Also known as: Orchialgia
Testicular pain is discomfort in one or both testicles. It can be sudden or gradual and may originate from the testicle itself or be referred from the groin or abdomen.
Testicular pain can range from a mild dull ache to severe, debilitating pain. The testicles are highly sensitive organs, and even minor irritation can cause significant discomfort.
Testicular torsion — twisting of the testicle on its blood supply — is a surgical emergency most common in adolescents and young men. It requires treatment within 6 hours to save the testicle.
Epididymitis (inflammation of the tube behind the testicle) is the most common cause in adults, often from bacterial infection. Chronic orchialgia without identifiable cause affects up to 25% of urology clinic patients.
There are several possible reasons you may be experiencing Testicular Pain. Here are the most common ones.
Bacterial infection of the epididymis causing gradual-onset pain with scrotal swelling, often from UTI or STI.
Twisting of the spermatic cord cutting blood supply, causing sudden severe pain. A surgical emergency.
Direct impact causes pain, swelling, and potentially testicular rupture requiring emergency evaluation.
Tissue protruding through the inguinal canal can cause pain referred to the testicle.
These approaches may help manage testicular pain at home. Always consult a healthcare provider if symptoms persist or worsen.
Supportive underwear or an athletic supporter can reduce discomfort from minor causes.
Lying down and elevating the scrotum on a folded towel can relieve pain.
Ice wrapped in cloth applied for 15 minutes can reduce swelling. Never apply ice directly.
Physical examination including cremasteric reflex, scrotal ultrasound with Doppler for blood flow assessment, and urine/blood tests for infection.
Seek emergency care if testicular pain is sudden and severe (possible torsion — a surgical emergency), accompanies scrotal swelling and fever, or follows significant injury.
Steps you can take to reduce the likelihood of experiencing testicular pain.
Wear protective gear during sports
Practice safe sex to prevent STIs
Get testicular pain evaluated promptly
Sudden severe testicular pain is a potential emergency (torsion). Seek immediate care within hours.
Yes. Kidney or ureteral stones can cause referred pain to the testicle on the same side.
Twisting of the testicle on its blood supply, causing sudden severe pain. It requires surgical correction within 6 hours.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.