Testicular Pain, Unclear Cause 

You have had pain in one or both testicles. Based on your exam today, the exact cause of your pain is not certain. But your condition doesn't appear to be dangerous. Testicles are very sensitive. Even a small injury can cause quite a bit of pain. Other possible causes of testicular pain include kidney stones, cysts, mumps, inflammatory conditions, chronic conditions, hernia, infection, and a twisted testicle.

Certain tests may be done to rule out an underlying problem causing the pain. Nothing conclusive was found today. Most likely, the pain will go away on its own. If it doesn’t, you may need more tests.

Home care

Medicine may be prescribed to help relieve pain and swelling. This may be an over-the-counter pain reliever or prescription pain medicine. Take all medicine as directed.

The following are general care guidelines:

  • To relieve pain and swelling, apply an ice pack wrapped in a thin towel for 10 minutes at a time. Continue this on and off for 1 to 2 days.

  • When lying down, place a small rolled towel under your scrotum. When moving around, wear a jockstrap (athletic supporter) or supportive underwear. These will help support and protect your testicles.

  • If it hurts to walk, walk as little as possible until you feel better.

  • Don't do any strenuous activity until you feel better.

  • Don't have sex until you feel better.

  • If you have severe pain in the testicle, seek care right away. Delay may lead to permanent loss of the testicle’s function.

Follow-up care

Follow up with your healthcare provider, or as advised.

When to seek medical advice

Call your healthcare provider right away if any of these occur:

  • Fever of 100.4°F (38°C) or higher, or as directed by your provider

  • Worsening of the pain or severe pain

  • Swelling of the testicle or scrotum

  • A lump in the scrotum

  • Warm and red scrotum (signs of infection)

  • Nausea and vomiting

  • Pain or swelling in abdomen

  • Trouble peeing

  • Numbness or weakness in the leg

  • Shrinking of the testicle

  • Blood in your urine

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