What conditions can cause your testicles to hurt?

Submitted by Medical Health Test Team on January 30, 2023
Testicle pain is a common condition that affects many men at some point in their lives. There are several possible causes of testicle pain, including injury, infection, inflammation, or diseases of the testicles or surrounding tissues.

Injury: Physical trauma to the testicles can cause pain, swelling, and bruising. This can occur during sports, falls, or other accidents. Treatment for testicular injury may include pain management, ice, and rest.

Infection: Infections of the testicles can cause pain, swelling, redness, and warmth. Common infections include epididymitis (inflammation of the epididymis), orchitis (inflammation of the testicles), and sexually transmitted infections (STIs) such as chlamydia or gonorrhea. Treatment for testicular infections usually involves antibiotics and pain management.

Inflammation: Inflammation of the testicles can cause pain and swelling. This can occur due to autoimmune diseases such as testicular torsion, varicocele, or testicular cancer. Treatment for testicular inflammation depends on the underlying cause and may include surgery, medication, or radiation therapy.

Testicular Diseases: Diseases of the testicles can cause pain, swelling, and changes in testicular size or shape. Some common diseases include testicular torsion, varicocele, testicular cancer, and testicular atrophy. Treatment for testicular diseases depends on the underlying cause and may include surgery, medication, or radiation therapy.

Testicular pain can be a sharp or dull ache that is localized to one or both testicles. The pain may be constant or come and go, and may be accompanied by other symptoms such as swelling, redness, or tenderness in the affected area. In some cases, testicular pain may be accompanied by discomfort or pain in the lower abdomen, back, or groin.

Testicular torsion is a medical emergency that occurs when the spermatic cord, which provides blood flow to the testicles, becomes twisted. This can cause severe pain and swelling, and if left untreated, can lead to the loss of the affected testicle. Testicular torsion is more common in young men and boys, and is typically treated with surgery to untwist the spermatic cord and reposition the testicle.

Varicocele is a condition in which the veins in the scrotum become enlarged, leading to pain and discomfort in the affected testicle. Varicoceles can also cause fertility problems, as the increased blood flow to the scrotum can elevate the temperature of the testicles, affecting sperm production. Treatment for varicocele may include medication, minimally invasive procedures, or surgery.

Testicular cancer is a relatively rare form of cancer that affects the cells in the testicles. The most common symptom of testicular cancer is a lump or swelling in the testicles, although some men may experience pain or discomfort. Treatment for testicular cancer may include surgery, chemotherapy, or radiation therapy, and early detection is critical for a positive outcome.

Testicular atrophy is a condition in which the testicles shrink or lose volume. This can occur due to age, injury, or other factors, and can cause pain and discomfort in the affected area. Treatment for testicular atrophy may include hormone therapy or surgery.

It is important to seek medical attention if you experience testicle pain, as early treatment can prevent more serious complications. Your healthcare provider may perform a physical exam, including a testicular self-exam, and order laboratory tests or imaging studies to help diagnose the underlying cause of your pain.

If you experience testicular pain, your healthcare provider may perform the following tests to diagnose the underlying cause:

Physical exam: Your healthcare provider will perform a physical examination of the testicles, including a testicular self-exam, to look for signs of swelling, redness, tenderness, or lumps.

Blood tests: Blood tests may be ordered to check for infections or elevated levels of hormones that can indicate testicular cancer.

Ultrasound: An ultrasound is a non-invasive imaging test that uses high-frequency sound waves to create images of the inside of the body. An ultrasound can help your healthcare provider determine the size and shape of the testicles, as well as any abnormalities or fluid collections.

Scrotal Doppler Ultrasound: This is a special type of ultrasound that uses sound waves to assess blood flow in the testicles and blood vessels. It can help diagnose conditions such as testicular torsion or varicocele.

Biopsy: In some cases, a biopsy of the testicle may be necessary to determine the presence of cancer or other diseases.

CT scan or MRI: These are advanced imaging tests that can provide detailed images of the testicles and surrounding tissues. They may be ordered if a more comprehensive evaluation of the testicles is needed.

It is important to keep in mind that these tests may not be necessary for all cases of testicular pain, and your healthcare provider may order additional tests or referrals to a specialist if needed.

In conclusion, testicular pain can be caused by a variety of factors, including injury, infection, inflammation, and diseases of the testicles or surrounding tissues. If you experience testicular pain, it is important to seek medical attention, as early treatment can prevent more serious complications. Your healthcare provider can help diagnose the underlying cause of your pain and recommend appropriate treatment options.
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