What is the reason for pain in the testicles?

Patient's question:

How can testicles cause pain? Doctor, I've been feeling discomfort in my testicles lately, with strong pain that comes in waves, not constantly. I usually work very busy and often work overtime, sometimes even working until midnight. I want to understand why my testicles might be causing pain?

Doctor's answer:

Hello, regarding the question of how testicular pain can occur, testicular swelling and pain are most commonly seen in testicular inflammation and injury. Testicular inflammation is more commonly caused by bacteria ascending from the urethra to the epididymis and testes, rather than hematogenous infection. Testicular inflammation is caused by bacteria and viruses. Bacterial infections of the testes are rare, as the testes have a rich blood and lymphatic supply, making them highly resistant to bacterial infections. Most cases of bacterial testicular inflammation are caused by inflammation of the adjacent epididymis, hence it is also called epididymo-orchitis. It is characterized by unilateral pain, often dull or pulling pain, and is continuous. This is the answer to how testicular pain can occur. It is recommended to seek medical attention.

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