Testicular pain: symptoms, causes & treatment testicular pain

Testicular pain can be very bothersome for a man and a cause for concern. Although pain in the testicles is in most cases temporary and harmless, there can also be more serious causes, such as testicular cancer. Because testicular pain can also be related to other organs, finding the correct cause is not self-evident. An inguinal hernia, inflammation of the epididymis or pelvic pain syndrome: it can all be related to sore testicles. Painkillers can counteract the pain for the time being, but further research is needed for long-term complaints. Consider, for example, a urine analysis or an ultrasound of the scrotum. A final option is the surgical removal of the testicle in case of testicular cancer. What are the possible causes of testicular pain and what is its treatment?

Testicle pain

The testicles, testicles or testicles are a delicate part of the male body. In most men, the testicles are sensitive and pain can be very annoying. Pain in the scrotum can indicate a serious condition, but can also be temporary. In that case, the pain will pass after a while and there is nothing serious going on. Transient pain in the scrotum occurs in many young men. To meet the definition of chronic testicular pain, pain must have persisted for at least three months.

Symptoms of testicular pain

Painful and sensitive

With testicular pain, a nagging, throbbing or stabbing pain can be felt in one of the testicles or in the scrotum in general. The pain can occur suddenly and radiate to the groin, perineum or lower abdomen . You may also suffer from a sensitive scrotum or experience pain when urinating. Furthermore, symptoms such as nausea, vomiting and a general feeling of discomfort may occur.


In some conditions, the testicle may swell, turn red and feel warm. Pain that is less acute may be bearable and disappear over time. In case of sudden pain in the testicle, where the patient has no fever and does not complain of pain when urinating, the doctor will first think of a torsion of the testicle (torsio testis).

Sore testicles: examination

Finding the correct cause of the pain in the scrotum is crucial to be able to help the patient further. If a clear cause is not immediately found in some patients, it may be a case of pelvic pain syndrome . The doctor will look for the correct cause of the testicular pain through a thorough questioning of the patient. If necessary, the doctor can perform a urine analysis, a semen analysis, and an ultrasound of the scrotum.

Causes of painful testicles

Testicles themselves

  • twisting or torsion of the testicle
  • inflammation in the ball or epididymis
  • sensitive testicles
  • testicular cancer


Other causes

  • kidney stones
  • hernia
  • inguinal hernia
  • groin surgery
  • prostate problems


Testicular pain treatment


Testicular pain can be treated with painkillers and medications. To combat the pain complaints, you can, for example, start with paracetamol or nurofen. The aim of prescribed medications is to remove the cause of the pain, such as antibiotics to combat the infection.


Electrostimulation (TENS) may be chosen to counter testicular pain. If all this does not help, microsurgical denervation of the testicle can be performed.


If there is testicular cancer , the treatments used for other forms of cancer may also apply here, especially radiotherapy, chemotherapy and/or surgery. During surgery, the testicle affected by the cancer will be removed.

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