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Alternative names Return to top
Pain - testicle(s)Definition Return to top
Testicle pain is discomfort in one or both testicles. The pain sometimes radiates to the lower abdomen.Considerations Return to top
The testicles, which sit inside the scrotum, are very sensitive. Even a minor injury can cause pain or discomfort. When severe testicle pain begins suddenly, however, it is an emergency.
If a young man has abdominal pain, the scrotum should always be carefully examined. Abdominal pain may occur before testicle pain in some conditions, such as testicular torsion. This is a twisting of the testicles that can cut off their blood supply, causing tissue to die within hours. If tissue does die, then fertility may be affected, and the testicle may have to be removed.
Testicular cancer is usually painless. But any testicle lump should be evaluated by your doctor, whether or not there is pain.
Common Causes Return to top
Common causes of testicle pain include:
Possible infections include:
Fluid in the testicles often causes painless swelling, but may cause mild discomfort. There are several main types of fluid collection:
Pain may also be caused by a hernia or an unrelieved erection.
Home Care Return to top
Some causes of testicle pain can lead to infertility if not treated promptly. Testicular torsion is an emergency, and needs to be treated within a few hours. Infections also should be examined and treated right away as well. If the infection is caused by a bacteria, your doctor will prescribe an antibiotic.
For non-urgent causes of testicle pain, including minor injuries and fluid collection, the following home care steps may reduce discomfort and swelling. These steps will also help if you have an infection.
Call your health care provider if Return to top
Call your doctor immediately or go to an emergency room if:
Also call your doctor right away if:
What to expect at your health care provider's office Return to top
Your doctor will perform a physical examination with a focus on the groin, testicles, and abdomen. To help diagnose the cause of the pain, your doctor will ask medical history questions, such as:The following diagnostic tests may be performed:
Treatment may include:
Prevention Return to top
If you are diagnosed with chlamydia or another STD, all sexual partners should be notified, examined, and treated if infected.
Update Date: 3/23/2004 Updated by: Jacqueline A. Hart, M.D., Department of Internal Medicine, Newton-Wellesley Hospital, Boston, Ma., and Senior Medical Editor, A.D.A.M., Inc. Previously reviewed by David R. Knowles M.D., Department of Urology, New York-Presbyterian Hospital Columbia Campus, New York, NY. Review provided by VeriMed Healthcare Network (1/09/2003).
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Page last updated: 28 October 2004 |