Why is there a dull pain in my testicles?

Dull testicular pain may be related to factors such as varicocele, epididymitis, testicular torsion, trauma, or chronic prostatitis. It usually manifests as unilateral or bilateral dull pain, a feeling of swelling, or sudden severe pain. Intervention can be through rest and observation, anti-infective treatment, manual reduction or surgery.

1. Varicocele

Varicocele is a common cause in young and middle-aged men. Blockage of venous return leads to swelling and pain in the scrotum, which worsens after standing for a long time or after exertion. Physical examination shows vermiform varicose veins on the surface of the scrotum, and B-ultrasound can confirm the diagnosis. Mild cases can be relieved by wearing a scrotal band, but severe cases require high spermatic vein ligation. Avoiding standing for long periods of time can reduce the onset of symptoms.

2. Epididymitis

Retrograde infection of the epididymis by bacteria can cause local redness, swelling, heat and pain, which may be accompanied by symptoms such as fever and frequent urination. Physical examination showed palpable enlargement of the epididymis, and blood routine showed elevated white blood cells. Antibiotics such as levofloxacin tablets and cefixime dispersible tablets must be used as directed by the doctor, along with scrotal elevation and local cold compress. Sexual intercourse is prohibited during the acute phase.

3. Testicular torsion

Sudden severe testicular pain accompanied by nausea and vomiting requires vigilance for torsion, which is more common in adolescents. Abnormal contraction of the cremaster muscle causes the spermatic cord to rotate, and failure to reset within 6 hours will cause testicular necrosis. Doppler ultrasound shows that the blood flow signal is weakened, and manual reduction or orchiopexy is required immediately after diagnosis. If you miss the golden time for treatment, you may need to remove your testicles.

4. Traumatic factors

External forces such as impact and riding injuries can cause testicular contusion, which manifests as persistent dull pain and scrotal bruising. Minor injuries can be relieved by bed rest and ice compresses, while severe hematomas require puncture and drainage. Wearing protective gear during exercise can prevent trauma, and hot compresses are prohibited within 48 hours after injury.

5. Chronic prostatitis

Pelvic congestion can radiate to the testicles, causing dull pain, which is often accompanied by urinary bifurcation and perineal discomfort. Prostatic fluid examination showed an increase in white blood cells. You can take Tamsulosin Hydrochloride Sustained-release Capsules, Qianlieshutong Capsules and other medications as directed by your doctor, along with warm water sitz baths and regular semen discharge. Avoid sitting for long periods of time and spicy foods.

It is recommended to wear loose cotton underwear to reduce friction and avoid strenuous exercise and long periods of cycling. If the pain lasts for more than 24 hours or is accompanied by fever, hematuria and other symptoms, you need to see a urology department immediately. Pay attention to daily changes in the appearance of the scrotum, and conduct regular physical examinations to check for potential diseases. During an acute pain attack, you can temporarily take ibuprofen sustained-release capsules to relieve symptoms, but the cause needs to be clarified before systemic treatment.