Future Health Frontiers Q&A Men’s Health

What's the matter with testicular pain?

Asked by:Eleni

Asked on:Apr 01, 2026 07:55 AM

Answers:1 Views:398
  • Eleanor Eleanor

    Apr 01, 2026

    Testicular pain may be caused by orchitis, epididymitis, varicocele, testicular torsion or trauma, etc. It can be relieved by rest analgesia, anti-infective treatment, surgical reduction, etc. It is recommended to seek medical treatment promptly to determine the cause of the disease to avoid delays in treatment.

    1. Orchitis

    Orchitis may be related to bacterial or viral infection and often presents with unilateral testicular swelling and pain accompanied by fever. The doctor may recommend antibiotic treatment such as cefixime granules and levofloxacin tablets. In the acute stage, bed rest and a scrotal belt are required to reduce the feeling of swelling.

    2. Epididymitis

    Epididymitis is usually caused by a retrograde bacterial infection of the urinary tract. Symptoms include redness, swelling, heat and pain in the scrotum that radiates to the groin. Azithromycin dispersible tablets and celecoxib capsules can be used for treatment to control infection and pain. At the same time, it is necessary to avoid sitting for a long time and pressing the affected area.

    3. Varicocele

    It is more common in young adults. It is caused by venous return disorder and causes scrotal pain, which is aggravated after standing for a long time. Mild cases can be relieved by wearing tight underwear to hold up the scrotum, while severe cases require laparoscopic high spermatic vein ligation. It is recommended to avoid high-intensity exercise to prevent increased pressure on blood vessels.

    4. Testicular torsion

    Sudden severe testicular pain accompanied by nausea and vomiting requires vigilance for testicular torsion. The testicle can be rescued by manual repositioning within 6 hours of onset. Failure to treat it for more than 12 hours may lead to testicular necrosis, requiring emergency orchiopexy. Teenagers are prone to this disease after strenuous exercise.

    5. Trauma

    Impact injury to the scrotum can cause testicular tissue contusion and bleeding, manifesting as persistent dull pain accompanied by subcutaneous bruising. In the acute stage, ice should be applied to reduce swelling. If B-ultrasound shows testicular rupture, surgical repair is required. It is recommended to wear protective gear to prevent injuries during sports such as cycling.

    You should keep your vagina clean and dry every day, and choose breathable cotton underwear to avoid local stuffiness. Sudden severe pain or pain that lasts for more than 24 hours must be investigated urgently for testicular torsion and other emergencies. During the recovery period, spicy food should be avoided, and sexual life should be suspended until the pain completely disappears. Regular men's physical examinations can help detect potential problems such as varicocele early.

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