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Testicular Pain Testicular pain can have several causes and may represent a medical emergency.
Symptoms associated with testicular pain can include:
Swelling and redness of the testicles and scrotum
Nausea and/or vomiting
Fever
Painful urination or penile discharge
Pain with intercourse, pain with ejaculation, blood in the semen or urine
Trauma to the testicles can cause pain, bruising and nausea. In severe cases it can result in rupture of the testicle. You should seek immediate emergency room care if you suffer a severe trauma to the testicles.
Testicular torsion occurs when a testicle twists inside the scrotum. It is a medical emergency. When a testicle twists, the blood vessels are blocked and the testicle will die if not repaired within several hours. Symptoms include severe pain and nausea. Pain from testicular torsion usually comes on suddenly.
Epididymitis is an infection of the testicle or nearby structures. It is the most common cause of testicular pain in men older than 18 years. Pain from epididymitis usually sets in gradually.
Other, less common causes include:
Inguinal hernia
Inflammation of the testicle
Testicular tumor
Kidney stone
Infection of the scrotal skin
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