An older man sits across from a healthcare worker in a bright, indoor setting. The man is wearing a blue cardigan and shirt, while the professional is dressed in white attire, possibly a nurse or doctor. They appear to be engaged in a discussion, with the man holding a tablet or clipboard.

UT Medicine Urology Clinic

Testicular Pain

Testicular pain can result from injury, inflammation, sexually transmitted infections, or medical conditions, and should be evaluated by a medical professional.

About Testicular Pain

Testicular pain can affect anyone with testicles at any age. The testicles are small, egg-shaped reproductive organs located inside the scrotum, a thin pouch of skin behind the penis. Pain can occur in one or both testicles, and in some cases, it may be referred pain from another area, such as the abdomen or groin.

Testicular pain can be acute, developing suddenly with sharp intensity and lasting for a short period, or chronic, gradually increasing and persisting for a longer duration. Even minor issues can cause significant discomfort since the testicles contain many sensitive nerves.

Symptoms of Testicular Pain

Testicular pain can range from mild discomfort to severe pain. Additional symptoms may develop, indicating the need for evaluation. Seek immediate medical attention if you experience sudden or severe pain, or pain accompanied by nausea or vomiting.

Symptoms associated with testicular pain may include:

  • Abdominal pain
  • Ache, discomfort, or throbbing sensation in one or both testicles
  • Blood in the urine
  • Bruising or discoloration of the scrotum
  • Chills
  • Difficulty passing urine
  • Fever
  • Frequent urination
  • Groin pain
  • Pain or burning during urination
  • Swelling or enlargement of the testicles
  • Tenderness or sensitivity to touch

Risk Factors for Testicular Pain

Certain factors may increase the likelihood of experiencing testicular pain. These can range from lifestyle habits to underlying health conditions.

Risk factors for testicular pain may include:

  • Aging
  • Complications from a previous injury
  • Family history of testicular conditions
  • High-risk sexual behavior
  • Lack of proper protection during sports
  • Medical history of hernia or testicular torsion
  • Poor hygiene practices
  • Previous history of urinary tract infections (UTIs)
  • Testicular cancer
  • Undescended testicles

Treating Testicular Pain at UT Medicine

While at-home remedies are often the first line of treatment for testicular pain, treatment may involve a combination of lifestyle changes and medical or surgical intervention. Options may include medications, such as pain relievers or antibiotics for infections, as well as lifestyle adjustments like rest and scrotal elevation. For chronic pain, counseling or therapy may help address underlying emotional or psychological factors. In some cases, more invasive treatments, such as surgery, may be necessary. Your care team will guide you through the risks, benefits, and what to expect during the treatment and recovery process.

An older man sits across from a healthcare worker in a bright, indoor setting. The man is wearing a blue cardigan and shirt, while the professional is dressed in white attire, possibly a nurse or doctor. They appear to be engaged in a discussion, with the man holding a tablet or clipboard.

UT Medicine Urology Clinic