Testicle painBy Mayo Clinic staff
Original Article: http://www.mayoclinic.com/health/testicle-pain/MY00464
Testicle pain is pain that occurs in or around one or both testicles. Sometimes testicle pain starts somewhere else in the groin or abdomen, and radiates into the testicles.
Testicle pain has a number of possible causes. The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. Testicle pain may start in the testicle itself or in the coiled tube at the back of the testicle (epididymis). Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, abdomen or somewhere else — for example, kidney stones and some hernias may cause testicle pain. The cause of testicle pain can't always be identified.
Causes of testicle pain or pain in the testicle area can include:
- Diabetic neuropathy
- Henoch-Schonlein purpura
- Idiopathic testicular pain (unknown cause)
- Inguinal hernia
- Kidney stones
- Retractile testicle
- Scrotal masses
- Testicle injury or blow to the testicles
- Testicular torsion
- Testicular cancer
- Undescended testicle (cryptorchidism)
- Urinary tract infection (UTI)
- Vasectomy: An effective form of male birth control
When to see a doctor
Sudden, severe testicle pain can be a sign of testicular torsion — a twisted testicle that can quickly lose its blood supply. This condition requires immediate medical treatment to prevent loss of the testicle.
Seek immediate medical attention if you have:
- Sudden, severe testicle pain
- Testicle pain accompanied by nausea, fever, chills or blood in your urine
Schedule a doctor's visit if you have:
- Mild testicle pain lasting longer than a few days
- A lump or swelling in or around a testicle
These measures may help relieve mild testicle pain:
- Take an over-the-counter pain reliever such as aspirin, ibuprofen (Advil, Motrin, others) or acetaminophen (Tylenol, others), unless your doctor has given you other instructions. Never give aspirin to your child without talking to a doctor first.
- Support the scrotum with an athletic supporter. Use a folded towel for support when you're lying down.
- Wampler SM, et al. Common scrotal and testicular problems. Primary Care: Clinics in Office Practice. 2010;37:613.
- Eyre RC. Evaluation of the acute scrotum in adult men. http://www.uptodate.com/home/index.html. Accessed Dec. 13, 2010.
- Keoghane SR, et al. Investigating and managing chronic scrotal pain. BMJ. 2010;341:c6716.
- Brenner JS, et al. Causes of scrotal pain in children and adolescents. http://www.uptodate.com/home/index.html. Accessed Dec. 13, 2010.