Testicular Pain, Left Testicle Pain, Pain in Right Testicle | University of Utah Health

For this procedure, we dissect the nerve inside the spermatic cord because it supplies the testicle with nerves. Cutting this nerve can successfully reduce the pain by 50 percent or greater. In fact, more than 90 percent of our patients have seen a 70 to 100 percent reduction in their pain.

Most insurance plans will cover this procedure. However, check with your insurance company before scheduling the surgery.

Preparation for Surgery 

Make sure you follow these rules before undergoing surgery:

• Eat like you normally would the evening before your surgery.
• Do NOT eat or drink anything after midnight, including the morning of surgery.
• If you have medication you need to take the morning before your surgery, only take them with a small sip of water.
• Wear loose, comfortable clothing.

Procedure 

We perform this surgery in the operating room and make a small incision in the groin, similar to where a hernia repair is done. If a hernia repair was already done, we go through the previous scar. You can opt for local or general anesthesia before the surgery.

The spermatic cord contains arteries, nerves, the vas deferens, and lymphatic vessels. We cut the nerves under an operating microscope and keep the testicular arteries, lymphatics, and vas deferens intact. This method preserves the testicle’s blood supply and blocks the nerve transmission from the testicle. We finish up by using dissolvable stitches and tissue glue to close the incision.

The entire surgery takes only one hour, which means you can go home the same day. 

As with any procedure, there are risks to a spermatic cord denervation, such as:

• no pain relief,
• hydrocele formation (fluid accumulation in the testicles),
• loss or compromise of the testis, and
• numbness of the scrotum and inner thigh on the operated side.

After-Surgery Care & Recovery

For the first 24 hours after your surgery, do not:

• drive,
• use machinery,
• eat any heavy or large meals,
• drink alcohol, or
• make important decisions because the anesthesia can make it hard to think clearly.

Expect bruising, swelling, tenderness, inflammation, and pain after surgery. Many men report an immediate change in the type of pain, from deep neuropathic pain to superficial inflammatory pain. This postoperative pain will fade over time.

Make sure you take the following steps for a speedy recovery:

• For the first three days, take 800mg of Ibuprofen every eight hours and 650mg of Tylenol every six hours around the clock. Use narcotic pain medication only if needed.
• Ice the area for 20 minutes out of every hour to relieve pain.
• No sex, masturbation, or lifting heavy objects more than 25 pounds for a week.
• You may shower the day after surgery, but baths are not allowed for one week.

Idiopathic chronic scrotal content pain: Q and A with Matt Ziegelmann, M.D.

Medical Professionals

Aug. 27, 2019

Matthew (Matt) J. Ziegelmann, M.D., a urologist at Mayo Clinic’s campus in Rochester, Minnesota, focuses on men’s health and male sexual dysfunction.

Scrotal pain is a frequent presenting complaint in the primary care setting. It accounts for up to 5% of outpatient urology visits. Despite this, chronic scrotal content pain (CSCP) remains a poorly understood condition. CSCP, also referred to as chronic orchialgia or testicular pain syndrome, is persistent pain (lasting at least three months) that is localized to the testicle, epididymis and spermatic cord and interferes with a patient’s quality of life.

Currently, there are no standardized guidelines for evaluation and management of this condition. Therefore, a general understanding of CSCP is necessary to ensure that patients receive efficient and timely care.

What etiologies underlie CSCP?

A variety of conditions present with more-acute scrotal pain, including epididymo-orchitis, scrotal cellulitis, trauma and testicular torsion. Hydroceles, spermatoceles, varicoceles and testicular tumors may also present with pain. Referred pain from abdominal and pelvic organs is another important consideration; examples include inguinal hernia, obstructing ureteral calculus, vascular aneurysm, retroperitoneal mass, and hip and spine pathology.

Another entity, known as post-vasectomy pain syndrome and characterized by severe persistent scrotal pain, is estimated to impact 1% to 2% of patients. Finally, pelvic floor dysfunction (chronic pelvic pain syndrome or pelvic floor tension myalgia) may also present with CSCP.

Symptoms suggesting pelvic floor dysfunction include bilateral pain, pain with urination or ejaculation, perineal or suprapubic pain, and pelvic floor tenderness on exam. Notably, even after an exhaustive evaluation, no obvious contributing etiology is found in 35% to 45% of patients.

What is the initial evaluation for a patient presenting with CSCP?

Evaluation for a patient presenting with CSCP

The first step is a thorough history and physical exam. Pain location, radiation to surrounding areas, severity, and exacerbating and relieving factors are all important to understand. A thorough examination of the genitalia is mandatory, with careful inspection of the testicle, epididymis and spermatic cord, along with evaluation of the pelvic floor (digital rectal exam).

Adjunctive testing including a urinalysis, scrotal ultrasonography, plain films of the hip and spine, or cross-sectional imaging of the abdomen and pelvis may be ordered at the evaluating clinician’s discretion.

How effective is the spermatic cord block as a diagnostic tool?

One of the most important diagnostic tools is the spermatic cord block, used to localize the source of the pain to the scrotal contents (the distribution of pain fibers from the spermatic cord). A spermatic cord block is indicated in the absence of an obvious alternative source for the pain. Local anesthetic is administered into the spermatic cord at the level of the ipsilateral pubic tubercle. The technique is described in a study published in the Journal of Sexual Medicine in 2018. It can be done easily in the office at the time of the consultation if so desired.

Significant improvement or complete pain relief with the block suggests that afferent signaling from nerve distributions within the spermatic cord are responsible for the pain. In most circumstances, the patient will experience pain recurrence within several hours, although on rare occasions the benefit may be prolonged. If there is minimal pain relief, other etiologies should be strongly considered. Some experts utilize a series of placebo (saline) controlled blocks to rule out malingering, which is rare.

How is idiopathic CSCP treated?

Data surrounding treatment options for idiopathic CSCP is limited. Repeated or prolonged antibiotic courses should be avoided as they are rarely helpful and prolong the interval to definitive treatment. Chronic opioid use should be avoided.

Sitz baths and anti-inflammatories are often used as first line therapy. As noted in studies published in the International Journal of Urology in 2007 and the World Journal of Men’s Health in 2017, some authors have found modest success with off-label use of antidepressants (nortriptyline, amitriptyline) and anticonvulsants (gabapentin). In those patients who respond well to the diagnostic spermatic cord block, a series of blocks using a local anesthetic combined with a steroid may also be considered.

Men with evidence of chronic pelvic pain or pelvic floor tension myalgia should be referred for pelvic floor therapy, as noted in a study published in the Canadian Journal of Urology International in 2016. Alternative treatments such as spinal cord stimulators, transcutaneous electrical stimulation, scrotal vibration and even acupuncture have been studied as well.

Surgery represents an effective treatment modality for many patients with CSCP. The key lies in patient selection and is determined by history, examination and most importantly by a positive response to the spermatic cord block. In those men with pain isolated to the epididymis, epididymectomy may result in pain improvement or resolution for 75% to 90% of men.

If the pain is more diffuse and involves other scrotal structures, then microdenervation of the spermatic cord is considered the surgical treatment of choice. The procedure is performed with the aid of an operating microscope through a small inguinal incision and involves transection of the autonomic and somatic nerve branches within the spermatic cord.

A robot-assisted approach has been popularized as well. In appropriately selected patients, durable pain improvement rates approach 90% with complete resolution seen in up to 70%.

Are there any complications associated with surgery for CSCP?

While rare, there are potential complications associated with surgery, including hematoma, hydrocele and testicular atrophy (1%). Orchiectomy is reserved as the treatment of last resort and should be used only after failure of other medical and surgical approaches, particularly if the patient desires future fertility.

CSCP is a diagnostic and therapeutic challenge. Any final comments concerning treatment and the future?

CSCP can be frustrating for patients and clinicians. Further research in the field will undoubtedly yield more successful treatment options. By employing a consistent algorithm for evaluation and management, clinicians have the opportunity to impart a meaningful benefit on their patients’ quality of life.

For more information

Levine LA, et al. Chronic scrotal content pain: A diagnostic and treatment dilemma. Journal of Sexual Medicine. 2018;15:1212.

Sinclair AM, et al. Chronic orchialgia: Consider gabapentin or nortriptyline before considering surgery. International Journal of Urology. 2007;14:622.

Tan WP, et al. What can we do for chronic scrotal content pain? World Journal of Men’s Health. 2017;35:146.

Farrell MR, et al. Physical therapy for chronic scrotal content pain with associated pelvic floor pain on digital rectal exam. Canadian Journal of Urology International. 2016;23:8546.

MQC-20468223

90,000 causes, symptoms and effective treatment

Content

• 1 Pain in the testicles: causes, symptoms and effective treatment
  • 1.1 Pain in the testicles to the touch: causes, symptoms and treatment
    • 1.1.1 The causes of pain in the eggs
    • 1.1.2 Symptoms of pain in the testicles to the touch
    • 1.1.3 Treatment of pain in the testicles to the touch
  • 1.2 Description and symptoms of pain in the testicles to the touch
  • 1.3 Causes of pain in the testicles to the touch
  • 1. 4 Diagnosis of diseases that cause pain in the testicles to the touch
  • 1.5 Testicular cancer as a cause of pain in the testicles
  • 1.6 Complications and consequences of the treatment of pain in the testicles to the touch
  • 1.7 Treatment of pain in the testicles to the touch
  • 1.8 Physiotherapy in the treatment of pain in the testicles by touch
  • 1.9 Traditional methods of treatment of pain in the testicles by touch
  • 1.10 How to avoid pain in the testicles by touch
  • 1.11 Additional recommendations for the treatment of testicular pain by touch
  • 1.12 Related videos:
  • 1.13 Q&A:
    • • 1.13.0.1 What are the causes of testicular pain in men?
      • 1.13.0.2 Can I self-diagnose a varicocele?
      • 1.13.0.3 What are the symptoms of testicular pain in testicular cancer?
      • 1.13.0.4 Can Peyronie’s disease cause testicular pain?
      • 1.13.0.5 How is a disease caused by spermatotoxicosis treated?
      • 1. 13.0.6 Can symptoms of testicular pain in women indicate a serious illness?

Find out the causes, symptoms and effective treatments for testicular pain by touch. Contact your doctor in a timely manner to avoid possible complications. Detailed information on the site.

Testicular pain is quite common in men. This may be due to various causes such as trauma, inflammation, or swelling. It must be understood that testicular pain is not a normal condition and requires attention from specialists. Severe pain may indicate inflammatory processes or nervous disorders in the urinary tract.

However, testicular pain does not always indicate a serious problem. For example, the simplest injuries usually have minor consequences. But if there is no pain, and the testicles remain enlarged, this may indicate some other disease, such as a tumor, varicocele, or hydrocele.

Treatment for testicular pain depends on its cause. Inflammatory diseases may require antibiotics, and tumors are extremely difficult to treat without surgery. Therefore, if you are faced with such symptoms, it is necessary to consult a specialist in a timely manner. It is important to remember that early detection and treatment of the disease significantly improves its prognosis and prevents the development of serious consequences.

Testicular Pain: Causes, Symptoms and Treatment

Testicular Pain can be caused by a variety of causes, including injury, inflammation, infection, and circulatory problems. Symptoms can vary depending on the cause, but usually include testicular tenderness, swelling, and redness. Some cases may require medical intervention, while others can be treated at home.

Causes of pain in the testicles to the touch

One of the most common causes of testicular pain is injury. They can be caused by bumps, falls, or sports injuries. Testicular inflammation can also cause tenderness to the touch. It can occur due to infections such as epididymitis or due to other medical conditions such as varicocele. The testicles can also be painful due to a circulatory disorder, which can cause the testicle to rotate and thus cut off the blood supply. In more rare cases, pain in the testicles may be associated with tumors or developmental abnormalities.

Symptoms of testicular pain to the touch

Symptoms of testicular pain to the touch may include tenderness, swelling and redness of the testicular area. Inflammatory processes can also be accompanied by fever and fluid discharge from the urinary canal. Some cases of testicular pain may be associated with gallstones or inflammation of the prostate gland, which can lead to pain during urination.

Treatment of testicular pain to the touch

Treatment of testicular pain to the touch depends on its cause. If the pain is associated with an injury, pain management and the use of special anti-inflammatory drugs may be required. In case of infections, antibiotics may be prescribed. In more rare cases, surgery may be required to restore proper blood flow to the testicles or remove tumors. To prevent pain in the testicles to the touch, it is advisable to maintain good hygiene of the genitals and treat any infections in a timely manner. Regular check-ups can help identify possible problems with the disease in the early stages.

Description and symptoms pain in the testicles to the touch

Pain in the testicles to the touch can be associated with various diseases of the genitourinary system. It can manifest itself as a feeling of heaviness, burning, pressure or pulsation in the testicles. In some cases, the pain may spread to the genitourinary tract, abdomen, or lower back.

Here is a list of pathologies that can cause pain in the testicles to the touch:

• Varicocele;
• Hernia of the scrotum;
• Orchitis;
• Epididymitis;
• Balanoposthitis;
• Gonorrhea;
• Mycoplasma infection;
• Prostatitis;
• Testicular cancer.

Causes of pain in the testicles to the touch

Pain in the testicles to the touch can be caused by a number of reasons. One of the most common is inflammation of the ovaries. It can be caused by an infection, injury, or simply improper sexual intercourse. Inflammation is accompanied by a feeling of heaviness, pain when filling the bladder, a general deterioration in well-being.

Another cause could be a hernia. At the same time, a protrusion can be detected by touch in the scrotum area, which can periodically disappear and appear. Pressing against the perineum can cause increased pain.

Epididymitis, an inflammation of the adnexal gland, can also cause pain in the testicles. Symptoms can manifest both during sexual intercourse and in the non-erotic sphere.

Injury to the testicles or groin, accompanied by severe pain, sometimes aggravated when the man is in an upright position or when moving.

Diagnosis of diseases that cause pain in the testicles to the touch

Pain in the testicles to the touch can be caused by various diseases that require immediate attention from specialists.

When contacting a urologist, you must describe all the symptoms that bother you, as well as undergo a comprehensive examination. The doctor will study your life history, identify all possible risk factors, previous diseases and operations.

Further, effective diagnosis may include laboratory testing of blood and urine, as well as ultrasound and x-rays of the genitals. In some cases, a biopsy may be required to look for malignancy.

1. Epididymitis: a bacterial disease that causes inflammation of the epididymis, the thin canal that connects the testicle to the testis. For diagnosis, tests of urine, blood, a smear from the urethra and genitourinary organs, and ultrasound can be performed.
2. Varicocele: Testis vein enlargement, palpable testis, beginning to appear on the left side. Ultrasound, venography, phlebography, and other methods can reflect images of an enlarged venous bundle.
3. Hydrokele: anomaly associated with the presence of fluid in the testicle. The preferred methods may be ultrasound diagnostic methods, X-ray, biopsy.
4. Orchitis: inflammation of the testis itself, which may be due to infection or general diseases (eg measles, chicken pox). Ultrasound diagnostics.

In any case, an accurate diagnosis and the appointment of effective treatment is possible only when contacting a specialist.

Testicular cancer as a cause of pain to the touch

Testicular cancer can be a possible cause of testicular pain to the touch. This is a malignant neoplasm that most often develops in men aged 15 to 35 years.

In testicular cancer, there may be an increase in one of the testicles, the appearance of a tumor on the testicle, a violation of the shape of the testicle. Pain to the touch may be severe or moderate, and may also appear in the lower back or lower abdomen.

It is important to note that pain in the testicles to the touch can be caused by other reasons, a number of diseases, so that an accurate diagnosis can only be established after passing the examination.

• Note:
• Testicular cancer is a dangerous disease, which, however, can be successfully treated with timely medical attention.

Complications and consequences of the treatment of pain in the testicles to the touch

Improper treatment of pain in the testicles to the touch can lead to serious complications and consequences.

• Inflammation of the testicles. If the cause of pain to the touch is an infection, then improper treatment can provoke the development of inflammation of the testicles, which can lead to severe discomfort and disruption of the functionality of the male reproductive system.
• Development of tumors. Some types of tumors, such as testicular cancer, may be painful to the touch. Improper treatment of pain can lead to the development of a tumor and its further spread.
• Erectile dysfunction. If pain in the testicles to the touch is the result of erectile dysfunction, then improper treatment can exacerbate this problem and lead to its further deterioration.

Therefore, if pain in the testicles appears to the touch, it is necessary to seek qualified medical help in order to avoid possible complications and consequences. Only a specialist can make the correct diagnosis and prescribe the appropriate treatment.

Treatment of pain in the testicles to the touch

Pain in the testicles to the touch may indicate the presence of various diseases of the genitourinary system. Treatment depends on the cause of the symptoms.

One of the most common causes of pain in the testicles to the touch is a varicocele. For the treatment of this disease, elastic bandages, special underwear compression products, vitamins and drugs are used to improve blood flow in the testicles.

In order to improve the functioning of the genitourinary system, a healthy lifestyle is recommended. It is important to make sure you drink enough water, stop smoking and alcoholic beverages, and stick to regular exercise and proper nutrition.

• To treat pain in the testicles, you should consult a doctor and undergo a diagnosis, identify the cause of the disease.
• Various methods are used in the treatment of various diseases of the genitourinary system, from antibiotics and ultrasound procedures to surgical operations.
• Healthy lifestyle is another key aspect in the treatment of pain in the testicles to the touch.

Physiotherapy for the treatment of pain in the testicles to the touch

Physiotherapy is one of the methods of treatment of pain in the testicles to the touch, which uses various kinds of physical factors, such as ultrasonic waves, electric current, magnetic field and others, to improve blood circulation, reduce inflammation and pain.

One of the most common physiotherapy methods for the treatment of pain in the testicles to the touch is ultrasound therapy. Ultrasonic waves, which are created by a special apparatus, penetrate into the deep layers of tissues, speed up metabolic processes and help treat testicular pain.

Another effective method of physiotherapy in the treatment of such pain can be electrical stimulation. It can reduce inflammation and soothe the muscles that cause testicular pain.

Some experts also recommend magnetic therapy, which can speed up the healing process and reduce testicular pain to the touch. The magnetic field improves blood circulation and stimulates the restoration of healthy tissues.

• Conclusion: Physiotherapy is an effective treatment for testicular pain to the touch. It can reduce inflammation, pain, and promote tissue healing. Ultrasound therapy, electrical stimulation and magnetotherapy are the main methods that are used in physiotherapy.

Conventional Treatments for Testicular Pain

When testicular pain occurs, a doctor should be consulted for qualified medical attention. However, some traditional methods can help reduce pain.

• Applying a cold compress to the testicular area can reduce swelling and relieve pain. But you should not use too cold compress to avoid possible burns on the skin.
• Some aromatic oils, such as lavender oil or peppermint oil, can help relieve pain. Apply some oil to the testicular area and massage gently.
• Gentle posture can help reduce pain. Wear comfortable underwear to avoid chafing your skin and avoid long periods of sitting or standing.

But don’t forget that targeted treatment prescribed by a doctor is the best way to get rid of pain in the testicles to the touch. Follow all recommendations and take prescribed medicines and treatments.

How to avoid pain in the testicles to the touch

In many cases, pain in the testicles to the touch can be prevented. To do this, you must follow a few simple rules:

• Avoid traumatic situations . When playing sports or working with heavy equipment, special protection should be used. Strong impacts and injury to the testicles, such as from a fall, should also be avoided.
• Maintain hygiene . Regular washing of the testicles helps to avoid infections and inflammation in this area. Do not wear too tight underwear and overheat.
• Maintain a healthy lifestyle . Quitting smoking, drinking in moderation, exercising regularly, and eating a healthy diet can help avoid testicular pain associated with infections and inflammation.

You should also pay attention to your health and periodically undergo preventive examinations by a urologist. This will help to timely detect and treat diseases that can cause pain in the testicles to the touch.

Additional recommendations for managing testicular pain

Avoid strenuous physical activity: Limit activity and avoid excessive physical effort that can aggravate testicular pain.

Wear looser, more comfortable pants: Wearing looser, more comfortable clothing can reduce discomfort and pressure on the testicles.

Place ice on the affected area: Ice can reduce swelling and reduce testicular pain to the touch. Apply ice for no more than 20 minutes at a time and wrap the ice pack in a soft cloth or towel.

Take anti-inflammatory drugs: Drugs such as ibuprofen or paraketamol can help reduce testicular pain, swelling, and general well-being.

Seek medical attention if pain persists or gets worse: If testicular pain does not go away within a few days or gets worse, see a doctor. It may be necessary to conduct additional studies and prescribe special treatment.

Related videos:

Q&A:

What could be the causes of testicular pain in men?

Testicular pain in men can be caused by various causes, including testicular inflammation, hernia, testicular cancer, spermatotoxicosis, trauma, varicocele, etc.

Can I self-diagnose a varicocele?

Although varicocele is one of the most common causes of testicular pain in men, its diagnosis requires a professional examination by a doctor and additional tests, such as an ultrasound of the testicles.

What are the symptoms of testicular pain in testicular cancer?

Testicular pain in testicular cancer may present with other symptoms such as an enlarged testicle and a feeling of heaviness in the scrotum. However, the symptoms and their severity may vary depending on the stage of the disease.

Can Peyronie’s disease cause testicular pain?

Peyronie’s disease, which is a curvature of the penis and may be painful, does not cause testicular pain. However, this disease can be accompanied by sexual problems and requires careful medical supervision.

How is a disease caused by spermatotoxicosis treated?

When the disease is caused by spermatotoxicosis, treatment may include drugs and a daily sexual regimen. However, spermatotoxicosis is usually caused by psychological factors, so psychotherapy can also be an effective treatment option.

Can symptoms of testicular pain in women indicate a serious illness?

Yes, testicular pain in women can be caused by serious conditions such as endometriosis, ovarian cancer, ovarian cysts, ovarian inflammation, and more. Therefore, in such cases, you should immediately consult a doctor for diagnosis and treatment.

possible causes and remedies

Men rarely complain about their problems, and this also applies to their well-being. Very often, health is characterized by the state of the gonads and testicles. Sometimes, after arousal, testicles hurt due to increased sensitivity. In this case, you should not sound the alarm. But if such discomfort manifests itself painfully and constantly, then it is imperative to consult a doctor.

Characteristics of erection

Sexual arousal of the stronger sex depends on the interaction of several systems. Initially, there is irritation of the nerve centers in the brain. Because of this influence, the release of testosterone into the bloodstream is formed. Further, under the influence of the male hormone, a gradual expansion of blood vessels is caused. At this point, the volume of blood increases. The fluid presses on the walls of the sphincters of the genital vein. Further, the cavernous bodies are filled, the density increases and the muscles of the penis are stretched. The entire described process is called an erection.

The left testicle is lower than the right: as it should be, the causes of deviations

In the case of normal intercourse, an erection always ends in ejaculation. In this case, part of the seminal fluid located in the testes is removed. After this process, the blood leaves the cavernous bodies in a short time, after which the excitation ends.

In case of irregular contact, a considerable amount of spermatozoa accumulates in the testicles. Then they begin to put pressure on the zones of the paired organ, so the man feels discomfort.

In youth, such a nuisance is eliminated on its own. The body overcomes overexcitation with the help of emission (spontaneous withdrawal of seminal fluid at night). With the normalization of sexual life, the problem disappears. But sometimes self-cleaning does not occur, thereby delivering a lot of negative symptoms.

Testicular enlargement in men: the cause of the disease, symptoms and …

A similar ailment can also occur in an adult patient when there is no sexual discharge. The partner gets excited, and the partner does not bring the contact to sexual intimacy. In this case, the influx of blood into the cavernous bodies continues, and after failure, the fluid very slowly leaves the cavities of the penis. Due to the action of blood, the cavernous cavities are bursting. Therefore, after arousal, the testicles hurt, since against this background there is an increased movement of the spermatozoa through the vas deferens.

All of the listed signs are easily eliminated without the participation of specialists. The pain disappears after a few hours after the seminal fluid is removed from the canals. In adolescence, problems disappear after the appearance of stable sexual contacts. But still, if the testicles are very sore after arousal, then pathological changes can be the cause of this. In such a case, you need to seek help from a doctor.

Causes

Discomfort after arousal may occur due to prolonged abstinence or overexcitation. However, there are a number of other factors that need to be taken into account. Many men wonder why testicles hurt after arousal, the main reasons are:

• injury to testicles or scrotum;
• testicular torsion;
• epidermitis;
• orchitis;
• varicocele;
• hernia;
• Neoplasms of the reproductive system.

Men also need to pay attention to their underwear. It is not advised to choose models that pull the skin. Synthetic options are dangerous. You also need to try to do without tight jeans and trousers, and choose loose clothes at home.

Varicose veins on the testicles in men: possible causes, symptoms,…

Injuries

Men often ask why the testicles and groin hurt after being excited. As already known, there can be many reasons for this.

Very often, at the moment of physical activity or the usual awkward movement, a blow occurs in the scrotum. This action causes local hemorrhage. From pain, a man sometimes even loses consciousness, therefore, in this case, you need to consult a doctor. If the injury is minor, then the tissues themselves are restored. When there were violations after the blow and the young man did not seek medical help, this can have a detrimental effect on his sex life.

Testicular torsion

The vas deferens run through the entire testicle, and since it moves freely from side to side, torsion sometimes occurs, often resulting in pinched nerve endings. The presence of this disease is another answer to the question of why guys have testicles after arousal. If this happens, then the man feels a sharp and unbearable pain in the right or left testicle. Because of this, the death of part of the testicle and blood vessels can form. Without timely surgical implementation within 6 hours, the organ will completely lose its reproductive functions. The reasons for this phenomenon are not fully understood, but vasoconstriction, hypothermia and muscle contraction can presumably affect.

Epidermitis

Another name for this disease is inflammation of the appendages, which can cause testicles to hurt after arousal. The appendage is located on the back wall in the lower third. Apparently, at the time of inflammation, the scrotum does not change, but the problem area begins to give off with aching pain. It should be noted that in the case of epidermitis, a man will be disturbed by only one testicle.

When the disease is not treated, then the inflammation will intensify, swelling will form and the pain will not be sharp, but constant, the presence of heat is possible.

Orchitis

Quite often, such a disease is a complication after infectious diseases – rubella, mumps. For men, it can reward the loss of reproductive function. With the disease, the inflamed testicle turns red and swells, as a result of which the production and excretion of sperm is disrupted, which further threatens infertility. Most often, only the right or left testicle is affected. After arousal, the pain is very severe, as the sperm does not form correctly and is not released.

The disease is characterized by gradually increasing, aching pain and swelling of one of the testicles. There may be discomfort in the perineum, lower back, lower abdomen, as well as headaches. Often the patient has a fever and chills.

Varicocele

This disease occurs due to chronic dilation of the veins in the ovaries. Among the factors of occurrence, excessive physical exertion and circulatory disorders can be noted.

If, after arousal, the testicles hurt, they become dark and swell, then we can talk about the presence of the disease.

Hernia

An inguinal hernia forms in the lower abdomen and when the loop becomes large, the bowel may descend into the scrotum. Sometimes both the right and left testicles suffer from this. The problem is formed due to the compression of such a hernia of the seminal canals and ducts. To correct the situation, only surgical intervention will help.

Neoplasms

If after a long excitation the testicles hurt and increase in volume, this does not only mean that the man has epidermitis or orchitis. All these signs are present in cancerous tumors. In the case of a neoplasm, there is also constant discomfort in the testicle, seals, nodules are formed, the scrotum swells and the local body temperature increases.

Often men do not pay attention to this and are completely confident in their health. But the sooner the patient listens to the symptoms of his body, the more chances to guarantee a successful recovery.

When you need to urgently see a doctor

The first questions that men can ask a specialist are as follows. If testicles hurt after arousal, what should I do? Is it possible, in general, to refuse medical care? Sometimes, this is possible, but only if the symptoms are rare, pass on their own and quickly enough. When one of the following symptoms is present, self-treatment should be abandoned altogether:

• body has changed shape or size;
• a slight touch on the testicles causes unbearable pain;
• acute pain present;
• there is an incomprehensible tuberosity on the organ, which was not there before;
• there is mild but constant pain in the scrotum, but becomes worse over time;
• after injury, pain in the ovary did not go away after a few hours.

Diagnostics

To understand why the testicles hurt after arousal, a thorough medical examination is required. Diagnostics includes several methods. The first is palpation, in which the specialist carefully feels the testicles and scrotum. Palpation helps to reveal the texture of the testicle and the presence of unwanted neoplasms in it.

An ultrasound is then performed. With the help of modern devices, it is possible to measure the size of paired glands and their qualitative characteristics. If in the case of examination in the scrotum no changes were detected, then the prostate gland is subjected to diagnosis. In case of suspicion of oncological neoplasms, they may additionally prescribe computed or magnetic resonance imaging, as well as diaphanoscopy and biopsy. Sometimes a spermogram and a blood test are prescribed.

Only after the diagnosis, the doctor can prescribe some drugs.

Who to contact

When your balls hurt after arousal, every man should know what to do. This is the first sign of a visit to the doctor. Most often, the patient is referred to a urologist. At the first session, the doctor will clarify the duration of the alarming symptoms, and what signs of malaise are present. If the problem is serious, the patient may be sent to a hospital for therapy. Most often, it takes several days to stabilize health. Modern drugs and methods are quite effective both in injuries and in other diseases.

Medical solutions to the problem

If, after arousal, the right testicle and the left testicle hurt as a result of long abstinence or overexcitation, then such a pathology is resolved quickly after the normalization of sexual life. To do this, you need to finish your sexual intercourse with ejaculation. If, for medical reasons, a man needs to abstain from sex, then you can resort to masturbation. Pain after prolonged abstinence will disappear after 4-6 hours. If there is a pathology, then the problem can be restored only with medical help.

A thorough examination is required after an injury. Doctors prescribe cold compresses and bed rest. Pain medications are often injected. In the event of a serious injury and unbearable pain, inpatient therapy is required, as such an injury can lead to the accumulation of blood in the scrotum. In this case, the problem requires immediate surgical intervention.

When torsion of the testicles is observed, surgery is indispensable, and in the shortest possible time, because otherwise it will be problematic to save the organ.

When epidermitis is observed, timely and adequate antibiotic therapy will be needed, since the infection can reach other organs. I also need immunotherapy, physiotherapy, and anesthesia on demand.

Treatment of orchitis must be carried out quickly, as complications are possible, which manifest themselves in the form of atrophy of the gonads and inflammation of the appendages. Therapy consists of antibiotics, tight-fitting underwear, bed rest, and on-demand pain relief.

As with other ailments, varicocele must be treated very quickly using surgical methods that involve ligation and removal of the affected vein. With proper therapy, the functions of the organ are fully restored.

After the end of any treatment, the patient requires constant therapeutic monitoring. This is done to avoid possible complications.