What could be the reason for a boy's testicular pain?
Sep 18, 2025
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, the main causes of testicular pain in males include external trauma, prolonged sitting and pressure, orchitis, epididymitis, and testicular torsion. If discomfort or symptoms occur, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, one should avoid external impacts to the testicles, reduce prolonged sitting, maintain personal hygiene to prevent infections of the reproductive system, and perform regular check-ups of the reproductive organs.
Generally, the main causes of testicular pain in males include external trauma, prolonged sitting and pressure, orchitis, epididymitis, and testicular torsion. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Specific explanations are as follows:
1. External Trauma
During sports or daily activities, impact or blows to the testicles can damage local tissues and rupture capillaries, causing pain. Immediately stop physical activity and apply a cold pack wrapped in soft clothing to the painful area to reduce swelling and pain. Avoid strenuous exercise afterward and wear loose clothing to protect the testicles.
2. Prolonged Sitting and Pressure
Long periods of sitting compress the testicles, impairing local blood circulation, leading to tissue hypoxia and accumulation of metabolic waste, which may cause dull, persistent pain. It is advised to stand up and move every 30 minutes, perform simple stretching exercises, use breathable and spacious seating, and avoid wearing tight pants to improve local blood flow.
3. Orchitis (Testicular Inflammation)
Bacterial or viral infections of the testicles cause inflammation, resulting in congestion, swelling, and pain, often accompanied by fever. Under medical guidance, medications such as cefuroxime axetil tablets, levofloxacin hydrochloride tablets, or acyclovir tablets may be prescribed. Rest in bed during treatment, avoid pressure on the testicles, and maintain genital hygiene.
4. Epididymitis
Infection of the epididymis by pathogens leads to inflammation that may spread to the testicles, causing testicular pain and epididymal swelling. Under medical supervision, medications such as cefixime capsules, azithromycin dispersible tablets, or doxycycline hydrochloride tablets may be used. Avoid sexual activity, apply local heat therapy to relieve pain and promote absorption of inflammation.
5. Testicular Torsion
Torsion of the testicle and spermatic cord cuts off blood supply to the testicle, causing sudden, severe pain and requiring emergency intervention. Immediate medical attention is necessary. Detorsion surgery should be performed promptly. If the torsion lasts too long and results in testicular necrosis, surgical removal of the affected testicle may be required. After surgery, avoid strenuous physical activity and schedule regular follow-up visits to monitor recovery.
In daily life, avoid testicular trauma, minimize prolonged sitting, maintain good personal hygiene to prevent genitourinary infections, perform regular self-examinations of the genital organs to detect abnormalities early, and take protective measures during exercise to prevent excessive pulling or strain on the testicles.
