Understanding Testicular Pain

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Family Medicine

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Last updated: Mar 24, 2025

Overview

Testicular pain is discomfort or pain that occurs in or around one or both testicles. The severity can range from mild to severe, and the onset may be sudden or gradual.

Common Causes

Immediate Medical Attention Required:

  • Testicular torsion: Twisting of the testicle cutting off blood supply
  • Severe trauma: Direct injury to the testicle
  • Epidydimitis: Infection of the epididymis

Other Common Causes:

  • Varicocele: Enlarged veins in the scrotum
  • Kidney stones: Can cause referred pain to testicles
  • Inguinal hernia: Intestinal protrusion into the scrotum
  • Post-vasectomy pain: Discomfort following surgery

Warning Signs

Seek immediate medical attention if you experience:

  • Sudden, severe pain
  • Swelling or redness
  • Nausea or vomiting with pain
  • Fever
  • Pain lasting more than 60 minutes

Diagnosis

Your healthcare provider may perform:

  • Physical examination
  • Ultrasound imaging
  • Urinalysis
  • Blood tests

Treatment Options

Conservative Management:

  • Rest and elevation
  • Ice packs
  • Over-the-counter pain medication
  • Supportive underwear

Medical Interventions:

  • Antibiotics for infections
  • Surgery for torsion or severe cases
  • Treatment of underlying conditions

Prevention

  • Wear protective gear during sports
  • Practice good hygiene
  • Regular self-examinations
  • Avoid heavy lifting without proper support

When to See a Doctor

Consult your healthcare provider if you have:

  • Persistent pain lasting several days
  • Pain interfering with daily activities
  • Any unusual lumps or swelling
  • Signs of infection

Long-term Outlook

Most cases of testicular pain are treatable when properly diagnosed. Early intervention is crucial for optimal outcomes.

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