Persistent Testicular Pain: Causes and Evaluation

Persistent Testicular Pain: Causes and Evaluation
Published on, 04 June, 2024. Answered by Dr. Abdelmajeed Saad and Verified by Dr.Galen Team
Patient Question

Hello Doctor,


I have been to the ER twice because my testicle is swollen and hurts. The first time I went, which was in the middle of January, they thought maybe I had an STD and gave me an antibiotic to cure that. However, a week later when they got the STD result back, it came back negative, so that antibiotic was pointless. I went back to the ER because my testicle still hurt, and they gave me another antibiotic for a bacterial infection. Again, that did not work. It's been 2 months, and my testicle still hurts, is swollen, and feels like it's being pulled on as if it's heavy. I'm not sure what the problem is.




Thank you for reaching out to Dr. Galen. Please find the below response to your query.


Based on the information provided in the sources you shared, the persistent swelling and pain in your testicle could be due to various conditions. It's crucial to seek further medical evaluation to determine the exact cause and appropriate treatment. Here are some potential reasons for your symptoms based on the information from the sources: 

1- Orchitis: Orchitis is an infection that causes swelling and inflammation in one or both testicles. It can be viral, bacterial, or sexually transmitted. Antibiotics are typically prescribed for bacterial infections like this. 

2- Epididymitis: This condition involves swelling and pain in the epididymis, a tube at the back of the testicle. It is often caused by infections like chlamydia or gonorrhea and is treated with antibiotics. 

3- Testicular Torsion: Testicular torsion is a serious condition where the testicle twists, cutting off the blood supply. This requires immediate medical attention and surgery to save the testicle. 

4- Varicocele: Varicocele is the enlargement of veins inside the scrotum, which can cause swelling. Lifestyle changes, pain relievers, and surgery may be recommended for management. 

5- Hydrocele: Hydrocele is the accumulation of fluid around the testicle, leading to swelling. It is usually painless and may resolve on its own, especially in babies. In adults, it may need removal by aspiration or surgery. 

Given the complexity of your symptoms and the lack of improvement with previous treatments, it is essential to consult a healthcare provider for a thorough evaluation and appropriate management. Persistent testicular pain and swelling should not be ignored, and further medical assessment is necessary to address the underlying cause effectively.



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