8 Reasons Behind Testicular Pain

By  ,  Onlymyhealth editorial team
Feb 24, 2014

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Quick Bites

  • The rupture of the tunica albuginea can cause severe testicular pain.
  • Kidney stones can make you experience testicular pain.
  • Pain is rarely a symptom of testicular cancer - odds 1/10.
  • A sports injury is one of the reasons you may be experiencing testicular pain.

Testicular pain can be a sensitive issue for men. It is often overlooked by many thinking the pain will subside on its own. The pain doesn’t always go away as there could be a serious medical condition behind it. Some causes of testicular pain are serious and may require immediate treatment.


testicular pain causes


The most possible causes of testicular pain are as follows.


Testicular Rupture

The rupture of the tunica albuginea, a protective membrane that surrounds the testicle, can cause severe testicular pain. It occurs as the blood leaks into your scrotum. External trauma (such as a sports injury) can cause the rupture of the testicle. Testicular rupture can be surgically treated and there’s a fair chance that your testicle can be saved.


Kidney Stone

Sometimes there is nothing wrong with your testicle when you experience testicular pain, but it is due to a kidney stone. The pain of kidney stones doesn’t originate in the testicles but you feel it there because the pain projects downward.



Orchitis is a condition of swelling of the testicles. It is caused by medical conditions such as epididymitis, bacterial or viral infection (such as mumps, brucellosis and certain STDs). The pain of testicles accompanied by fever and blood in semen characterises orchitis.



Spermatocele, a cyst growing inside the epididymis (a coiled tube located in the back of each testicle that stores semen), is one of the causes of spermatocele. These are small in size and non-problematic most of the times. However, they may grow to the size of several centimetres, to make you feel a sense of heaviness and pain in your testicles.



Varicoceles, an enlargement of the veins inside the scrotum, can make your scrotum heavy. You feel pain only when you're standing up, and it goes away when you sit down. Testicular pain in this condition can be mild or severe and gets worse in case of no medical intervention.


testicular pain medical advice


Testicular Torsion

Testicular torsion occurs as the spermatic cord gets twisted and shuts off blood flow to your testicles. You need to see a doctor immediately as you can lose a testicle.


Testicular Cancer

Pain is rarely a symptom of testicular cancer - only 1 out of 10 men with testicular cancer feels pain (source: James Buchanan Brady Urology Institute). Testicular cancer is usually diagnosed when you or your doctor feels a lump after you report your testicles feel uncomfortable or heavy, or become visibly larger and swollen.


Sports Injuries

A sports injury is one of the reasons you may be experiencing testicular pain. Prolonged testicular pain due to sports injury is common in men between the ages of 18 and 32.



At any point of time, if you feel, experience or notice any change in anything in, on or around your testicles, report it to a doctor. Most of the conditions related with testicle-related conditions need early detection for treatment. If ignored or untreated, there can be a permanent damage of the testicle.

Read more articles on Men's Health.



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