Pain - testicle; Orchalgia; Epididymitis; Orchitis
The testicles are very sensitive. Even a minor injury can cause pain. In some conditions, abdominal pain may occur before testicle pain.
Common causes of testicle pain include:
Mild pain may be caused by fluid collection in the scrotum, such as:
Testicle pain is discomfort in one or both testicles. The pain can spread into the lower abdomen.
Non-urgent causes of testicle pain, such as minor injuries and fluid collection, can often be treated with home care. The following steps may reduce discomfort and swelling:
Take the antibiotics your health care provider gives you if the pain is caused by infection. Preventive measures to take:
Your provider will do an exam of your groin, testicles, and abdomen. Your provider will ask you questions about the pain such as:
The following tests may be performed:
Sudden, severe testicle pain needs immediate medical care.
Call your provider right away or go to an emergency room if:
Also call your provider right away if:
Matsumoto AM, Bremner WJ. Testicular disorders. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016:chap 19.
Ness TJ, Kukreja P. Genitourinary pain. In: McMahon SB, Koltzenburg M, Tracey I, Turk DC, eds. Wall and Melzack's Textbook of Pain. 6th ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 54.
Nickel JC. Inflammatory and pain conditions of the male genitourinary tract: prostatitis and related pain conditions, orchitis, and epididymitis. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 13.
Review Date: 8/26/2017
Reviewed By: Jennifer Sobol, DO, Urologist with the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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