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Why am I experiencing a sharp pain in both testicles?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 29 years old this year, with a height of 5 feet 9 inches and a weight of 176 pounds. I experienced a sharp pain in both of my testicles twice, and it hurt up to my lower abdomen. It felt like a sharp pain, and I do not know whether it is normal or if I should see a doctor. The episodes occurred one week apart.

Kindly advise.

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Sudden sharp pain in both testicles that radiates to the lower abdomen is not usually considered normal, although brief episodes can sometimes occur due to muscle strain, nerve irritation, temporary twisting movement, or pressure in the scrotal area.

Since it has happened more than once, about a week apart, it should not be ignored completely. Conditions such as testicular torsion, epididymitis, varicocele, or even referred pain from urinary or kidney issues can sometimes present with sharp testicular pain.

If the pain lasted only briefly and settled completely, it may not be an emergency. However, if it happens again, becomes severe, or is associated with swelling, redness, fever, nausea, vomiting, burning urination, or one testicle sitting higher than the other, immediate medical attention is advised. A scrotal ultrasound and urine test can help rule out important causes if the symptoms continue. Until then, avoid heavy lifting, wear supportive underwear, stay well hydrated, and monitor for recurrence.

I hope this is clear, and if you have any questions at any time, please feel free to ask.

Thank you.

Patient's Query

Hello doctor,

The pain goes away, but if I touch my testicles, there is a little tenderness. Other than that, there are no other symptoms.

Kindly advise.

Hello,

Welcome back to icliniq.com.

I have read your query and understand your concern.

Mild tenderness after the sharp pain episodes suggests that there may still be some irritation or inflammation in the testicular area, even though the severe pain has settled. Since there is no swelling, redness, fever, or persistent severe pain, it is less suggestive of an emergency at the moment.

However, recurrent sharp pain with lingering tenderness should still be evaluated if it continues. Conditions such as epididymitis, mild intermittent torsion, strain, or referred urinary pain can sometimes present in this way.

For now, avoid heavy lifting, strenuous exercise, prolonged standing, or excessive sexual activity for a few days. Wear supportive underwear, stay well hydrated, and monitor for any increase in pain, swelling, fever, nausea, or changes in testicular position.

If the episodes recur, a scrotal ultrasound with doppler study and a urine test would be the next steps to rule out important causes.

Tablet with a combination of Aceclofenac 100mg, Acetaminophen 325 mg, and Serratiopeptidase 15 mg can be taken twice daily after food for pain relief, if there is no history of allergy, stomach ulcer, kidney disease, or liver disease.

I hope this is clear, and if you have any questions at any time, please feel free to ask.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 20, 2026
Reviewed AtMay 20, 2026

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