Testicular Pain or Swelling guide | New World Fertility

Testicular Pain or Swelling guide | New World Fertility

Testicular pain or swelling can be alarming, especially when it appears suddenly or without any clear reason. While some causes may be minor, others could indicate serious health or fertility issues.

At New World Fertility, we understand how sensitive this topic is—and we’re here to provide clear answers, prompt care, and expert support.

What Is Testicular Pain or Swelling?

Testicular pain refers to discomfort in one or both testicles. Swelling may occur with or without pain and could involve the testicle, scrotum, or surrounding tissue.

It can range from dull aching to sharp, sudden pain and might develop gradually or abruptly.

Common Causes of Testicular Pain or Swelling

1. Infection (Epididymitis or Orchitis)

  • Caused by bacterial or viral infections, including sexually transmitted infections (STIs)

  • Symptoms: pain, redness, swelling, fever, painful urination

2. Testicular Torsion (Medical Emergency)

  • Twisting of the spermatic cord cuts off blood supply

  • Sudden, intense pain, nausea, swollen testicle

  • Requires immediate surgery to save the testicle

3. Varicocele

  • Enlarged veins in the scrotum (similar to varicose veins)

  • Often painless but may cause a dull ache and impact fertility

4. Hydrocele

  • Fluid buildup around the testicle

  • Usually painless swelling, may feel heavy

5. Hernia

  • Inguinal hernia may extend into the scrotum

  • Causes visible bulge and discomfort

6. Trauma or Injury

  • Sports injury or accidental hit

  • Can cause bruising, swelling, or sharp pain

7. Tumors or Cancer

  • Often painless swelling or lump in the testicle

  • Early detection leads to better treatment outcomes

When Should You See a Doctor?

Seek immediate medical help if you notice:

  • Sudden, intense pain

  • Swelling with fever or chills

  • Pain that doesn’t improve in a few hours

  • Pain after injury

  • Lump or mass in the testicle

  • Blood in urine or semen

Diagnosis: How Is the Cause Determined?

At New World Fertility, we use a combination of medical history, physical examination, and diagnostic tests to determine the root cause:

Common Diagnostic Tools:

  • Scrotal Ultrasound – Checks for torsion, varicocele, tumors, fluid buildup

  • Urine Tests – Detects infections, STIs

  • Blood Tests – Evaluates inflammation or tumor markers

  • Semen Analysis – If fertility is affected

Treatment Options Based on Cause

CauseTreatment
InfectionAntibiotics, anti-inflammatories, rest
Torsion (emergency)Surgical detorsion or testicle removal (if delayed)
VaricoceleSurgical repair or embolization (especially for fertility)
HydroceleObservation or surgical removal (hydrocelectomy)
TraumaIce packs, pain meds, support garments
Tumor/CancerSurgical removal, followed by chemotherapy/radiation if needed

Can Testicular Pain Affect Fertility?

Yes — chronic or untreated issues like infection, torsion, or varicocele can damage testicular tissue or disrupt sperm production.

At New World Fertility, we not only treat the pain but also evaluate your reproductive health through advanced testing and personalized care plans.

FAQs: Quick Answers

Can I ignore mild testicular pain?

No. Even mild symptoms could be a sign of underlying problems like infection or torsion.

Is testicular cancer painful?

Not always. Most testicular cancers appear as painless lumps, so don’t delay checking any unusual swelling.

Does testicular torsion affect fertility?

Yes. If not treated within 6 hours, torsion can cause permanent damage or loss of the testicle, affecting sperm production.

Expert Male Fertility Support at New World Fertility

Our team offers:

  • Prompt urological evaluation

  • Fertility-focused diagnostics

  • Hormone testing, semen analysis, and scrotal ultrasound

  • Personalised treatment for every condition—from infections to infertility

Final Thoughts

Testicular pain or swelling should never be ignored. Whether it’s sudden or slowly developing, this symptom deserves a timely medical evaluation to rule out serious conditions—and protect your fertility.

At New World Fertility, your health, dignity, and future family are our top priorities.

If you’re experiencing discomfort or planning for fatherhood, let us help you take the next informed step.