Testicular pain causes include sudden injury, inflammation, sexually transmitted infections or medical emergencies. It can cause a dull ache that affects one or both testicles or your scrotum. It can also cause swelling. If you have testicular pain for more than an hour, talk to a healthcare provider for a diagnosis and treatment.
Testicular pain can affect anyone with testicles (testes) at any age. Your testicles are small, egg-shaped reproductive (sex) organs. They rest inside your scrotum, which is a thin pouch of skin behind your penis. Most people assigned male at birth (AMAB) have two testicles — one each on the left and right side of their scrotum.
If you have testicular pain, you may feel it in one or both testicles. However, the pain may not actually be coming from the testicles themselves. The pain may come from another part of your body, like your stomach or groin. This type of pain is referred pain.
Testicular pain can be acute or chronic. “Acute” means that it develops suddenly, rises sharply and lasts a short period. “Chronic” means that the pain gradually grows and it lasts for a long period. Your testicles contain many sensitive nerves, which can make testicular pain severe.
If you have testicular pain that lasts for more than an hour, reach out to a healthcare provider.
Go to an emergency room (ER) if you have intense testicular pain. It could be a sign of testicular torsion, which is a serious medical emergency.
No, it isn’t normal to have a testicle ache.
Your testicles are sensitive, so any impact or trauma to them can cause temporary pain. But if you have consistent testicular pain that lasts more than an hour, talk to a healthcare provider. You may have a more serious condition that affects your testicles.
Talk to a healthcare provider or go to the ER immediately if you have:
Anyone with testicles at any age can get testicular pain. But you may be at a higher risk of developing testicular pain if you do heavy physical work or play contact sports (baseball, football, hockey, soccer, lacrosse, martial arts).
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There are many common causes of testicular pain. The cause may be obvious if you have had a recent injury or accident while playing a sport or exercising. But in other cases, it may not be obvious why you have pain.
Some other common causes of testicular pain may include:
Other symptoms that may occur alongside testicular pain include:
Yes. Testicular pain is a symptom of some sexually transmitted infections (STIs). STIs can affect multiple parts of your body, including your testicles. They may cause testicular swelling or inflammation.
STIs that may cause testicular pain include:
A healthcare provider will review your medical history and perform a physical examination. They’ll examine your testicles as you’re standing up and lying down. During the physical exam, they may ask the following questions:
They may also ask about your sexual history.
The provider may order the following tests:
You may be able to ease your testicular pain at home. Some remedies may include:
If home remedies don’t work, talk to a healthcare provider. They can prescribe medications that help reduce pain, including:
Testicular pain may or may not last, depending on whether it’s acute or chronic. If a simple injury — like a sudden hit or fall — causes pain, it should only hurt for about an hour. If your pain lasts longer than that or worsens, seek medical attention immediately.
A primary care physician (PCP) can help treat testicular pain and diagnose underlying conditions. If they suspect you have a more serious condition, they may refer you to a specialist, including:
It depends on what’s causing testicular pain. If you have an emergency condition like testicular torsion or testicular cancer, you need surgery.
Types of surgery for testicular pain may include:
The following tips may help prevent testicular pain:
You should immediately call a healthcare provider if you have testicular pain or swelling, especially if the pain gets worse or if you feel sick. If you have testicular torsion symptoms, make sure to get to an emergency room as soon as possible.
No, you shouldn’t ignore testicular pain. If you have testicular pain for more than an hour or if it worsens, seek medical care immediately.
In many cases, one healthy testicle can make enough sperm for you to have biological children. You should still be able to have and maintain erections normally. Your testosterone levels should stay the same too.
If you have surgery to correct testicular torsion, you may have a lower sperm count. You might also have antibodies in your system that affect how your sperm move. If you had testicular torsion as a child, you might also have a lower sperm count. In that case, it’s a good idea to have a semen analysis if you’re having any difficulties achieving pregnancy.
Yes, repeatedly sitting for long periods can cause testicular pain. Crossing your legs can also cause pain. Many people can decrease testicular pain by standing or moving more and sitting less.
A note from Cleveland Clinic
Testicular pain can develop suddenly and only last a short time, and you may be able to treat it at home. It can also gradually get worse and last for a long period, especially if it’s a symptom of a more serious condition. As a general rule, if you have severe, sudden testicular pain or if the pain doesn’t go away after an hour, talk to a healthcare provider. You may feel self-conscious talking about such a sensitive part of your body, but pain is your body’s way of telling you that something is wrong. Getting medical attention is crucial to increasing your chances of the best possible outcome.
Last reviewed by a Cleveland Clinic medical professional on 07/24/2023.
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