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man experiencing testicular pain

Why Do My Testicles Hurt?

Testicular pain is a symptom that many men experience. Pain in one or both testicles can have a wide range of causes, from minor injuries to more serious urologic conditions.

While occasional sensitivity isn't always a cause for concern, persistent or sudden testicular pain deserves a closer look. Understanding what could be behind the discomfort is the first step in getting relief.

At Advanced Urology, we regularly evaluate patients with testicular pain. Our goal is always to identify the cause quickly and provide a personalized solution.

Understanding Testicular Pain: What It Means and Why It Happens

The testicles are sensitive, complex structures connected to multiple systems in the body, including the urinary tract, reproductive system, and nerves of the lower back and abdomen.

Pain may begin directly in the scrotum or radiate from another area, such as the groin or pelvis. It may come on gradually or suddenly. Sometimes it only shows up during certain activities, like exercise or sexual activity. Other times, it's a constant background ache that won't go away.

One of the most important things to understand about testicular pain is that it doesn't always mean something is seriously wrong, but when it does, early diagnosis is critical.

Why Do My Testicles Hurt After Sex?

Pain after sex or ejaculation can be alarming. Some men report aching, heaviness, or throbbing in the testicles following orgasm. While it may seem unusual, there are several explanations that are commonly seen in urology.

One possibility is a spermatocele, a fluid-filled cyst near the top of the testicle that can swell or become irritated during ejaculation. Another potential cause is epididymitis, an inflammation of the epididymis that is often related to infection, including STDs. The friction and muscular contractions during sex can aggravate this inflammation, leading to discomfort after intercourse.

In some cases, prostatitis, or inflammation of the prostate, may also cause pain after ejaculation. The prostate and testicles are closely connected, and irritation in one area can trigger symptoms in the other.

These conditions are all treatable, but they often require evaluation and testing to pinpoint the exact cause.

Why Do My Testicles Hurt When I Ejaculate?

Testicular pain during ejaculation is usually a sign of an underlying urologic issue, especially when the pain is sharp or consistent. Your body may be trying to alert you to inflammation or obstruction in the reproductive tract.

Painful ejaculation can be related to chronic prostatitis, which can make the muscles and glands involved in semen release more sensitive. Another cause could be recurrent urinary tract infections (UTIs), which can irritate the surrounding tissues.

Occasionally, a varicocele, which is an enlargement of veins within the scrotum, can contribute to discomfort during ejaculation, especially if there is swelling or increased pressure in the area.

This type of pain should not be ignored, especially if it's affecting your sexual health or quality of life. Advanced Urology in Atlanta offers discreet and thorough evaluations to identify the source of the pain and help restore normal function.

Why Does My Testicle Hurt When I Touch It?

Sensitivity to touch is often one of the first signs that something is off. Men might notice that one testicle is more tender than the other or that light contact causes discomfort.

A common explanation is epididymitis, especially when the pain is paired with swelling or a feeling of warmth. It could also be a spermatocele or hydrocele, both of which can cause pressure that becomes more noticeable during physical contact.

In more urgent cases, such as testicular torsion, the pain is often severe and immediate upon touch or movement. Torsion occurs when the spermatic cord twists, cutting off blood supply to the testicle. This is a medical emergency and requires immediate treatment to prevent long-term damage.

Tenderness may also be due to minor trauma or strain, especially after intense physical activity or lifting.

Why Does My Left Testicle Hurt More Than My Right?

Testicular pain that only affects one side is very common, and it may be because of anatomical differences in blood flow and vein structure.

The left testicle is more prone to varicoceles, which develop when valves in the scrotal veins don't function properly. This causes blood to pool and veins to enlarge, often leading to a dragging or aching sensation that worsens over time.

Other potential causes include testicular torsion, epididymitis, or referred pain from a hernia or kidney stone. Because many of these conditions affect one side more than the other, pain in a single testicle, especially when persistent, should be evaluated by a urologist.

What If It's Something More Serious?

While most testicular pain is not life-threatening, there are certain conditions that require urgent care. Testicular cancer is a rare but serious cause of testicular pain, particularly if there's a lump, firmness, or swelling that doesn't go away. It's often painless at first, which is why regular self-exams are important.

Other signs to watch for include:

  • Sudden, intense pain (possible torsion)

  • Swelling and redness

  • Pain that radiates into the groin or lower abdomen

  • Fever with scrotal tenderness

Our providers at Advanced Urology treat conditions like testicular cancer, spermatocele, recurrent UTIs, STDs, and testicular torsion. No matter the cause, our team works quickly to provide answers and relieve pain.

What Is Testicular Pain Telling You?

In many cases, testicular pain is your body's way of signaling that something needs attention, even if it's not serious. Temporary discomfort from physical activity, prolonged sitting, or minor irritation might resolve on its own. However, if the pain continues, recurs, or worsens, it's time to see a specialist.

The location, timing, and intensity of the pain can offer clues about what's going on beneath the surface. That's why urologists perform a thorough physical exam, medical history, and, when needed, imaging or lab tests to make a diagnosis.

Diagnosing and Treating Testicular Pain at Advanced Urology

When you come to Advanced Urology with testicular pain, we start by listening. We'll ask about your symptoms, when they started, and what makes them better or worse. Depending on the findings, your provider may recommend:

  • Ultrasound to evaluate blood flow and structure

  • Urine testing to check for infection

  • Physical exam to detect lumps or tenderness

  • STD testing if there are signs of infection

  • Blood tests for tumor markers or hormonal levels

Most causes of testicular pain are highly treatable. Whether it's antibiotics for an infection, surgical correction for torsion or varicocele, or further imaging for peace of mind, we're here to help you feel confident in your care.

Advanced Urology is Here to Help

Testicular pain can have many causes, and the only way to know for sure what is causing the pain is to get a professional evaluation at Advanced Urology.

Advanced Urology provides expert diagnosis and treatment for conditions including epididymitis, spermatocele, testicular torsion, varicocele, and testicular cancer. Our board-certified urologists take every symptom seriously and work quickly to identify the source of your discomfort.

There's no need to live with pain, discomfort, or uncertainty. Schedule your consultation with Advanced Urology today and take the first step toward clarity, comfort, and better health.