hurt a bit when I squeezed it.
I also felt pain below my navel.
The next day, it hurt less when I squeezed it compared to the previous day, but sometimes the area around the testicles and below the navel still hurts.
It's been about 3 to 4 days; could this lead to testicular torsion or atrophy? My left testicle seems to appear smaller (I'm not entirely sure), and the right one seems larger.
Could this cause infertility?

Wuzhi, 10~19 year old female. Ask Date: 2016/01/03

Dr. Xu Weikai reply Urology

Ignorance: Hello, it will not cause testicular torsion.
Unless there is vascular damage, it will not lead to testicular atrophy.
If you are concerned, you can undergo a semen analysis.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Responses on the internet should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
Ministry of Health and Welfare, Taitung Hospital, cares about you.
This response is provided by Dr.
Hsu Wei-Kai, Chief of Urology at our hospital.

Reply Date: 2016/01/03

More Info

Testicular pain can be a concerning issue, especially following trauma, such as the incident you described while playing soccer. It’s important to understand the potential causes, implications, and treatment options available for testicular pain.

Causes of Testicular Pain
1. Trauma: The most immediate cause of your pain is likely the trauma from the impact. Testicular trauma can lead to bruising, swelling, or even internal bleeding within the scrotum.
2. Testicular Torsion: This is a serious condition where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. If you experience severe pain that worsens, it’s crucial to seek medical attention immediately.

3. Epididymitis: This is an inflammation of the epididymis, often caused by infection. Symptoms include swelling, pain, and sometimes fever.
4. Hernia: An inguinal hernia can cause pain in the lower abdomen and groin, which may radiate to the testicles.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort.

6. Other Conditions: Other potential causes include testicular tumors, infections, or referred pain from other abdominal issues.

Concerns Regarding Testicular Health
- Testicular Atrophy: If one testicle appears smaller than the other, it could be a sign of atrophy, which can occur due to trauma or reduced blood flow. However, temporary changes in size can also occur after injury and may resolve over time.

- Fertility Issues: Testicular health is closely linked to fertility. If there is significant damage or if conditions like torsion are not treated promptly, it could potentially affect fertility. However, many men with one healthy testicle can still father children.

Treatment Options
1. Rest and Ice: For minor trauma, resting and applying ice can help reduce swelling and pain.

2. Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort.

3. Medical Evaluation: If pain persists, worsens, or if you notice significant changes in size or shape of the testicles, it’s essential to see a healthcare provider. They may perform a physical examination and possibly an ultrasound to assess blood flow and check for any abnormalities.

4. Surgery: In cases of torsion or severe trauma, surgical intervention may be necessary to restore blood flow or repair any damage.

When to Seek Immediate Care
- Sudden, severe pain in the testicles
- Swelling or redness
- Nausea or vomiting accompanying the pain
- Fever
- Any noticeable changes in the size or shape of the testicles

Conclusion
While it’s understandable to be concerned about the potential for long-term effects from your injury, many cases of testicular pain following trauma resolve with appropriate care. However, given the complexities of testicular health and the potential for serious conditions like torsion, it’s always best to err on the side of caution and consult with a healthcare professional if you have ongoing symptoms or concerns. Early diagnosis and treatment are key to preserving testicular health and function.

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