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Published on: 3/17/2025

Why Am I Having Left Testicle Pain When Walking?

Left testicle pain when walking is most commonly due to a varicocele, hydrocele, or hernia but there are other important causes to consider.

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Explanation

Here are some common conditions that can cause left testicle pain while walking:

  • Hydrocele: A fluid-filled sac that surrounds the testicle, causing swelling and discomfort
  • Varicocele: Enlarged veins in the scrotum that can cause a dull, aching pain and are most commonly experienced on the left side
  • Hernia: When part of the intestine pushes through a weak spot in the abdominal wall, causing groin pain

These conditions lead to increased pain with walking because movement and physical activity put extra pressure on the affected areas. The motion of walking can stretch or compress sensitive tissues, leading to increased discomfort. Additionally, gravity's effect while walking can cause more blood flow to the area, potentially worsening symptoms like swelling or pain. Less common causes of testicular pain with walking are epididymitis (inflammation of the tube that carries sperm), testicular torsion (twisting of the testicle), and certain autoimmune conditions that affect the testicles. Some medications may also cause testicular discomfort as a side effect. Because multiple conditions can cause similar symptoms, it is important to talk to a healthcare provider who can examine you, ask detailed questions, and if needed, carry out tests to find the exact cause of your pain. If pain is severe, you should be evaluated by a healthcare provider immediately.

(References)

  • Liu W, Li YY, Shang XJ. [Mycoplasma genitalium and male urogenital diseases: An update]. Zhonghua Nan Ke Xue. 2018 Jul;24(7):645-650. Chinese. PMID: 30173450.

  • Kurn H, Daly DT. Histology, Epithelial Cell. 2023 Feb 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32644489.

  • Bitcon C, White J, Cox A, Skinner TAA. Case - Tension hydrocele: A rare cause of acute scrotal pain. Can Urol Assoc J. 2020 Jul;14(7):E341-E342. doi: 10.5489/cuaj.6363. PMID: 32017692; PMCID: PMC7337714.

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