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Published on: 8/20/2026

Why is my left testicle swollen with pain?

Swelling and pain in one testicle can result from several conditions, including testicular torsion, epididymitis, orchitis, inguinal hernia, or referred pain from nearby areas like the kidneys or abdomen. Testicular torsion is a medical emergency requiring treatment within hours to prevent permanent damage, while infections like epididymitis need prompt antibiotics. Because symptoms often overlap, quick evaluation by a doctor is essential to identify the cause and begin the right treatment.

If you're experiencing these symptoms, don't wait to get clarity. A free, instant, online symptom check can help you understand possible causes based on your specific symptoms and guide you on how urgently to seek care—critical information when conditions like torsion require action within hours.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Your left testicle might be swollen and painful for a few reasons. One possibility is testicular torsion. This happens when the cord that supplies blood to the testicle twists, causing sudden and severe pain along with swelling. This condition is a medical emergency and needs quick treatment to save the testicle. Another common cause is epididymitis, which is an infection or inflammation of the tube behind the testicle. This usually causes that builds up more slowly and can make the testicle look swollen. Varicoceles (swelling of veins in the testicle) and hydroceles (build up of fluid in the testicles) can cause pain and swelling in one testicle. Hernias can also affect either testicle. Fluid retention from other disease processes - like heart, kidney, or liver failure - can cause swelling throughout the body, including the testicles. To better understand what might be causing your symptoms, you can start by taking a free symptom checker assessment to help identify possible conditions. Your doctor can then help by asking about your symptoms, doing a physical exam, and using tests like an ultrasound to see what is happening inside. Getting help right away ensures you get the correct treatment, whether it means surgery or medicine.

(References)

  • Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician. 2013 Dec 15;88(12):835-40. PMID: 24364548.

  • Chen W, Wang X, Zhang J. Left scrotal swelling caused by severe acute pancreatitis in a 38-year-old Chinese male. Int J Clin Exp Med. 2015 May 15;8(5):8194-6. PMID: 26221392; PMCID: PMC4509337.

  • Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430814/

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