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Last Updated: Jan 30, 2023
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Pain In Testicles - When Should You Be Worried?

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Dr. Sharath Kumar CSexologist • 20 Years Exp.MBBS, MS, Ph.D, FPSM, DRM, DMRD, DGLS, C.Sc, DYN, FECSM ( Europe ), FCGP
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Pain in the testicles is something that every male would have experienced at some point of time in their lives. It could be due to an injury, or a medical condition. Experiencing pain due to sports injuries is also common. It is a pain that occurs in the testicles and some cases it can be on both the testicles. Sometimes the pain originates from a different region of the abdomen and the spasms are felt in the testicles. Let us have a look at some of the causes and the treatment plans for such pain.

Testicle pain can be due to many causes. The testicles are round sacs and are extremely sensitive, and even a minor injury can cause bouts of pain or discomfort. In some instances, the problem arises from the groin region. In other cases, it could be an aftermath of pain that arises elsewhere. One of the common causes can be due to varicocele. This something that is similar to the varicose veins that occur in the leg. Once the veins get enlarged within the skin bags, it can push the testicles outwards- thus resulting in pain. They can also affect the sperm production and the shrinkage of testicles. 

Causes:

Pain in the testicle region and area could be due to diabetes, nerve damage, and side effects of a drug, gangrene, inflammation in the blood in the testicular region, kidney stones, mumps, testicular cancer, and vasectomy. Varicocele can develop over a period and in some rare cases do not require any treatment at all. In most of the cases, testicular pain can be due to a result of a direct injury. A sports injury or an accident in the groin area can cause pain and discomfort. 

When to see a doctor?

Severe testicular pain or sudden discomfort in the abdomen region are indications of a testicular disease and seek medical attention immediately in such cases. Varicocele is usually associated with sharp bouts of pain that comes and goes away. Also, it is more prone in the left side testicles. A twisted testicle is also an indication that the blood does not flow freely and can result in loss of blood supply. These conditions require immediate medical attention. Please check with your doctor if you have any swelling in the scrotum and if you have the symptoms of veins protruding out abnormally. A diagnosis can be easily done by a testicular ultrasound. Check out your sperm production levels too and get medical guidance in case of irregularity. 

Self- care:

Experts believe that almost 60% of the testicular pains are because of a direct result of physical injury. If you are a sports person, always ensure that you have proper protection when playing the game. The same goes for driving too. Also, avoid garments that are extremely tight in the groin region as this can cut off the blood supply. Varicoceles usually do not require any medical treatment as in some cases the conditions diminish on its own. In some cases, you might be requiring surgery to treat the veins and get them back to normalcy. Do indulge only in safe sexual practices to minimize chances of STD’s and other sexually transmitted infections. Even these can affect the pain in your testicles. You can also try over-the-counter medications in case of minor to medium pain. Testicular pain usually decreases on its own in many cases. In case the pain does not subsidize even after a week, check with your doctor and seek medical attention.

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