Testicle Pain: When You Should See a Urologist ASAP

If you’re experiencing testicular pain, admitting to a doctor (or even to yourself) that one or both of your testicles hurt is probably the last thing you want to do. Having pain “down there” may feel embarrassing or humiliating, and you may be tempted to put off telling your doctor because you a) don’t want to overreact; or you b) hope that if you give it some time, the pain will just go away on its own.

While both responses are completely understandable, testicular pain is not something to take lightly. While it’s true that some causes of testicular pain are ultimately nothing to worry about, some conditions are more serious or even considered medical emergencies. That’s why making an appointment to get checked out by a urologist—a doctor specializing in conditions of the male reproductive tract—should be at the top of your to-do list.

But first: A quick anatomy lesson

However, before we dive into the possible causes and treatments for testicular pain, let’s recap with a quick anatomy lesson (after all, sixth-grade health class was a long time ago for some of us!): The testes (testicles) are two small, egg-shaped glands inside the scrotum (a thin pouch of skin that holds and protects the testicles). The testicles produce sperm and testosterone. To make sperm, the temperature of the testicles needs to be cooler than the internal temperature of the abdomen, which is why the scrotum is located outside the body. Due to their location, the testes are quite sensitive and more vulnerable to potential injury.

Testicular pain can affect men of any age, and the causes can range from going on a really long bike ride to contracting a sexually transmitted infection (STI) to developing an emergency condition called testicular torsion. That’s why it’s important to seek medical attention if you experience any type of testicular pain to ensure you receive a prompt diagnosis and treatment.

While this may seem like an obvious question with an obvious answer—if your testicles hurt, you know it!—it’s important to be mindful of possible symptoms, as the duration and intensity of the pain can vary depending on the cause. In general, testicular pain and symptoms of a testicular condition can include the following:

• A dull ache in the scrotum
• Swelling or a lump in the scrotum
• Pain in one or both testicles
• Pain that is sudden, sharp, or intense
• Pain that is either acute (comes on suddenly and leaves quickly) or chronic (comes on more gradually and sticks around)
• Bruising on the scrotum Testicular pain accompanied by a fever, nausea, and/or vomiting
• Urination problems or blood in the urine
• Pain with ejaculation

If you experience any of the above symptoms or you notice a new sensation in your testicles that doesn’t feel normal or typical for you, it’s important to get evaluated as soon as possible. If you experience sudden or severe pain, this could be the sign of a medical emergency that requires immediate treatment.

What causes testicular pain?

Testicular pain has several possible causes, ranging from a sudden injury during physical activity to testicular cancer, the most common cancer in men ages 15-35. Here is a list of some possible causes:

• Sudden injury or trauma: Playing full-contact sports, tackling home repairs around the house, or going on a long bike ride (where the seat can cause friction if not properly adjusted) can increase your risk of injuring your testicles.
• Infection: The source of the pain may be inflammation due to an infection, such as a urinary tract infection (UTI) or a sexually transmitted infection (STI) like gonorrhea or chlamydia. Inflammation may be found in the epididymis, a structure attached to the testis that stores sperm, (called epididymitis) or in one or both testicles (called orchitis).
• Inguinal (groin) hernia: A condition in which soft tissue (typically part of the intestine) bulges through a weak spot of the lower abdominal muscles. The hernia can cause swelling in the scrotum.
• Testicular torsion (twisting): This is when a testicle rotates around the spermatic cord, blocking blood flow to the testicle. Symptoms include sudden, severe testicular pain, swelling, and possibly nausea and vomiting. This medical emergency requires immediate surgery (typically within hours of the onset of pain) to prevent decreased fertility or evenloss of a testicle.
• Testicular cancer: Symptoms associated with testicular cancer, such as dull pain or a firm lump within the testicle, typically develop gradually. Testicular cancer is usually painless.
• Varicocele: these are dilated veins above the testicle that can cause dull achy pain. Varicoceles are one of the most common causes of male infertility.
• Hydrocele: Swelling in the scrotum that occurs when fluid builds up around a testicle.
• Testicular rupture: A tear in the outer covering of a testicle, typically from an injury to the area.
• Referred pain: Pain that starts in another part of the body, like a kidney stone or a UTI, but presents in one or both testicles.

Here are some commonly asked questions about testicular pain:

Can ejaculating too much cause testicular pain?

The short answer is yes, testicular pain can occur after ejaculation, but it’s not typically a cause for concern. For example, you may experience muscle spasms in your perineal region after sex that can lead to pain, especially if your orgasm was intense. If you intentionally delay orgasm, you could experience epididymal congestion—this is when the increase in blood flow to the testicles during sex takes a while to decrease after orgasm. Testicular pain after ejaculation can also be due to trauma (due to very vigorous sexual activity) or other conditions, such as varicoceles. Typically treating post-ejaculation pain with home remedies like rest, heat/ice, and medicationslike ibuprofen are all you need. However, if the pain doesn’t subside or gets worse, or if you develop additional symptoms, seek medical attention.

Can emotional issues like anxiety cause testicular pain?

Again, the short answer is yes. Just like how anxiety can manifest as a racing heart or sweaty palms, it can also show up as testicular pain. You may hold tension or stress in your groin area, or you may notice pain down there when you’re going through a rough patch in your relationship or tackling performance issues in the bedroom. Getting checked out by a doctor is the best way to confirm that anxiety is at the root of your testicular pain and identify healthy ways to manage it.

Can tight pants cause testicular pain?

Yes! The arrival of skinny jeans and tight pants on the fashion scene has increased testicular pain among men who wear them. Tight pants restrict movement in the groin area, which can cause testicular torsion (twisting of the testicles) or other testicular pain. If your clothing choices have you experiencing testicular pain that is acute, severe, or long-lasting, it’s best to make an appointment with a urologist ASAP to get evaluated.

Can sitting too long at work cause testicular pain?

Not exactly—it’s not so much the sitting that’s the problem; it’s the inactivity. Sitting too long can sometimes lead to low back pain, which can sometimes radiate to the testes. . Men with larger testicles or scrotums that hang low may also experience testicular pain after sitting too long. Getting up more often and incorporating more movement throughout the day may help alleviate the testicular pain (and low back pain, if you have that too). And as before, if the testicular pain is acute, severe, or long-lasting, it’s best to get checked out.

Can the COVID-19 vaccine cause testicular pain?

No. Current research indicates that the COVID-19 vaccine has not been known to cause testicular pain or swelling. So, if you’ve gotten jabbed, you can cross the vaccine off your list of potential culprits.

When should you see a doctor for testicular pain?

While a bout of testicular pain may be nothing to worry about, it’s important to rule out conditions like testicular cancer or a medical emergency like testicular torsion. Since it can be difficult to self-diagnose or determine if your testicular pain is serious or not, it’s always best to err on the side of caution and seek medical attention any time you experience testicular pain.

However, call your doctor immediately or head straight to the ER if:

• The pain is sudden and severe
• The pain lasts longer than an hour
• The pain worsens over time
• The pain is in only one testicle
• You have swelling or feel a hard mass or lump on your scrotum
• You also have nausea or vomiting
• There is blood in your urine

If you have sudden testicular pain that goes away after a while, do you still need to see a urologist?

Yes! For a medical emergency like testicular torsion, the pain can be intermittent (when the testicle twists and then untwists on its own), but the torsion may reoccur. If left untreated, testicular torsion can lead to decreased or blocked blood flow to the testicle, which can cause irreversible damage or the potential loss of the testicle. Testicular torsion requires immediate surgery to protect fertility and preserve the testicle, so when it doubt, get checked out!

What type of doctor should you see for testicular pain?

When experiencing testicular pain, a urologist is your go-to healthcare professional. These clinicians specialize in the male reproductive system, including the testicles and scrotum. They will perform a physical exam and ask you questions about your pain and other symptoms. They may order blood or urine tests or imaging exams (like an ultrasound) to help diagnose your pain and develop a treatment plan if needed.

Treatment for testicular pain

Minor testicular pain can often be treated at home. Still, if the pain is more severe, long-lasting, or accompanied by other symptoms, you may need additional medical treatment to feel better.

At-home remedies:

For minor pain, you can try at-home remedies such as:

• Ice: Applying ice packs (or a bag of frozen peas) to the groin area for a few minutes at a time can help reduce pain and swelling.
• Take a time out: Take a break from vigorous exercise or strength training.
• Support the scrotum: Wear an athletic supporter, switch to briefs to help restrict movement, and use a folded towel to support your scrotum when lying down.
• OTC meds: Try non-prescription pain relievers such as ibuprofen and acetaminophen.

Medical treatments:

If you’re still feeling pain or discomfort, your pain has increased, or new symptoms appear, it’s still best to visit a urologist. Depending on your symptoms and diagnosis, your doctor may prescribe the following, typically starting with the least-invasive option:

• Prescription medication: Your doctor may prescribe stronger pain medication, an anti-inflammatory, or medication to treat nerve pain.
• Antibiotics: If you have an infection, a course of antibiotics will help clear it up.
• Surgery: While surgery isn’t typically needed to resolve testicular pain, if you have testicular torsion, testicular cancer, or an inguinal hernia, you may need surgery. Sometimes a surgery called a microsurgical denervation of the spermatic cord is warranted to help resolve chronic testicular pain.

The bottom line?

Testicular pain is always something to take seriously. When you’re experiencing testicular pain, monitor your symptoms and remember: When in doubt, get checked out!

Testicle pain Information | Mount Sinai

Pain – testicle; Orchalgia; Epididymitis; Orchitis

Testicle pain is discomfort in one or both testicles. The pain can spread into the lower abdomen.

The male reproductive structures include the penis, the scrotum, the testes, the epididymis, the seminal vesicles, and the prostate.

Causes

The testicles are very sensitive. Even a minor injury can cause pain. In some conditions, abdominal pain may occur before testicle pain.

Common causes of testicle pain include:

• Injury.
• Infection or swelling of the sperm ducts (epididymitis) or testicles (orchitis).
• Twisting of the testicles that can cut off the blood supply (testicular torsion). It is most common in young men between 10 and 20 years old. It is a medical emergency that needs to be treated as soon as possible. If surgery is performed within 4 hours, most testicles can be saved.

Mild pain may be caused by fluid collection in the scrotum, such as:

• Enlarged veins in the scrotum (varicocele).
• Cyst in the epididymis that often contains dead sperm cells (spermatocele).
• Fluid surrounding the testicle (hydrocele).
• Pain in the testicles may also be caused by a hernia or kidney stone.
• Testicular cancer is almost always painless. But any testicle lump should be checked out by your health care provider, whether or not there is pain.

Home Care

Non-urgent causes of testicle pain, such as minor injuries and fluid collection, can often be treated with home care. The following steps may reduce discomfort and swelling:

• Provide support to the scrotum by wearing an athletic supporter.
• Apply ice to the scrotum.
• Take warm baths if there are signs of swelling.
• While lying down, place a rolled towel under your scrotum.
• Try over-the-counter pain relievers, such as acetaminophen or ibuprofen. Do NOT give aspirin to children.

Take the antibiotics your provider gives you if the pain is caused by infection. Preventive measures to take:

• Prevent injury by wearing an athletic supporter during contact sports.
• Follow safe sex practices. If you are diagnosed with chlamydia or another STD, all of your sexual partners need to be checked to see if they are infected.
• Make sure that children have received the MMR (mumps, measles, and rubella) vaccine.

When to Contact a Medical Professional

Sudden, severe testicle pain needs immediate medical care.

Contact your provider right away or go to an emergency room if:

• Your pain is severe or sudden.
• You have had an injury or trauma to the scrotum, and you still have pain or swelling after 1 hour.
• Your pain is accompanied by nausea or vomiting.

Also call your provider right away if:

• You feel a lump in the scrotum.
• You have a fever.
• Your scrotum is warm, tender to the touch, or red.
• You have been in contact with someone who has the mumps.

What to Expect at Your Office Visit

Your provider will do an exam of your groin, testicles, and abdomen. Your provider will ask you questions about the pain such as:

• How long have you had testicular pain? Did it start suddenly or slowly?
• Is one side higher than usual?
• Where do you feel the pain? Is it on one or both sides?
• How bad is the pain? Is it constant or does it come and go?
• Does the pain reach into your abdomen or back?
• Have you had any injuries?
• Have you ever had an infection spread by sexual contact?
• Do you have a urethral discharge?
• Do you have any other symptoms like swelling, redness, change in the color of your urine, fever, or unexpected weight loss?

The following tests may be performed:

• Ultrasound of the testicles
• Urinalysis and urine cultures
• Testing of prostate secretions
• CT scan or other imaging tests
• Urine test for sexually transmitted infections

Matsumoto AM, Anawalt BD. Testicular disorders. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 19.

McGowan CC. Prostatitis, epididymitis, and orchitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 110.

Pontari M. Inflammatory and pain conditions of the male genitourinary tract: prostatitis and related pain conditions, orchitis, and epididymitis. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 56.

Last reviewed on: 7/26/2021

Reviewed by: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A. D.A.M. Editorial team.

Testicular pain: causes, symptoms and treatment

Content

• 1 Testicular pain to the touch: causes, symptoms and treatment
  • 1.1 Testicular pain to the touch: signs, causes and treatment
    • 1.1.1 Main causes of pain in the testicles
    • 1.1.2 Symptoms of pain in the testicles
    • 1.1.3 Treatment of pain in the testicles
  • 1.2 Causes of pain in the testicles to the touch
  • 1.3 Symptoms
  • 1.4 Danger health benefits for pain in the testicles to the touch
    • 1.4.1 Potential dangers
    • 1.4.2 Consequences of improper treatment
    • 1.4.3 Prevention of dangers
  • 1.5 Diagnosis of pain in the testicles to the touch
    • 1.5.1 Basic methods
    • 1.5.2 Laboratory methods
  • 1.6 How to avoid pain in the testicles
  • 1.7 Traditional methods of treatment
  • 1.8 Alternative methods of treatment of pain in the testicles
    • 1. 8.1 Acupressure
    • 1.8.2 Altai herbal medicine
    • 1.8.3 Proper nutrition
    • 1.8.4 Yoga
    • 1.8.5 Homeopathy
  • 1.9 Prevention of testicular pain
  • 1.10 When to see a doctor with pain in the testicles to the touch
  • 1.11 Myths and reality about pain in the testicles
  • 1.12 Related videos:
  • 1.13 Q&A:
    • • 1.13.0.1 What causes pain in the testicles to the touch in men?
      • 1.13.0.2 What symptoms may accompany testicular pain?
      • 1.13.0.3 What is the treatment for testicular pain to the touch?
      • 1.13.0.4 How is the cause of pain in the testicles diagnosed by touch?
      • 1.13.0.5 How can you prevent pain in the testicles to the touch?
      • 1.13.0.6 Can women experience testicular pain when touched?

Find out the causes of pain in the testicles to the touch, what are the symptoms associated with this condition and how to be treated at home and with the help of professional medical intervention. Our website provides important information!

Nobody likes to feel pain, especially in a place as tender as the testicles. Pain in the testicles to the touch is a fairly common symptom and can have various causes. Although testicular pain can cause serious problems, in most cases it is caused by minor causes and can be successfully treated.

Testicular pain is more common in men than in women. Although the pain may only occur on one side, it usually extends to both testicles. It can be continuous or temporary, acute or dull. Pain may be localized only in the testicles, or it may spread to the abdomen and lower back.

In this article, we look at the most common causes of testicular pain to the touch, the symptoms associated with the various conditions, and the treatments that can be used to relieve the discomfort and pain.

Testicular pain to the touch: signs, causes and treatment

Testicular pain to the touch is a common symptom that can be an indication of various health problems in men.

Major causes of testicular pain

• Inflammation of the ovaries or epididymis;
• Genital injury;
• Varicocele – testicular venous insufficiency;
• Groin hernia;
• Oncological diseases;
• Creases in testicle;
• Spermatocele – formation of fluid in the testicles;
• Miscarriage;
• Stress and depression.

Symptoms of pain in the testicles

As a rule, pain in the testicles to the touch is the main symptom of the disease. Other signs may be:

• Heaviness in the scrotum;
• Testicular swelling;
• Swelling of the groin;
• Fever;
• Absence or change in semen;
• Itching or burning in the genital area;
• Decreased libido.

Treatment of testicular pain

Treatment of testicular pain to the touch depends on the cause of the disease. Each cause requires a different approach:

1. Pain caused by inflammation can be treated with antibiotics and other anti-inflammatory drugs;
2. Genital injuries may be a medical emergency;
3. Treatment of varicocele usually requires surgery;
4. Some conditions require chemotherapy or radiation.

However, in some cases, treatment is not required, but it is enough to relieve the symptoms by:

• Wearing comfortable underwear;
• Physical activity restrictions;
• Use of topical anesthetic creams.

When should I see a doctor?

If you experience severe pain in the testicles, especially with accompanying symptoms such as nausea, dizziness or dehydration, you should immediately seek medical attention from a doctor or the nearest hospital.

Causes of pain in the testicles to the touch

Pain in the testicles to the touch can be caused by various causes:

• Inflammatory processes – can be caused by infection, injury or excessive exercise. They can cause the testicles to increase in size and become painful to the touch.
• Groin hernia is the pulling of the bowel or fatty tissue into the groin area, which can cause pain in the testicles.
• Tumors – may be cancerous or benign. They can lead to a feeling of heaviness in the scrotum or discomfort when palpated.
• Varicocele is an enlargement of the veins in the scrotum that can lead to pain and discomfort when palpated.

In any case, if you experience pain in the testicles to the touch, you should see a doctor for diagnosis and treatment, as many of these conditions can progress and lead to serious complications.

Table – Causes of pain in the testicles to the touch Cause Symptoms0172

Antibacterial therapy, use of analgesics and anti-inflammatory drugs Groin hernia Pain in the testicles, enlargement of the scrotum Surgical treatment 9 0171 Tumors Heaviness in the scrotum, discomfort on palpation Surgical treatment, chemotherapy or radiotherapy Varicocele Pain and discomfort on palpation Surgery

Symptoms

Pain in the testicles can be accompanied by various symptoms.

• Pain is the main symptom that causes a visit to a doctor.
• Testicular edema – the testicle may increase in size due to edema.
• Fever – Some patients may experience fever.
• Discomfort – active movement, especially a strong jerk, can lead to discomfort in the testicles.

Please note that the symptoms may vary and depend on the age of the patient, the cause of the pain and the presence of relevant diseases.

At the first sign of pain in the testicles to the touch, you should contact a urologist for professional advice and diagnosis.

Health Hazards of Testicular Pain

Potential Hazards

Sterility of is one of the main considerations for clinicians when examining a patient with suspected testicular pain. Failure to comply with the rules of sterility during the study can lead to the spread of infections.

Improper treatment is a very dangerous moment that can worsen the patient’s health. Uncontrolled or incorrect therapy can lead to complications and even a threat to the patient’s potential life.

Consequences of improper treatment

• Infections – in case of violation of treatment (not timely adjustment of therapy, self-adjustment of dosages, non-visiting a doctor, etc.), the disease can progress, spread to other tissues and organs of the body, cause infectious complications and even sepsis.
• Infertility — often pain in the testicles to the touch is associated with dysfunction of the reproductive system. Uncontrolled treatment or lack of it can lead to an increase in this risk and lead to infertility.

Hazard Prevention

Compliance with the sterility rules is the most important condition, which is to follow the instructions of medical personnel.

Correct treatment – all recommendations of a specialist in taking therapy must be strictly followed, and it is necessary to seek medical attention in a timely manner in case of deviations and discrepancies in the results of treatment as expected.

Early detection of the problem – any changes in the functioning of the body associated with the appearance of pain in the testicles to the touch, are a reason to see a doctor. Early detection of the problem will help to avoid possible complications and start treatment on time.

Diagnosis of pain in the testicles to the touch

Basic methods

At the first manifestations of pain in the testicles to the touch, you should contact a urologist. For diagnosis, the doctor first of all examines the patient and performs manipulations to examine the testicles.

Additional ultrasound and CT scans are performed. These methods allow you to obtain accurate data on the measurement and structure of the testicles and identify possible diseases.

Laboratory methods

One of the most effective methods for diagnosing pain in the testicles to the touch is a general and biochemical blood test. They also do a urine test. These methods allow you to identify hidden diseases.

Blood tests for protein S, ferritin, vitamin B12 may be ordered to exclude certain diseases.

To clarify the diagnosis, a biopsy may be ordered, which allows obtaining a tissue sample for examination.

How to avoid testicular pain

Testicular pain can be a serious problem, but it can be avoided by following a few simple guidelines.

• Avoid injuries and bruises is the most important tip. Wear protective gear when playing sports and make sure your workplace is safe for your testicles.
• Take care of your health – some conditions, such as varicocele or hernia, can cause testicular pain. Therefore, it is important to undergo regular examinations and monitor your health.
• Avoid excessive pressure on the testicles – wear loose clothing and avoid excessively hot baths and saunas.
• Eat Right – Eat foods rich in vitamins and minerals to keep your body healthy and functioning properly.
• Maintain hygiene – Wash and dry your genitals regularly to prevent infection and irritation.

Also, if you have any symptoms of testicular pain, don’t put off seeing your doctor. Early detection and treatment of the problem can significantly reduce the risk of developing diseases and complications.

Conventional treatments

Testicular pain to the touch is a serious symptom that requires the attention of a specialist. Traditional therapies address the cause of the pain and may include medications and procedures.

• Use of anti-inflammatory drugs. This method is aimed at eliminating inflammation in the testicles and adjacent tissues. NSAIDs such as ibuprofen and diclofenac can be used as drugs. However, it is important to remember that long-term use of these drugs can lead to side effects.
• Antibiotic use. If the cause of the pain is an infection, antibiotics may be prescribed. This method can help get rid of the infection and prevent its further development.
• Surgery. If the testicle is damaged or a tumor needs to be removed, surgery may be indicated. This method is prescribed only in severe cases, when other methods of treatment have no effect.

Alternative treatments for testicular pain

Acupressure

Acupressure is a treatment that involves massaging the body. Doctors can use this to improve blood circulation in the testicles and to reduce pain. The clutch of the testicles can be caused by the contraction of the muscle fibers causing the spasm. Acupressure pressure on certain points to eliminate spasms and improve blood circulation.

Altai Herbal Medicine

Altai Herbal Medicine is a healing method that uses herbs and plants to treat illnesses. Some herbs, such as chamomile and ginger, may act as agents to reduce inflammation that can cause testicular pain. This method is an alternative to drugs and may be effective in reducing pain.

Proper nutrition

Proper nutrition can help reduce testicular pain. A healthy diet can reduce inflammation and help the body fight infection. Plenty of vegetables and fruits should be added to your diet as they contain antioxidants and other vitamins and minerals that are essential for a healthy body.

Yoga

Yoga can be helpful in improving blood circulation in the testicles. According to some studies, yoga can reduce stress levels, which can be one of the causes of pain. In addition, yoga can help soften the muscles in the testicles, which can also reduce pain.

Homeopathy

Homeopathy is a method of treatment that uses natural ingredients to treat diseases. This method can help reduce pain in the testicles. Homeopathic remedies can help the body resist pain, regulate hormonal balance, and reduce inflammation in the testicles. However, homeopathy should only be used after consultation with a specialist.

Prevention of pain in the testicles

To avoid pain in the testicles, it is necessary to follow a number of recommendations:

• Wear comfortable underwear. Do not wear panties or briefs that are too tight around the testicles and may put pressure on them.
• Maintain a healthy lifestyle. Eat right, exercise regularly, and avoid smoking and drinking alcohol.
• Avoid traumatic situations. Prolonged sitting on hard surfaces should be avoided, which can have a negative effect on the testicles.
• Get regular medical check-ups. A doctor can identify problems that can lead to testicular pain.
• Use protection. Protective equipment must be worn during sexual intercourse to avoid transmission of infections that can lead to testicular pain.

Following these tips will help prevent testicular pain. If there are any discomfort in the testicles, you should consult a doctor for diagnosis and treatment in order to avoid possible complications.

When to see a doctor for pain in the testicles to the touch

Pain in the testicles to the touch can be a harbinger of a serious disease of the male genital organs. In this regard, it is important to know when to see a doctor:

• If pain to the touch is accompanied by swelling, redness, fever, then you should contact a urologist immediately;
• If the pain becomes frequent and prolonged, this may indicate diseases of the genital organs. You should immediately consult a doctor;
• If pain to the touch occurs after an injury to the scrotum, then it is necessary to contact a urologist to diagnose the injury and determine further treatment options;
• If, in addition to pain to the touch, there is pain in the abdomen, then you need to go to the urologist. It may be related to kidney disease;
• When pain in the testicles does not stop to the touch and is accompanied by symptoms such as severe headaches, an ambulance should be called immediately.

It should be remembered that pain in the testicles to the touch can be a manifestation of various diseases that require immediate medical attention. Self-treatment can worsen the patient’s condition.

Myths and reality about pain in the testicles

Pain in the testicles to the touch can be caused by many different factors. But because of the stigma that exists in society around this issue, many people take the myths for reality. Let’s take a look at some of the most common testicular pain myths:

• Myth: Testicular pain means testicular cancer.
• Reality: Testicular pain can be caused by a variety of other causes, such as infections, inflammation, injury, and other illnesses. Testicular cancer is a rare disease, and testicular pain alone is not a sufficient basis for diagnosing this disease.
• Myth: Testicular pain in men always means problems with the health of the genitourinary system.
• Reality: Testicular pain can be caused by other causes such as nerve or muscle damage, spinal problems, and even stress. Many people do not know that the organs of the genitourinary system perceive pain not only in the bladder or prostate area, but also in the testicles.
• Myth: If the pain in the testicles goes away by itself, then it does not require the attention of doctors.
• Reality: Testicular pain can signal serious health problems that should be diagnosed and treated by a professional doctor. Delayed treatment can lead to more serious health problems in the future.

Related videos:

Q&A:

What causes pain in the testicles to the touch in men?

Testicular pain in men can be caused by a variety of causes, including inflammatory conditions (epididymitis, orchitis), trauma, swelling, and hernia. For an accurate diagnosis, you should consult a urologist.

What symptoms can accompany testicular pain?

In addition to the pain itself, symptoms may include swelling of the testicle, reddening of the skin, fever, reduction in testicle size, deterioration in sperm quality or their absence.

What is the treatment for testicular pain?

Treatment depends on the cause of the pain. If the cause is inflammation, antibiotics and anti-inflammatory drugs may be prescribed. In the case of a tumor, surgery may be required. In any case, you should not self-medicate and you should definitely consult a doctor.

How is the cause of pain in the testicles diagnosed by touch?

Diagnosis may require urine, blood, semen, ultrasound, computed tomography, magnetic resonance imaging, or biopsy. After the examination, the urologist will be able to accurately determine the cause of the pain and prescribe the necessary treatment.

How can I prevent pain in the testicles to the touch?

To prevent testicular pain, it is necessary to lead a healthy lifestyle, including exercise and proper diet, and make sure to use protective equipment during intercourse to prevent various diseases.

Can women experience pain in the testicles to the touch?

No, women cannot feel pain in their testicles because the ovaries are inside the female body. However, women may experience pain in the lower abdomen, which may be associated with ovulation, uterine fibroids, advanced inflammatory processes in the body, and other reasons.

Diseases of the scrotum in men

Diseases of the testis, epididymis and spermatic cord can threaten a man’s health to varying degrees. Not every scrotal disease requires emergency treatment, but some can be serious and even life-threatening. It is important not to ignore any warning symptoms and contact an andrologist if they occur.

The causes of these diseases and factors that increase the risk of development can be very different. This may be a congenital anomaly of development, a genetic oncological predisposition, trauma to the scrotum, a viral infection, sexually transmitted infections, and others.

The most common types of diseases are:

Orchitis : This is an inflammation of the testis, usually caused by a viral infection such as mumps or chickenpox. Orchitis can also be caused by autoimmune diseases or a bacterial infection. Inflammation caused by sexually transmitted infections can spread from the epididymis (epididymitis) to the testis (orchitis) with orchiepididymitis. With orchitis, symptoms usually appear suddenly. Patients complain of: pain in the testicles, which can be severe to slight, heaviness, discomfort and swelling in the scrotum, nausea and vomiting, hyperthermia. In the case of bilateral orchitis, the disease can lead to infertility.

Epididymitis : is an inflammation of the epididymis, which is involved in the maturation, storage and transport of spermatozoa. Epididymitis is often caused by a bacterial infection, including a sexually transmitted infection such as chlamydia. Less commonly, epididymitis is caused by viruses or reflux of urine into the epididymis. The pain of epididymitis is usually slowly and gradually increasing, aggravated by touch. It can be both intense and weak. Other signs of epididymitis are: swelling and redness of the skin of the scrotum, nausea and vomiting, abdominal pain, temperature up to 38–39°C, discharge from the urethra, frequent painful urination, burning during urination. Epididymitis requires prompt medical attention and antibiotic treatment.

Hydrocele : a.k.a. hydrocele – excess accumulation of fluid between the layers of the sac that surrounds each testicle. A small amount of fluid in this space is normal, but excess fluid usually results in painless swelling of the scrotum. In infants, hydrocele usually occurs because the opening between the abdomen and scrotum does not close properly during development. In adults, a hydrocele usually occurs due to an imbalance in fluid production or absorption resulting from injury or infection. As a rule, pain with a hydrocele does not bother, but due to swelling and an increase in the size of the scrotum, a feeling of heaviness or discomfort may occur. Hydrocele treatment is not always necessary. However, if swelling, pain, or other symptoms occur, you should see a doctor to determine the cause of the symptoms.

Varicocele : this is an enlargement of the veins of the spermatic cord, which carry blood from the testicle and its epididymis. The pathology develops due to the malfunctioning of the venous system in the testicular region and is more common on the left side of the scrotum due to differences in blood circulation on each side. Often, varicocele is asymptomatic, but can cause discomfort and soreness, as well as lead to male infertility by reducing the quality of sperm. In case of symptoms or suspicion of a varicocele, it is recommended to consult a urologist-andrologist for diagnosis and assessment of the need for surgical treatment.

Spermatocele : is a benign fluid-filled cyst that forms in the epididymis. A spermatocele usually does not cause pain and does not require immediate treatment. Large cysts can cause pain or a feeling of heaviness and discomfort. In this case, surgical treatment is possible.

Hematocele : is an accumulation of blood between the membranes of the testis. The most common cause is trauma, resulting in bleeding from the vessel. Hematocele may be accompanied by pain and swelling. If you suspect a hematocele, you should contact a urologist-andrologist.

Testicular torsion . Testicular torsion is a medical emergency that results from torsion of the spermatic cord, testicular vessels, nerves, and vas deferens. During torsion of the vessels of the testicle, the access of blood to the testicle is stopped, which, in case of untimely or inadequate treatment, can lead to necrosis and loss of the testicle. Failure to treat within six hours almost always results in permanent damage that requires removal of the testicle. A characteristic sign of testicular torsion is a sudden onset of severe pain in the testicle, usually on one side, which can spread throughout the abdomen and is accompanied by swelling, increased tenderness of the testicles and scrotum when touched, high fever, nausea and vomiting.