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Published on: 3/5/2025

Why Am I Having Pain on Right Testicle and Lower Abdomen?

Pain in your right testicle and lower abdomen can happen for different reasons like an infection (epididymitis), a twist in blood vessels to the testicle (testicular torsion), or irritation of a nerve (genitofemoral neuralgia). It is very important to have this pain checked by a doctor right away.

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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 see a doctor to figure out which one is causing your pain. They 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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