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Testicular pain: most common causes and diseases, when to worry

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Testicular pain: most common causes and diseases, when to worry

The possible reasons for discomfort that may be a reflection of another body problem

Riccardo Cristilli

January 26 – 09:17 – MILAN

Sooner or later all men will experience some form of testicular pain throughout their lives. It may have different intensities, it may arise at different times, it may consequently have different origins, but it is an annoyance that you will experience. And it’s not always necessary to be scared.

Testicular pain is a common discomfort and can also have simple reasons. It should not immediately raise fears of a sexually transmitted disease or make you think of a tumor. Testicular cancer is frequent both at a young age and in older age but most of the time it does not manifest itself with pain in the testicles and can be identified through palpation of the part, encountering growths, an irregular shape, protuberances not present in precedence. As for sexually transmitted diseases, they most often involve burning while urinating even more than forms of pain.

Testicular pain is not the same for everyone and for all conditions, it could be a sudden twinge, a stinging pain, a form of hypersensitivity in the area. Naturally, the first thing we would like to advise you is to consult your doctor because every pain, every form of change in your body cannot be solved by reading an internet page. However, there are situations that can cause testicular pain and therefore it is useful to know how this problem can arise.

For example, the pain can be caused by a twisting of the testicles which, as explained by Michael P. Zahalsky, a doctor specializing in urology, occurs when the spermatic cord twists, blocking the normal flow, it can happen during the sexual act, while exercising but also simply sleeping. The pain in this case is very strong and can also lead to abdominal pain, nausea, vomiting, and you can also visually see a change in the position of the testicle. In this case, it is necessary to contact the doctor also because if the blood supply is blocked for too long it can cause necrosis of the part.

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Testicular pain can also be caused by kidney stones, a hernia, constipation, or stomach problems. This is a form of reflex pain related to the nerves that connect the testicles to the rest of the abdomen and digestive tract. The pain is, therefore, not caused directly by the testicles but is a problem in another part of the body.

If the person has had a vasectomy, they may experience a form of testicular pain, but it occurs in just over 2% of people who have undergone surgery. Hydrocele is the accumulation of liquid in the scrotum which mostly causes swelling and in rarer cases also pain in the testicles which, however, do not hurt as such but due to the pressure of having liquid in the scrotum. When you notice swelling you need to go to a doctor, but if it is a hydrocele within six months, the situation will improve on its own. In some cases, intervention may be necessary.

Another problem that can cause testicular pain is varicocele, which is an abnormal swelling of the veins of the testicle, caused by a reflux of blood from the renal vein to the testicle with consequent stagnation of blood. It is mostly asymptomatic but in some cases, it can give a dull pain in the testicle, a feeling of heaviness in the part and it can be smaller than the other. If you notice these problems you need to see a doctor.

In case of particular pain in the testicles, anti-inflammatories can be taken, in case of acute pain, ice can be used, or if the pain is chronic, a warm but not boiling bath can be useful. Given that a phone call to the doctor is always a good and right thing, you should certainly contact a specialist if the pain persists for more than 15 consecutive minutes, it might even be better to go to the emergency room. As we have seen, it can also be a reflex pain due to discomfort in another part of the body, to the point that in around 30% of cases the source of this pain is not identified. Palpation to check if there are changes in the part, to keep the state of the testicles under control, is certainly useful as a form of prevention.

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