What Should I Do When I Test Negative for STDs But Still Have Testicle Pain?

Emergency Medicine, Holy Name Medical Center

Supervised by Tomas Diaz, MD

If STD tests come back negative but the pain in your testicle remains, it is important to follow up with a doctor who can check for other causes like blood flow problems or varicocele. Your healthcare provider might suggest additional tests or a treatment plan depending on what they find.

Explanation

Sometimes, testicular pain can be caused by issues other than infections that are checked with STD tests. Varicoceles, hernias, and even back problems can cause testicular pain. Sometimes, intermittent twisting of the blood vessels to the testicle (called torsion) can cause sudden pain; this is a medical emergency. It is best to work with your doctor to look further into these other health issues. Your provider will likely perform a physical exam and may order imaging studies of the scrotum. They may advise treatments like pain relievers, scrotal support, or even physical therapy if needed. Remember, following up with your healthcare provider can help you find the right treatment to relieve your pain.

(References)

Tanner R, Twomey M, Maher MM, Fitzgerald E, O'Connor J. A Rare Cause of Testicular Pain: Thrombosis of the Pampiniform Plexus. Ir Med J. 2016 Jan;109(1):347-8. PMID: 26904794.
Abrol N, Panda A, Kekre NS. Painful varicoceles: Role of varicocelectomy. Indian J Urol. 2014 Oct;30(4):369-73. doi: 10.4103/0970-1591.128497. PMID: 25378815; PMCID: PMC4220373.
Doubleday KL, Kulig K, Landel R. Treatment of testicular pain using conservative management of the thoracolumbar spine: a case report. Arch Phys Med Rehabil. 2003 Dec;84(12):1903-5. doi: 10.1016/s0003-9993(03)00283-1. PMID: 14669201.

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