Today we are going to talk about a topic that is a bit difficult to talk about, but it is very important. That is pain in the testicles . This pain can come on suddenly, or it can gradually increase. Whatever the cause, it is not something that should be ignored. Do not be ashamed or afraid to talk about it. The most important thing is to be fully aware of this condition and, if necessary, seek medical advice as soon as possible.
First, let's see, what is testicular pain?
Simply put, the testicles are two very important, egg-shaped organs in the male reproductive system. They are located inside a pouch of skin called the scrotum , behind the penis. Pain can occur in one or both testicles.
But sometimes, even though the pain is felt in the testicles, the cause may actually be somewhere else. For example, the testicles can also hurt because of a problem in the abdomen or groin. We call this "referred pain."
This pain can come in two main ways:
- Acute Pain: This is pain that starts suddenly, is very intense, and lasts for a short time.
- Chronic Pain: This is pain that begins suddenly, gradually increases, and lasts for a long time.
Remember, the testicles are a very sensitive area with a lot of nerves . Therefore, even the slightest pain can be felt very strongly.
How do you know if this pain is serious? - Symptoms to look out for immediately
This is the most important part. It is not uncommon for testicles to hurt. It is a different story if it hurts for a few minutes because of something like a minor bruise. But if you have any of the following symptoms, go to a hospital's Emergency Department (ETU) immediately without delay.
- Sudden, unbearable pain in one or both testicles.
- Nausea and vomiting with pain.
- Swelling, redness , or discoloration of the scrotum.
- The pain lasts for more than an hour or does not subside even when lying down.
These symptoms are testicular torsion .These can be signs of a very dangerous emergency called a vas deferens. This is when the blood supply to the testicle is cut off and the blood supply is cut off. If this is not corrected with surgery within a few hours, the testicle can become permanently disabled. Therefore, taking quick action in such a situation is vital for life.
What are the common causes of testicular pain?
If the pain is caused by an accident or a sports injury, the cause is obvious. But sometimes it can be difficult to find the cause. Let's take a simple look at the common causes in the table below.
| The cause of the pain | A simple explanation |
|---|---|
| Orchitis | Swelling of the testicles due to a bacterial or viral infection. This condition can occur in young children when they get mumps. |
| Epididymitis | Infection of the epididymis, the tube that carries sperm from the testicles. The scrotum may become swollen and feel hot. |
| Inguinal Hernia | A portion of the intestine pushes through a weak spot in the abdomen towards the groin. This can cause pressure and pain in the testicles. |
| Varicose veins (Varicocele) | Abnormal enlargement of the veins in the scrotum. It feels like the veins in the legs are knotted. The pain increases when walking or working, and decreases when lying down. |
| Hydrocele and Hematocele | A collection of fluid (water) or blood in the abdomen around the testicles. Hydrocele can occur after an accident. Hydrocele is a common condition in young babies. |
| Kidney Stones | Pain caused by kidney stones blocking the urethra can spread to the testicles. |
| Testicular Cancer | It is most common in young people between the ages of 15-35. It may not be felt as a sharp pain, but as a slow, dull ache or a lump. |
| Sexually transmitted infections (STIs) | Infections such as gonorrhea and chlamydia can cause swelling and pain in the testicles. |
How do you find this, Doctor?
When you go to see a doctor, you expect him to tell you the truth without being embarrassed, because that is essential for an accurate diagnosis.
1. Asking questions: The doctor will ask you questions such as when the pain started, how long it has been there, where exactly the pain is, and whether the pain increases/decreases when you do something (e.g. exercise, sex ).
2. Physical examination : He will examine your testicles while you are standing and lying down. He will check for any swelling or lumps.
3. Tests: If necessary, the following tests may be performed.
- Urinalysis: To check for infection.
- Blood Test: Find out about the infection status of the body.
- Ultrasound Scan: This helps to clearly see if there is a tumor, fluid accumulation, or structural change inside the testicles. This test is very important if there is a suspicion of cancer.
How is it treated?
Treatment depends on the cause of the pain.
Things you can do at home
In the event of a minor bruise, these things can help relieve the pain until you can see a doctor:
- Ice: Place an ice pack wrapped in a towel on the painful area for about 15 minutes. Do this several times a day. Never put ice directly on the skin.
- Support: While lying down, place a rolled towel under the scrotum.
- Painkillers: NSAID painkillers (e.g., ibuprofen) may help. However, be sure to consult your doctor before taking any medication.
Medical treatment
- Medication: If it's an infection, your doctor will prescribe antibiotics that are appropriate for you. If it's nerve-related pain, they will give you other medications.
- Surgery: Testicular torsion, hernia, and some cancerous conditions require surgery. It depends on the severity.
Sitting in the same position for a long time, or crossing your legs, can sometimes cause pain. Therefore, it is a good habit to change positions frequently and stand up for a while.
Take-Home Message
- Sudden, unbearable pain in the testicles is a medical emergency. Go to a hospital's Emergency Department (ETU) immediately.
- Be sure to tell a doctor about any pain or swelling that lasts more than an hour.
- Don't be ashamed or afraid to talk about something like this. Your health is the most important thing.
- Although not all pain is dangerous, it is essential to correctly identify the cause. Therefore, do not self-diagnose and seek medical advice.
- When playing sports or engaging in strenuous physical activity, it is wise to wear appropriate protective gear (athletic cups) to protect the testicles.











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