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What is the permanent solution for testicular pain?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 23, 2018
Reviewed AtJanuary 19, 2024

Patient's Query

Hi doctor,

I have a mild pain in the right testis since two months. The USG report showed slight thickening of the spermatic cord. Now, after 10 days of antibiotic courses referred by the physician, then the condition is better. But when I lift some weight or drive a car, then the pain starts again. What is the permanent solution? I have attached my report and prescription here for your reference.

Hi,

Welcome to icliniq.com.

A minimally thickened cord is of questionable importance. Please get your urine analysis also. Idiopathic orchialgia is very common in young people. I suggest you wear scrotal support. The testes carry a spiral muscle called cremaster with them while coming out of the abdomen to lie in the scrotum at the birth of a male child. The testes are in a dynamic position hanging in the scrotum. They adjust according to stimulus like temperature change, touch, and excitation. In some young people, this causes pain due to strong muscles. With aging, this decreases. If it bothers a lot, then you may need treatment. Keep them close to the body by using scrotal support. This is neuropathic pain, so I suggest tablet Pregabalin as and when required. Consult your doctor, discuss with him or her and take medicine with consent.

Treatment plan

Continue antibiotics for 10 days. It takes time to resolve the pain of epididymitis, may be four weeks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Choudhary Devendra
Dr. Choudhary Devendra

Urology

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