Published on: 3/5/2025
Testicular pain can be caused by different problems. Simple measures like rest, scrotal support, and over‐the-counter pain relievers may help, but you must see a doctor to identify the underlying cause.
Testicular pain may be related to an infection, injury, or even compromised blood flow to the testicle. For example, infections like epididymo-orchitis may need antibiotics, while testicular torsion—a twist in the spermatic cord—is very serious and needs emergency treatment. To help relieve pain while you wait for medical care, you can try a few things. First, rest and wear snug underwear or a scrotal support to reduce movement of the testicle. Next, placing a cold pack (wrapped in a cloth) on the area can help reduce pain and swelling. Over-the-counter pain relievers like ibuprofen may also make you feel better, but only take these as directed by a healthcare provider. It is important to remember that these steps are only for comfort. They do not treat the underlying cause of the pain so, ultimately, an evaluation by a healthcare provider is needed. Determining the root cause of your pain is key to getting the right treatment and reducing complications.
(References)
Manavi K, Turner K, Scott GR, Stewart LH. Audit on the management of epididymoorchitis by the Department of Urology in Edinburgh. _Int J STD AIDS._ 2005;16(5):386-387.
Ludwig M. Diagnosis and therapy of acute prostatitis, epididymitis and orchitis. _Andrologia._ 2008;40(2):76-80.
Ringdahl E, Teague L. Testicular torsion. _Am Fam Physician._ 2006;74(10):1739-1743.
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