Testicles have a feeling of fullness and pain, what is the reason?

Patient's question:

I am living with my girlfriend, and our sex life is normal. Recently, I've been experiencing occasional swelling and pain in my testicles, which has never happened before. I don't know what could be causing it, and I'm starting to worry that this symptom might affect my future fertility. I feel very upset. I want to ask the doctor what could be causing the swelling and pain in the testicles.

Doctor's answer:

Recurrent symptoms of testicular swelling and pain are primarily clinically diagnosed due to acute pain or mild pressure pain in the testicles, which generally radiates to the groin, including lumbar and sacral movements. This is mainly caused by testicular inflammation. Clinically, it may also present with symptoms such as local warmth, swelling, a sense of fullness and downward pressure, as well as abnormal urethral discharge. If both sides are affected, it is important to first visit a local hospital for a complete blood count to diagnose the cause. After conducting a testicular ultrasound, if the inflammation subsides, sensitive antibiotics can be used in combination with symptomatic medication for supportive treatment.

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