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Mild Pain In My Testicle

Published: May 05, 2014
Dear Mild Pain In My Testicle,

I had a mild pain in my right testicle last night, so I checked it out and it seemed like there was a soft vein or vein type bundle inside of the scrotum next to it. After a while it didn't hurt as much so I went to bed and when I woke up this morning it all was good until about 9:00 when I started to feel the mild pain coming and going. Now at 3:00 I don't feel anything but my testicle seems a tiny bit swollen and there seems to be a possible unrelated small rice grain shaped hard piece underneath and behind my testicle. What could this be and is it serious?


Dear Mild Pain In My Testicle,

There are numerous causes for pain in the scrotum, some being more concerning than others. You may be describing a varicocele which refers to enlargement of the veins which are located in the scrotum. You might notice a fullness or heaviness of the scrotum with this issue.  Inflammation of the scrotum can also be a result of an infection, which is called orchitis or epididymitis, and might require antibiotics.

There are some testicular problems which require an immediate evaluation with a medical health professional. One example is testicular torsion which is a surgical emergency because it leads to loss of blood supply to the testicle. With testicular torsion you would experience a sudden onset of testicular pain that is severe and constant. In a situation like this, TeenHealthFX recommends contacting your doctor immediately or going right away to the nearest emergency room for an evaluation. However, given that your pain is mild and not constant, it is unlikely this is what you are dealing with.

FX does recommend that you meet with your primary care physician or an adolescent medicine specialist so you can find out what is the cause of your symptoms. It is not necessarily anything serious, but it is important to get an accurate diagnosis so you can put your fears to rest and receive whatever treatment might be needed.

TeenHealthFX would also like to stress the importance of adolescent males becoming comfortable with performing Testicular Self- Exams to monitor for any new masses which may be the first sign of cancer. Testicular cancer makes up 20% of cancers in males age 15-35 and often presents as a small mass. For information on Testicular Self-Exams please refer to our link on Testicular Cancer.

In general, if you ever experience physical symptoms that leave you with concerns about what is going on with your body, you see unexplained changes in your body, or you are dealing with pain that is severe or not getting better, it is always best to check in with your doctor.

If you don't have a doctor and live in northern New Jersey, you can call the Adolescent/Young Adult Center for Health at 973-971-5199 for an appointment with an adolescent medicine specialist or contact your local teen health center or Planned Parenthood. You can also contact your insurance company for a list of in-network providers.

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