Patient's question:
Testicular dull pain, palpitations, lower abdominal pain. Onset time and original condition: On the morning of the 23rd, sexual intercourse occurred in the afternoon, and the testicles endured palpitations.Doctor's answer:
The testes are the male internal reproductive organs that produce sperm. The testes secrete male hormones, playing a crucial role in the development and maturation of male reproductive organs and the appearance of male secondary sexual characteristics. Testicular pain indicates abnormal conditions in the testes and should be taken seriously, requiring medical examination. Testicular pain is categorized as acute or chronic pain.Medical Advice:
1. Acute Testicular Pain
Common causes of acute testicular pain include orchitis (inflammation of the testes) and testicular injury. During orchitis, the testes become swollen and painful, with symptoms such as elevated body temperature, chills, vomiting, headache, and lower abdominal pain. Testicular injury is usually caused by trauma, intense exercise, or sexual activity. Severe contractions of the cremaster muscle may lead to testicular torsion, causing intense pain. Acute testicular pain has clear clinical symptoms and is relatively easy to diagnose.
2. Chronic Testicular Pain
Chronic testicular pain may be caused by inflammation, with milder pain that radiates and is difficult to pinpoint the exact location of the inflammation. According to Dr. Zhang of Hangzhou Hongqiao Hospital, testicular pain does not necessarily correlate with the severity of inflammation but is related to individual nerve sensitivity. Chronic testicular pain may also result from varicocele or referred pain from other areas. In such cases, appropriate examinations should be conducted to carefully distinguish the true cause or etiology for targeted treatment. The symptoms of testicular pain vary depending on the underlying cause.
- Infection-Related Pain
Infection-induced testicular pain is often severe, even sharp or knife-like, accompanied by systemic symptoms such as fever and chills. The scrotum becomes red and swollen, and pain intensifies upon touching the testes. If tuberculosis is involved, a history of urinary system or other tuberculosis may be present. Symptoms include dull testicular pain, lower abdominal fullness, scrotal swelling, and purulent discharge in severe cases. When palpating affected areas, irregular nodules with hard texture may be felt, often adhering to the scrotal skin.
- Prostatitis-Related Pain
Testicular pain caused by prostatitis is often accompanied by a sense of fullness and discomfort in the perineum, along with urinary symptoms such as frequent urination, urgency, dysuria, and difficulty urinating.