Testicular pain


A variety of conditions cause testicular pain, some of which require immediate medical intervention. It is crucial to address testicular pain promptly and seek medical care if it persists or is particularly severe.

Causes of testicular pain

  • Trauma: Trauma to the testicles, such as a blow or fall, can cause immediate pain;
  • Testicular torsion: This condition occurs when the spermatic cord twists, blocking blood flow to the testicle; it is a medical emergency that requires immediate intervention to prevent permanent damage;
  • Orchitis: orchitis is an inflammation of the testicles, often caused by viral infections such as mumps (or measles);
  • Epididymitis: Epididymitis is an inflammation of the epididymis, a tube near the testicle, often caused by bacterial or sexually transmitted infections;
  • Hydrocele: A hydrocele is a collection of fluid around the testicle that can cause swelling and pain;
  • Sexually transmitted infections: gonorrhea or chlamydia can cause testicular pain;
  • Kidney stones: Kidney stones can cause sharp pain that radiates downward, often involving the testicles;
  • Inguinal hernia: An inguinal hernia can push tissue into the groin area, causing pain in the testicles;
  • Varicocele: A varicocele is an enlargement of the veins in the spermatic cord that can cause pain or discomfort.

Symptoms associated with testicular pain

  • Swelling or feeling of weight in the testicles;

  • Redness or increase in local temperature;
  • Lower abdominal or pelvic pain;
  • Difficulty urinating or emptying your bladder;
  • Fever, chills and general malaise;
  • Nausea or vomiting.

Diagnosis of testicular pain

Diagnosing testicular pain may require a physical exam, evaluation of medical history, and sometimes additional tests, such as:

  • Testicular ultrasound to evaluate the internal structure of the testicles and identify any anomalies;
  • Blood tests to check for signs of infection or other health problems;
  • Urine culture to detect any urinary tract infections.

Testicular pain treatments

Treatment depends on the underlying cause and may include:

  • Rest and application of a warm-moist compress to reduce inflammation and pain;
  • Pain-relieving or anti-inflammatory medications, such as ibuprofen or paracetamol;
  • Antibiotics to treat bacterial infections;
  • Surgery for conditions such as testicular torsion, hernia, or varicocele.

Preventive measures

  • Wear protective clothing during physical activity at high risk of testicular trauma;
  • Practice safe sex to reduce the risk of sexually transmitted infections;
  • Perform regular self-exams of the testicles to detect any changes in shape or texture.

When to consult a doctor

It is advisable to see a doctor if you experience persistent or severe testicular pain, in particular when associated with other symptoms such as fever, nausea, or difficulty urinating. Additionally, it is crucial to seek immediate medical attention if testicular torsion is suspected or if the pain is so severe that it interferes with regular daily activities.

Always remember that timely management of testicular pain is essential to prevent complications and promote overall well-being. If you have any concerns or concerns about testicular pain, do not hesitate to contact a medical professional for an accurate evaluation and appropriate treatment.