What are the possible causes of left testicular pain?

Patient's question:

I am 20 years old this year. When I was 18, I felt pain in my left testicle. I went to the hospital for a thorough examination, and the doctor said it was a small left epididymal cyst, about the size of half a rice grain, but it still hurt, and there was nothing that could be done about it. When I turned 19, the pain spread to the inner side of my left thigh. I went for a follow-up examination, and the doctor also said it was just an epididymal cyst and nothing was wrong. However, even though the pain wasn't very severe, it felt very sore and bloated, making it particularly difficult to endure. In the past month, I've also felt some bloating and pain in my left lower abdomen. A thorough examination still showed the same small cyst, which hasn't grown, but it hurts every day, and it's very frustrating. I have had a thorough examination of my lumbar spine. I would like to ask the doctor what the underlying cause of this is?

Doctor's answer:

According to the situation, it is still considered to be caused by an epididymal cyst. However, epididymal cysts generally cause no discomfort and can be surgically removed. The condition of the testicles tends to fluctuate, requiring long-term medication for management. Moreover, for male patients, it is important to seek treatment at a professional and reputable hospital. Treatment should be considered based on careful examination results. Additionally, proper diet and abstinence from sexual activity should be maintained.

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