Testicular pain is very disturbing for most men. However, a serious condition is not always the cause if the testicles hurt. For example, if the testicular pain is related to intercourse, it is usually not a cause for concern. However, infections such as an inflammation of the testicles or epididymitis may also be manifested by pain in the testes. Therefore, you should always have persistent testicular pain by a doctor.
Testicular cancer only very rarely cause
The fear that testicular pain is a symptom of testicular cancer is usually unfounded. Because testicular cancer typically manifests itself by a painless, hardened swelling or nodular "knobs" in the testes. Pain usually only occurs at a very advanced stage, if at all.
Since the chances of recovery in early identified testicular cancer are very good, it is important that you scan your testicles regularly for changes and consult a doctor in case of abnormalities as soon as possible.
Pain and swelling in orchitis
Unilateral testicular pain associated with swelling and redness of the testis may indicate orchitis. The symptoms are often only one-sided, less common are both testes affected. Frequently, symptoms such as fever, headache and fatigue are added.
The cause of a testicular inflammation is usually viral or bacterial diseases, in which the pathogens are transmitted via the blood or lymph in the testes. The most common are mumps viruses, but chickenpox, glandular fever and malaria can also cause testicular inflammation.
Epididymitis after urinary tract infections
An epididymitis (epididymitis) usually occurs as a result of inflammation of the bladder, urethra or prostate. The germs rise above the vas deferens into the epididymis. This may initially be expressed by back pain in the flank area or abdominal pain.
Later, the symptoms are similar to a testicular inflammation - often there is also a combined inflammation of the testes and epididymides (epididymorchitis).
Fast treatment important
If you notice the symptoms of a testicular inflammation, you should consult a doctor as soon as possible, because if left untreated it can lead to a destruction of the testicular tissue and thus to infertility.
The treatment consists of anti-inflammatory and analgesic drugs and antibiotics, as long as the inflammation is caused by bacteria.
In addition, you should keep bed rest in a testicular inflammation and cool the testicles and high. For this purpose, there is a so-called suspensorium - a holding device for the testes.
Pulling in the testicles in inguinal hernia
In a hernia (inguinal hernia) it comes to a protuberance of intestinal loops by weaknesses in the abdominal wall. In certain congenital anatomical conditions intestinal loops can penetrate through the inguinal canal into the testes.
This can be manifested by a pulling in the testicle and in the groin, which occurs especially after coughing, sneezing or pressing. Often, a bump or thickening in the groin or a testicular swelling palpable.
The doctor can usually find a hernia just by a physical examination. As a rule, then an operation is necessary to prevent a dangerous Darmeinklemmung.
Testicular torsion in children and adolescents
Testicular torsion is a rotation of the testicle around the supplying blood vessels. The cause is usually a congenital lack of fixation of the testicle in the scrotum.
A testicular torsion occurs especially in infants and adolescents and manifests itself by sudden onset, severe pain in the testes and in the groin.
In addition, the affected testes are usually swollen, red and standing higher than on the opposite side. In addition, nausea, vomiting and circulatory problems may be added.
Danger from lack of blood supply
Testicular torsion is an emergency, because twisting the blood vessels blocks the blood supply to the testicle. The first sign of a lack of blood flow is a bluish discoloration of the testicle - the testicles must then be "turned back" as quickly as possible, otherwise it may die under certain circumstances. This usually happens through surgery.
If you suspect a testicular torsion in your child, it is best to go directly to the emergency room in a hospital to be treated as quickly as possible in case of emergency.
Mostly harmless: testicular pain after sex
That the testicles are temporarily hypersensitive and possibly painful after intercourse is completely normal. In particular, in the absence of ejaculation or if the erection has been maintained for a long time, burning or stinging testicular pain may occur.
The reason for this is the increased volume of blood in the male genitalia during erection, which can lead to muscle spasms in the seminal ducts after a long period of excitement.
These complaints are also referred to as "cavalier pain" - based on the idea that a gentleman delays his climax until the lady is sexually satisfied.
Improvement after ejaculation
"Cavalier pain" can be very uncomfortable, but are completely harmless. Frequently, ejaculation provides relief - in rare cases, however, the pain may persist even after ejaculation.
In general, if you have permanent discomfort during sex, do not be afraid to consult a doctor. Because even if there is no direct health risk, pain during sexual intercourse can disrupt the sexual life and thereby lead to relationship problems to depression.