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Published on: 8/20/2026

Why am I having pain on my right testicle and lower abdomen?

Pain in the right testicle and lower abdomen can result from several conditions, including epididymitis (an infection of the tube behind the testicle), testicular torsion (a twist in the blood vessels supplying the testicle), or genitofemoral neuralgia (irritation of a nerve in the groin area). Because some causes—like testicular torsion—are medical emergencies that can lead to permanent damage within hours, prompt evaluation by a doctor is critical.

Not sure how urgent your symptoms are or what could be causing them? Understanding the possible cause is the first step to getting the right care quickly. Take a free, instant, online symptom check to help identify what might be behind your pain and guide your next steps with clarity and confidence.

Reviewed for medical accuracy: 07/15/2026

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Frequently Asked Questions

4 answers

The most common questions people ask when right testicle pain spreads to the lower abdomen

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Hi, I'm Shiba. Pain in this area can sometimes be a medical emergency. Let's check your symptoms right now and see if I can help you figure out if you need to see a doctor immediately or head to the ER.

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Explanation

Sometimes, pain in the right testicle and lower abdomen comes from inflammation of the epididymis, which is a small tube near the testicle. This condition, called epididymitis, can cause pain and soreness. Another possible reason is testicular torsion. This happens when the testicle twists and cuts off blood flow. Pain from torsion can spread to the lower abdomen, and this situation is very serious. Quick treatment is needed because the twist can lead to permanent damage to the testicle. Additionally, there is a condition called genitofemoral neuralgia, where a nerve running through the groin becomes irritated and causes pain that may start in the lower abdomen and extend to the testicle. Other causes of pain in the lower abdomen and testicle include hernias, kidney stones, or muscle strains. Because these conditions need different treatments, it is important to identify what's causing your symptoms. You can start by using a free AI symptom checker to help understand your condition better, and then consult with a doctor who can run tests and help guide you to get the right treatment as soon as possible.

(References)

  • McConaghy JR, Panchal B. Epididymitis: An Overview. Am Fam Physician. 2016 Nov 1;94(9):723-726. PMID: 27929243.

  • Pogorelić Z, Mrklić I, Jurić I. Do not forget to include testicular torsion in differential diagnosis of lower acute abdominal pain in young males. J Pediatr Urol. 2013 Dec;9(6 Pt B):1161-5. doi: 10.1016/j.jpurol.2013.04.018. Epub 2013 Jun 3. PMID: 23743132.

  • Cesmebasi A, Yadav A, Gielecki J, Tubbs RS, Loukas M. Genitofemoral neuralgia: a review. Clin Anat. 2015 Jan;28(1):128-35. doi: 10.1002/ca.22481. Epub 2014 Nov 5. PMID: 25377757.

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