Testicular Pain

Pain in either one or both testes is known as testicular pain. It may be caused by various conditions ranging from simple to serious. The possible causes include testicular torsion, epididymitis, kidney stones, hernia, and injury.

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The pain in my left testicle is not getting reduced despite taking medications. Why?

Query: Hi doctor,I have had thickening of my left spermatic cord and pain in my left testicle for over one and a half years. It all started after unprotected anal and oral sex. I have got MRI and nerve block done. But the pain still persists. I am taking a pain management course, Pregabid NT 75, Pregabid 5...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome back to icliniq.com. This is a previous infection caused by unprotected sex and leads to fibrosis around the cord; hence there is pain, step ladder treatment which is analgesia tablets local injections and that you already tried. Now next is going to be surgery which is called denerva...  Read Full »

Why are my testicles saggy and painful?

Query: Hello doctor, I have had a sharp pain in my left testicle for four days with mild abdominal pain and constipation. Also, my testicles seem saggy and hanging. Recently, I am having a problem with erection. Although I get hard, I ejaculate very soon. I am in a pre-diabetes phase where my fasting bl...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. You have multiple issues to discuss, and I would discuss them one after the other. Mild left testicular pain, oligospermia, and infertility are related to varicocele, which is a dilatation of veins around your testis. It increases temperature and decrease...  Read Full »

Does the shape of the underwear have an impact on the testicles?

Query: Hi doctor, I have pain in my right testicle after masturbation. The pain increased when I lie down straight or towards my right side, and it decreases when I lie towards my left side. I went to the doctor the next day. He examined my testicle and advised an ultrasound scan. Everything was normal, ...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Testicular pain can be annoying, and sometimes pain is also difficult to diagnose, especially in your case with a normal ultrasound report. However, the diagnosis of varicocele does match your symptoms. Sometimes varicocele diagnosis is difficult with the usual scrotal ...  Read Full »

What causes mild pain in the left groin area and testicle?

Query: Hi doctor, I am a 20-year-old male. I started to have mild pain in the left groin area last night. It got increased while moving. I also started to have mild pain in the left testicle. But it was not continuous. It happened sharply while changing body postures or during deep breathing. I do not hav...  Read Full »

Dr. Samer S J Altawil

Answer: Hi,Welcome to icliniq.com.Left groin pain radiating to the left testicle can occur due to left ureteric stone or left epididymo-orchitis or left small inguinal hernia. Left ureteric stone often occurs with groin pain. Sometimes, if the stone lies in the left lower ureter, then the pain occurs in the...  Read Full »

Are my testicles paining due to testicular torsion?

Query: Hi doctor, I have severe pain in my testicles. I have done three scans before a week. It shows normal results. My testicle is fine with normal blood flow. All the results are normal except the result shown in three doppler scrotal scan reports. Before four days, I noticed that my testicle at the ri...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Severe testicular pain occurs due to epididymal-orchitis and your ultrasound showed a good blood flow (attachment removed to protect patient identity). It means that there is no torsion at the time of the scan. You can have intermittent torsion. Therefore proper history...  Read Full »

What should I do to help my testicular pain?

Query: Hello doctor,I experienced testicular pain for the last 25 days with general discomfort, heaviness in the lower abdomen and pubic area. I feel stressed while sitting and felt better when in bed. No urine infection. I got done Doppler USG, Urine RM, aerobic and anaerobic culture, CBC (complete blood ...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Testicular pain has many causes like inflammatory, infective, trauma, and varicocele. In your scenario, it does not seems to be infective. It is rather due to trauma or stretch, as you said after sitting in SUV. It is unlikely varicocele, as you said, Doppler ultrasoun...  Read Full »

My testicular pain often recurs with exercise and tight clothing. Why?

Query: Hello doctor, I have had testicular pain for the last four weeks on and off on both testicles at different times. It started about weeks ago when I developed inflamed and tender lymph nodes in my groin and an inflamed penis, so I went to my GP and was prescribed Flucloxacillin 500 mg for what was t...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. This testicular pain is not caused by infection; therefore it is not responding to antibiotics. As you said, testicular ultrasound is normal. Therefore, there is no varicocele. Dull testicular pain can also be idiopathic, especially if there is no inflammation or obvio...  Read Full »

Could epididymitis gets cured by doing surgery?

Query: Hi doctor,Recently, I was diagnosed with epididymitis. I have pain behind my right testicle. I took Doxycycline for ten days and I stopped it. After that, I took Ciprofloxacin for five days. I do not have changes so far and I am worried. Do I need surgery to remove my epididymis?   Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Epididymoorchitis is an inflammatory condition and it usually settles down by taking antibiotics. The response depends on the causative organism. Usually, culture gives a clear picture of the type of organism and shows the type of antibiotics that works efficiently agai...  Read Full »

Why am I having testicular pain after an unprotected sex?

Query: Hi doctor, After having unprotected sex, I have acute testicular pain with pain in the buttocks on the left side. I also have knee pain on the left side with a white rash on the scrotum with genital itchiness. I also have a burning sensation at the end of urination and generalized weakness without ...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Having testicular pain after unprotected sex indicates an infection and it needs to be investigated. You need to send the investigations done and I will help you treat the condition.   Read Full »

Can grade 1 seminoma spread from one testicle to the other?

Query: Hi doctor, I am a 44-year-old male. Last month, I was diagnosed with stage 1 seminoma in the right testicle and had Rio surgery four weeks ago today. I am beginning adjuvant treatment in the next few weeks. Last week, I experienced symptoms on the left side, and I am curious about what it may be. It...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to iclinniq.com. Stage 1 seminoma has a good prognosis, and cure is almost 100 % after adjuvant therapy. I do not think this pain is related to cancer or recurrence, as cancers are painless. It might be vague pain as it radiates to many places, and if it is mild, I suggest you leave ...  Read Full »

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