What are the reasons for occasional pain in the testicles

Patient's question:

What are the reasons for occasional pain in the testicles? Doctor, I've been feeling discomfort in my testicles lately, with intense pain that comes and goes, not constantly. I usually work very busy and often work overtime, sometimes even working until midnight. I'd like to know what are the reasons for pain in the testicles?

Doctor's answer:

Testicular swelling and pain are commonly seen in orchitis and injury. Orchitis, except for hematogenous infection, is more commonly caused by bacteria retrograding from the urethra to the epididymis and testes. Orchitis can be caused by bacteria and viruses. The testes themselves rarely suffer bacterial infections due to their rich blood and lymphatic supply, which provides strong resistance to bacterial infections. Most bacterial orchitis is caused by inflammation of the adjacent epididymis, hence it is also known as epididymo-orchitis. It is characterized by unilateral pain, mostly dull or pulling pain, and is continuous. It is recommended to seek medical attention.

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