Testicle pain (testicular pain) is pain that occurs in or around one or both testicles. Sometimes testicle pain actually originates from somewhere else in the groin or abdomen, and is felt in one or both testicles (referred pain).
Testicle pain has a number of possible causes. The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. Pain might arise from within the testicle itself or from the coiled tube and supporting tissue behind the testicle (epididymis).
Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, abdomen or somewhere else — for example, kidney stones and some hernias can cause testicle pain. The cause of testicle pain can't always be identified.
Sudden, severe testicle pain can be a sign of testicular torsion — a twisted testicle that can quickly lose its blood supply. This condition requires immediate medical treatment to prevent loss of the testicle. Testicular torsion can occur in males of any age, although it is more common in adolescents.
Seek immediate medical attention if you have:
- Sudden, severe testicle pain
- Testicle pain accompanied by nausea, fever, chills or blood in your urine
Schedule a visit with your health care provider if you have:
- Mild testicle pain lasting longer than a few days
- A lump or swelling in or around a testicle
These measures might help relieve mild testicle pain:
- Take an over-the-counter pain reliever such as aspirin, ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others), unless your doctor has given you other instructions. Use caution when giving aspirin to children or teenagers. Though aspirin is approved for use in children older than age 3, children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. This is because aspirin has been linked to Reye's syndrome, a rare but potentially life-threatening condition, in such children.
- Support the scrotum with an athletic supporter. Use a folded towel for support and elevation when you're lying down.
Oct. 19, 2021
- Eyre RC. Evaluation of acute scrotal pain in adults. https://www.uptodate.com/contents/search. Accessed Sept. 24, 2019.
- Scrotal pain. Merck Manual Professional Version. https://www.merckmanuals.com/professional/genitourinary-disorders/symptoms-of-genitourinary-disorders/scrotal-pain. Accessed Sept. 24, 2019.
- Belanger GV, et al. Diagnosis and surgical management of male pelvic, inguinal, and testicular pain. The Surgical Clinics of North America. 2016; doi: 10.1016/j.suc.2016.02.014
- Rottenstreich M, et al. The clinical findings in young adults with acute scrotal pain. The American Journal of Emergency Medicine. 2016; doi:10.1016/j.ajem.2016.06.066.
- AskMayoExpert. Scrotal pain (child). Mayo Clinic; 2019.
- AAP Committee on Infectious Diseases. Recommendations for prevention and control of influenza in children, 2018-2019. Pediatrics. 2018; doi:10.1542/peds.2018-2367.
- Sullivan JE, et al. Fever and antipyretic use in children. Pediatrics. 2011; doi:10.1542/peds.2010-3852.
- 201.314 labeling of drug preparations containing salicylates. Electronic Code of Federal Regulations. https://www.ecfr.gov/cgi-bin/text-idx?SID=76be002fc0488562bf61609b21a6b11e&mc=true&node=se21.4.201_1314&rgn=div8. Accessed Sept. 24, 2019.