In this episode of Balls Deep, Dr. Joe Pazona dives into the often-overlooked world of testicular pain. Though it may be a sensitive and misunderstood topic, testicular pain affects many men and can cause significant anxiety. Joined by co-host Cat Williams, Dr. Pazona walks listeners through the causes of testicular pain, common myths, and when to seek help from a medical provider.
Common Causes of Testicular Pain
When it comes to testicular pain, many people automatically assume the worst. However, most testicular pain is not due to an infection or something severe. Instead, it often stems from muscle or nerve-related issues. Just as we can pull or strain muscles in the back or neck, the muscles surrounding the scrotum can be affected, especially when core or pelvic muscles are overused or strained. This pain may be brought on by prolonged sitting, lack of exercise, heavy lifting, or poor posture.
The structure of the testicles is the prime focus in understanding this. The testicles are originally located near the kidneys and are later drawn down into the scrotum during the course of fetal development. During this descent, testicles carry with them some of the layers of abdominal wall, muscles and nerves, which makes irritation possible if the muscles are strained. As Dr. Pazona explains, for a large number of men there are alternatives to surgery, perhaps changing a few bad habits or seeking the help of a qualified pelvic physical therapist to settle these muscle and nerve problems.
Rare but Serious Causes of Testicular Pain
While most testicular pain is not dangerous, Dr. Pazona emphasizes a few conditions where pain can indicate a serious issue:
Testicular Torsion
Torsion occurs when the testicle twists around the spermatic cord, cutting off blood flow. This condition is rare and tends to affect younger men, typically under age 25. Torsion is excruciating and will generally make someone feel nauseous or even vomit. In this scenario, immediate care is crucial since the testicle can only survive a few hours without blood flow.
Infection (Epididymitis)
Unlike muscle-related pain, infection-induced pain is often more localized, with additional symptoms like fever, swelling, or burning with urination. Antibiotics are necessary for treating infections, but if antibiotics aren’t helping, it’s a clue that another underlying issue could be causing the pain.
Testicular Cancer
Although rare, testicular cancer can sometimes present as a painless lump on the testicle. Most often, it’s detected through a firm, painless mass, not through pain itself. Dr. Pazona reassures listeners that this cancer is highly treatable, especially if detected early. Routine self-exams can help men detect any changes and bring them to a healthcare provider’s attention.
Common Myths About Testicular Pain
A common misconception is that any testicular pain is caused by an infection. Dr. Pazona explains that many doctors may prescribe antibiotics as a “catch-all” solution, but this often leads to frustration when the real problem remains unaddressed. Over-prescribing antibiotics also comes with risks, such as developing antibiotic resistance. Proper diagnosis involves ruling out serious conditions before concluding that muscle or nerve issues are the cause.
When to See a Doctor
Pain management for testicular discomfort often involves heat packs, supportive or loose clothing (depending on what feels better), and working with a pelvic physical therapist. However, if you experience intense, lingering pain, swelling, fever, or other concerning symptoms, it’s essential to consult a urologist. Men are also encouraged to do monthly self-exams to catch any abnormal lumps early.
Key Takeaways
Muscle and nerve issues are the primary causes of testicular pain.
Serious testicular pain causes include torsion (twisting of the testicle), infection, and rarely, cancer.
Seek immediate medical help for severe pain, especially if paired with nausea, fever, or swelling.
Testicular cancer is usually painless and can be detected through self-exams.
This episode sheds light on a topic many avoid but that has a huge impact on men’s health. There’s no need to suffer in silence. Testicular pain is treatable, and by understanding the cause, you can take the right steps toward relief.
For more information on testicular pain or to consult with a urologist, find the closest Pazona MD location to you.
Disclaimer: This podcast is for informational purposes only and does not substitute professional medical advice. Always seek the guidance of your healthcare provider for any medical conditions.
