What is the cause of testicular pain?

Dull testicular pain may be related to varicocele, orchitis, epididymitis, testicular torsion, trauma and other factors, and usually manifests as persistent dull pain or paroxysmal tingling and other symptoms.

1. Genetic factors

Varicocele has a familial tendency, and venous valve insufficiency may lead to obstruction of blood return. Patients may experience swelling in the scrotum when standing, which is relieved after lying down. It is recommended to avoid standing and sitting for long periods of time, and wear a scrotal sling to relieve symptoms. If necessary, you can use diosmin tablets, Maizhiling tablets and other drugs to improve venous return as directed by your doctor.

2. Bacterial infection

Bacteria ascending through the urethra can cause orchitis or epididymitis. Common pathogens include Escherichia coli, gonococcus, etc. Patients may have symptoms such as fever and frequent urination. You need to use antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by your doctor, along with local cold compresses to relieve swelling and pain.

3. Sports injuries

Strenuous exercise or external impact may cause testicular contusion, resulting in local congestion and swelling. The activity should be stopped immediately and the scrotum should be elevated. Ice application should be applied within 48 hours to reduce tissue leakage. In the later stage, heat application can be used to promote absorption. When pain is severe, you can take ibuprofen sustained-release capsules for a short period of time as directed by your doctor.

4. Urinary system diseases

Chronic prostatitis may cause radioactive testicular pain, often accompanied by urinary bifurcation and perineal discomfort. It is necessary to complete the prostate fluid examination. After diagnosis, you can follow the doctor's instructions to use tamsulosin hydrochloride sustained-release capsules, Longguanshu capsules and other drugs, combined with warm water sitz bath to relieve pelvic congestion.

5. Testicular torsion

People with excessive testicular frenulum may twist after strenuous activities, which is a urological emergency. The typical manifestation is sudden severe pain accompanied by upward movement of the testicle, which requires surgical reduction and fixation within 6 hours. Delay in treatment may lead to testicular necrosis, and regular postoperative ultrasound examinations are required to evaluate the blood supply.

In daily life, you should choose breathable underwear to avoid high temperature in the scrotum and reduce exercise that presses the perineum such as riding. If the dull pain lasts for more than 3 days or is accompanied by symptoms such as blood in the urine or fever, you must seek medical attention immediately to investigate the cause. Regular testicular self-examination can help detect abnormal lumps or morphological changes early.