Don't Ignore Testicular Pain. It's a Signal You Shouldn't Overlook.

Common Causes of Non-Emergency Testicular Pain

Once a medical emergency has been ruled out, most testicular pain is caused by one of several common conditions:

• Epididymitis: This is the most common cause. It's an inflammation of the epididymis, the coiled tube at the back of the testicle that stores and carries sperm. It's often caused by a bacterial infection, including STIs. Symptoms include a gradual onset of pain, swelling, and tenderness.
• Varicocele: An enlargement of the veins within the scrotum, often described as feeling like a "bag of worms." It can cause a dull, aching, or heavy feeling, especially after long periods of standing.
• Trauma: A direct blow or injury to the testicles can cause pain and swelling that may linger.
• Inguinal Hernia: When part of the intestine pushes through a weak spot in the abdominal muscles near the groin, it can cause pressure and a dull ache in the scrotum.
• Hydrocele: A buildup of fluid around the testicle that can cause a feeling of heaviness and swelling, though it is usually painless.

Our Diagnostic Process

An accurate diagnosis is key to effective treatment. Our process includes:

1. Physical Examination: A careful, hands-on examination of the scrotum and testicles to check for swelling, tenderness, and any palpable masses like a varicocele.
2. Medical History Review: Discussing the onset of the pain (sudden vs. gradual), its character (sharp vs. dull), and any associated symptoms.
3. Diagnostic Testing: Depending on the suspected cause, we may recommend urine tests or blood tests to check for infection, or a scrotal ultrasound to get a clear image of the structures inside the scrotum.

Treatment Tailored to the Cause

Treatment depends entirely on the diagnosis. It may involve a course of antibiotics for epididymitis, pain management and monitoring for a varicocele, or referral for surgical repair in the case of a hernia.