The testes are an important part of the male sex and reproductive organs. However, there are times when the testicles can be painful, swollen, or change shape. Let’s find out whether the pain in the testicles can be a symptom of a serious illness or not.

Testes have an important role for the adam, because it has the main task of making and storing sperm, and producing a male hormone called testosterone. The testes are in a loose bag called the scrotum, which hangs on the back of the penis.

There are various causes of pain in the testicles

In general, average testicular size is the same, with one testis likely to be larger than the other. In addition, one testis is also usually located lower than the other testis.

Recognize the Causes Behind Pain in the Testicles

A healthy testicle should feel smooth without bumps or swelling. Because of its very sensitive nature, even a slight disturbance can cause discomfort or pain in the testicles. Pain can generally begin from within the testis itself or from the tissue behind the testis known as the epididymis.

The causes of testicular pain can vary and come from various sources, including:

  • Epididymal cyst, which is a protrusion due to the collection of fluid in the epididymal canal.
  • Epididymitis, which is inflammation of the epididymis that can cause swelling in the scrotum. This condition causes the entire scrotum to turn red.
  • Diabetic neuropathy, where pain in the testicles is caused by nerve damage due to diabetes.
  • Hydrocele, which is a buildup of fluid that causes swelling in the scrotum.
  • Varicocele, which is swelling due to enlargement of the vessels in the scrotum.
  • Inguinal hernias, which are protrusions of soft tissue, such as the intestine, through a gap in the lower part of the abdominal wall toward the scrotum, causing the scrotum to become enlarged.
  • Kidney stones.
  • Testicular cancer.
  • Testicles are attracted to the area between the stomach and thigh.
  • Testicular inflammation or orchitis.
  • Twisted testicles, felt as pain that comes suddenly on the testicles.
  • Testicular injury.
  • Urinary tract infections (UTI).
  • Undescended testicles (cryptorchidism).
  • Vasectomy or sterilization in men.
  • Tumors of the testicles, which are generally caused by non-cancerous conditions and most do not require special treatment.
  • Testicular cancer.

Generally, testicular pain that is not so severe can be temporarily treated with over-the-counter medications, such as ibuprofen, aspirin, or paracetamol. However, if the pain does not go away for days, the pain continues to recur, or there is swelling in the testes and the surrounding area, you should immediately consult a doctor. Do not ignore the pain that appears suddenly and severe in the testes, testicular pain that is accompanied by fever, nausea, or the presence of blood in the urine.

Protect the Testicles

To protect your testicles from injury, use a scrotal protector when you exercise or while doing other activities that are at high risk for injury. In addition, you can check your testicles yourself periodically, by standing in front of a mirror and watching for changes in their shape.

Here’s how to check your testicles, which you can do yourself:

  • Grasp and lift your penis, then check for unusual bumps on the scrotal skin.
  • Touch both testicles with fingertips. Look and feel whether there are differences in size, shape, bump or not.
  • Also check the top and back of each testis to check the epididymis.

Check with your doctor if you find any abnormalities, such as a lump in the testis. If necessary, your doctor will recommend that you do a blood check, biopsy, or ultrasound.

Some cases of testicular swelling can improve only by taking pain medications. But in certain cases, surgery is needed to remove the fluid or to remove a lump. While in an emergency, such as a twisted testicle, it will require immediate surgery to restore blood flow to the testicles, so that tissue death does not occur.

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