Testicular Pain

What is testicular pain?

Testicular pain refers to the presence of discomfort or pain affecting one or both testicles. This pain can exhibit a wide spectrum of intensity, ranging from mild to severe, and it may occur intermittently. It is crucial to seek evaluation by a healthcare provider if you experience any form of testicular pain. Recurring or chronic testicular pain may signify a more severe underlying issue.

Symptoms of testicular pain

Testicular pain can manifest with varying levels of severity and duration. Common symptoms associated with testicular pain encompass:

  • Discomfort or pain in the scrotum

  • Swelling or the presence of a lump within the scrotum

  • Diminished sensitivity in the scrotum

  • Bruising

  • Blood noted in the semen

  • Redness and/or warmth in the scrotal skin

  • Occurrence of sudden pain in either testicle, characterized by intermittent episodes spanning several hours.

What causes testicular pain?

Testicular pain can originate from various sources, with some being more concerning than others.

Epididymitis, which denotes the inflammation of the coiled tubes situated behind each testicle (epididymis), which is treatable at Cohen Care. For all other origins of testicular pain, treatment must be sought outside Cohen Care, with necessary referrals facilitated by a Cohen Care healthcare provider.

The most frequent cause is testicular torsion, wherein the spermatic cord becomes entangled, obstructing blood flow to the testicle, thereby leading to damage to the enclosed tissue and nerves. Signs indicative of testicular torsion encompass the sudden onset of severe pain in one testicle, accompanied by symptoms like nausea, vomiting, and scrotal swelling. Experiencing any of these symptoms denotes a medical emergency, warranting immediate medical attention.

Other potential causes include:

  • Epididymal hypertension: Arises when ejaculation is inhibited or delayed post-arousal.

  • Orchitis: Characterized by inflammation of the testicles.

  • Prostatitis: Entails inflammation of the prostate, a gland situated between the bladder and the penis.

  • Inguinal hernia: Gives rise to pain and swelling due to the descent of a protruding intestine into the scrotum.

  • Testicular cancer: Occurs when malignant cells develop within the testicles.

How is testicular pain treated?

In many instances, testicular pain will naturally subside with adequate rest and self-care. Nonetheless, it remains imperative to consult a healthcare provider for a comprehensive assessment, especially when testicular pain may be attributed to a more severe underlying issue. This is especially vital if the pain persists or is accompanied by additional symptoms like fever, swelling, or penile discharge.

The approach to managing testicular pain and swelling encompasses several strategies contingent upon the root cause. Commonly measures for alleviating testicular pain include:

  • Administration of anti-inflammatory and analgesic medications

  • Prescribing antibiotics if a bacterial infection is diagnosed

After a comprehensive evaluation, your provider will recommend appropriate follow-up steps in accordance with the specific cause of your testicular pain.

In scenarios necessitating more advanced interventions beyond basic pain relief or medications, your Cohen Care provider will give you a referral for further evaluation within a different medical setting.

When should I visit a clinic for testicular pain?

If you're experiencing testicular pain and uncertain about its origins, it's advisable to seek evaluation from a medical expert. When confronted with testicular discomfort, it's pertinent to arrange an In-Person Visit at Cohen Care. During your visit, one of our healthcare providers will assess the source of your discomfort and establish the most suitable treatment plan.