What is the reason for the pain in my left testicle?

Patient's question:

These past few days, I don't know what's going on, but my left testicle is hurting a lot. There are no other symptoms. Here, I'd like to consult a medical expert about what's causing the pain in my left testicle. If anyone here has knowledge in this area, please help me understand this. Thank you for your response.

Doctor's answer:

It may be epididymitis or orchitis, except for left varicocele. These conditions are the most likely possibilities. A testicular ultrasound should be performed to identify the cause. If it is orchitis or an acute recurrence of epididymitis, antibiotic treatment is required. Macrolide antibiotics or quinolone antibiotics can be chosen. If the ultrasound carefully examines and finds that it is not these inflammations but rather due to varicocele, then surgery may be necessary, along with the use of many pain relievers.

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