Why Is My Testicle Swollen and Painful

Swelling and pain in the testicles can be alarming and may result from various medical conditions. It is essential to seek medical attention from a surgeon or a specialist to determine the exact cause. Below are some of the common reasons why the testicles may swell and become painful.

Possible Causes of Testicular Swelling and Pain

  1. Hernia (Luslos).
    A hernia occurs when part of the intestine pushes through a weak spot in the abdominal wall and into the scrotum. This condition may cause the scrotum to appear swollen, often unevenly, with one testicle appearing larger than the other. Hernias are commonly triggered by:

    • Heavy lifting
    • Persistent coughing
    • Straining during bowel movements
    • Excessive weight gain

Hernias can develop in childhood but may worsen over time. The swelling may come and go, often worsening with activity.

  1. Hydrocele.
    A hydrocele refers to the accumulation of fluid around the testicle, causing it to swell. This condition can result from:

    • Trauma or injury to the testicles
    • Infections, such as epididymitis or orchitis
    • Congenital issues

While hydroceles are typically painless, they can cause discomfort if the swelling becomes significant.

  1. Infections.
    Bacterial or viral infections, such as epididymitis (infection of the epididymis) or orchitis (infection of the testicle), can lead to swelling and pain. These conditions are often associated with symptoms like fever, redness, or warmth in the scrotum.
  2. Testicular Tumor.
    Though less common, swelling in the testicles can be a sign of a testicular tumor. Tumors may be painless initially but should always be evaluated by a doctor to rule out serious conditions like cancer.
  3. Other Causes.
    • Torsion of the testicle: A medical emergency where the spermatic cord twists, cutting off blood supply to the testicle.
    • Varicocele: Enlarged veins in the scrotum, which may cause a dull ache or heaviness but are generally painless.

What Should You Do?

If you experience swelling or pain in your testicles, take the following steps:

  1. Seek immediate medical attention. Persistent pain or swelling requires evaluation by a healthcare professional.
  2. Avoid heavy lifting or strenuous activities. These can exacerbate conditions like hernias.
  3. Monitor for additional symptoms. Fever, redness, or nausea accompanying testicular pain may indicate an infection or more serious condition requiring urgent care.

Swelling and pain in the testicles can result from various causes, ranging from mild conditions like hydroceles to more serious ones like testicular torsion or tumors. Prompt consultation with a doctor is essential for diagnosis and treatment. Early intervention can alleviate discomfort and address any underlying issues effectively.