Testicle pain is pain that happens in or around one or both testicles. Sometimes the pain starts somewhere else in the groin or stomach area and is felt in one or both testicles. This is called referred pain.
Many things can cause testicle pain. The testicles are very sensitive. Even a minor injury can cause them to hurt. Pain might come from within the testicle itself. Or it might arise from the coiled tube and supporting tissue behind the testicle, called the epididymis.
Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, stomach area or somewhere else. For example, kidney stones and some hernias can cause testicle pain. Other times, the cause of testicle pain can't be found. You might hear this called idiopathic testicular pain.
Sudden, serious testicle pain can be a symptom of a twisted testicle, which can quickly lose its blood supply. This condition is called testicular torsion. Treatment is needed right away to prevent loss of the testicle. Testicular torsion can happen at any age, but it is more common in teenagers.
Get medical care right away if you have:
- Sudden, serious testicle pain.
- Testicle pain along with nausea, fever, chills or blood in the urine.
Make an appointment with a health care professional if you have:
- Mild testicle pain that lasts longer than a few days.
- A lump or swelling in or around a testicle.
Self-care
These steps might help ease mild testicle pain:
- Take a pain reliever such as aspirin, ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others). You can do this unless your health care team has given you other instructions. Use caution when giving aspirin to children or teenagers. Aspirin is approved for use in children older than age 3. But children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. This is because aspirin has been linked to a rare but serious condition called Reye's syndrome in such children. It can be life-threatening.
- Support the scrotum with an athletic supporter. Use a folded towel to support and elevate the scrotum when you're lying down. You also can apply an ice pack or ice wrapped in a towel.
Show References
- Eyre RC. Acute scrotal pain in adults. https://www.uptodate.com/contents/search. Accessed July 3, 2023.
- Scrotal pain. Merck Manual Professional Version. https://www.merckmanuals.com/professional/genitourinary-disorders/symptoms-of-genitourinary-disorders/scrotal-pain. Accessed July 3, 2023.
- Ferri FF. T — differential diagnosis. In: Ferri's Clinical Advisor 2023. Elsevier; 2023. https://www.clinicalkey.com. Accessed July 5, 2023.
- Partin AW, et al., eds. Management of abnormalities of the external genitalia in boys. In: Campbell-Walsh-Wein Urology. 12th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed July 5, 2023.
- AskMayoExpert. Scrotal pain (child). Mayo Clinic; 2023.
- AAP Committee on Infectious Diseases. Recommendations for prevention and control of influenza in children, 2022-2023. Pediatrics. 2018; doi:10.1542/peds.2022-059274.
- Ward MA. Fever in infants and children: Pathophysiology and management. https://www.update.com/contents/search. Accessed July 5, 2023.
- §201.314 Labeling of drug preparations containing salicylates. Electronic Code of Federal Regulations. https://www.ecfr.gov/current/title-21/chapter-I/subchapter-C/part-201/subpart-G/section-201.314. Accessed July 3, 2023.
- Prostatitis. Merck Manual Professional Version. https://www.merckmanuals.com/professional/genitourinary-disorders/benign-prostate-disease/prostatitis. Accessed July 6, 2023.
- Waldman SD. Orchialgia. In: Atlas of Uncommon Pain Syndromes. 4th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed July 6, 2023.
- Partin AW, et al., eds. Evaluation of the urologic patient: History and physical examination. In: Campbell-Walsh-Wein Urology. 12th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed July 6, 2023.
- Gargollo P (expert opinion). July 6, 2023.
Original article: https://www.mayoclinic.org/symptoms/testicle-pain/basics/causes/sym-20050942