What causes testicular pain?

Sometimes the reasons for testicular pain in men are very obvious, such as mechanical injuries. When young people are exercising, they often have fierce confrontations with each other, which will inevitably hit the scrotum and then cause testicular pain. In addition to these direct reasons, men need to be reminded that excessive masturbation can also cause testicular pain, so it needs to be avoided. In addition to these, what other causes of testicular pain are there?

1. Internal bleeding

The most common injury that causes testicular pain is internal bleeding in the scrotum. Because the blood vessels in the inner wall of the scrotum are rich and dense, severe friction may cause the blood vessels inside to rupture. Generally, this is caused by a violent impact or abrasion. If you are not careful when turning over the wall and the scrotum is subjected to severe friction for a short period of time, and at the same time the scrotum skin is not damaged, then in just a few hours, the area around the testicles will be filled with blood and the scrotum will swell to the size of a coconut. Pain is inevitable, but this is the mildest of the several types of pain.

Although the pain will not be too severe in the first few hours, if you delay until the next sunrise, you may have to say goodbye to your balls, because scrotal hematoma is sometimes a sign of testicular damage.

2. Ischemia

Symptoms of testicular ischemic pain are more common in the elderly. The pain is more severe, aggravated during activities, and appropriately relieved during rest. Prostatic fluid microscopy is normal. It is often due to sclerosis of the testicular arteries leading to stenosis of the arteries.

3. Testicular malposition

This injury is relatively rare. It usually comes from a car accident involving a motorcyclist or a riding accident involving an equestrian. A moderate impact can cause the testicles to lose their orientation, which is more severe than internal bleeding or rupture, and can even cause the testicles to faint. Because the testicles are an internal organ, the pain response when they are displaced is much greater than when they are ruptured. And this kind of displacement is sometimes not worth opening the scrotum for surgery - imagine how painful it is to restore it through a massage-like push.

4. Testicular torsion

Generally, the disease occurs a few hours after strenuous exercise or due to external force on the testicles. Severe testicular pain occurs suddenly during sleep or rest. This is the first symptom of the disease and is one of the main diagnostic bases for testicular torsion. Some patients also have scrotal swelling, nausea and vomiting, and obvious tenderness.

5. Varicose vein

Testicular bloating and pain may also be related to varicocele, which is a common disease in young men. It refers to the dilation, tortuosity and elongation of the spermatic cord due to blood congestion in the spermatic vein. The incidence rate is 10-15% in the male population. This symptom often occurs on the left side, but bilateral disease is not uncommon. Varicose veins can be accompanied by testicular atrophy and spermatogenesis disorders, causing male infertility. Those with mild symptoms and no spermatogenesis disorders do not need treatment. If the symptoms are severe or cause testicular spermatogenesis disorders, surgical treatment is required.

6. Orchitis

There are many factors that cause orchitis. For example, patients with mumps may suffer from orchitis, which can cause testicular pain and swelling. Gonorrhea is the most common sexually transmitted disease, which can cause orchitis in severe cases. Chronic prostatitis can also cause testicular pain, which manifests as unilateral pain, mostly dull pain or pulling pain, and is persistent. Orchitis is more common in young people and less common in the elderly.

7. Testicular damage

Testicular injuries are mostly related to violence, car accidents, etc. After the injury, the patient will experience severe testicular pain accompanied by nausea, vomiting, and even fainting or shock.

8. Epididymitis

Another cause of testicular pain is epididymitis. The male epididymis is adjacent to the testicles. Inflammation caused by infection of the epididymis will also spread to the testicles. Like orchitis, it will irritate the testicles and cause testicular pain in men. Epididymitis can also damage the testicles and cause male infertility.

9. Scrotal inflammation

Scrotal inflammation is also a cause of testicular pain in men. The scrotum is responsible for the growth and development of sperm, and also for the temporary storage of sperm. Scrotal inflammation not only stimulates male testicles, but also damages sperm in the seminal vesicle, causing sperm death, thereby reducing male fertility and leading to male infertility.

10. Other inflammatory diseases

The causes of male testicular pain include other inflammatory diseases, such as prostatitis, male endocrine disorders, urinary tract infections, etc. The presence of these diseases can cause male testicular pain.