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Pain in the testicle is the discomfort in one or both testicles. The pain may spread to the lower abdomen.

The testicles are very sensitive. Even a small injury can cause pain. Abdominal pain may occur before testicle pain in some conditions.
Common causes of testicular pain include:

  • Injouring.
  • Infection or inflammation of the epididymides ( epididymitis ) or testicles ( orchitis ).
  • Torsion of the testis , which can interrupt the blood supply. It is most common in young men between 10 and 30 years. It is a medical emergency that must be addressed as soon as possible. If surgery is not performed within six hours, the testicle can hardly be saved.

Mild pain can be caused by:

  • Varicocele.
  • Cyst in the epididymis and spermatocele.
  • Fluid surrounding the testicle ( hydrocele ).
  • Pain testes may also be caused by a hernia or kidney stone .
  • Cancer testis rarely causes pain.

When shall i seek medical attention?
Sudden, severe testicle pain needs immediate medical attention.
Call your doctor immediately or go to the emergency department if:

  • Your pain is severe or sudden.
  • You had an injury or trauma to the scrotum, and you still have pain or swelling after one hour.
  • Your pain is accompanied by nausea or vomiting.

Also call your doctor immediately if:

  • There is a mass in the testicle or scrotum.
  • You have fever .
  • Your scrotum is warm, sensitive to the touch, or red.
  • You have come into contact with someone who has mumps .

Your doctor will do a test on your groin, testicles, and abdomen .
Your doctor will ask you questions about pain, such as:

  • How long have you had testicular pain? Did it start suddenly or slowly?
  • When do you feel pain, is it on one or both sides?
  • How intense is the pain? Is it constant or does it comes and goes?
  • Did you have any injuries?
  • Have you ever had an infection that is transmitted by sexual contact?
  • Do you have any other symptoms such as swelling, redness, change in the color of your urine, fever, or unexpected weight loss?


  • Ultrasound of the testicles.
  • Urinalysis and culture.
  • Other tests depending on the findings of the clinical examination.