What causes sagging, relaxed, and painful testicles?

Drooping, relaxation, and pain in the testicles are usually associated with varicocele. Varicocele is a male condition primarily caused by the twisting and dilation of veins within the spermatic cord, leading to impaired venous return. This results in a sensation of heaviness, pain in the affected testicle, and scrotal sagging. If the above symptoms are present, a scrotal color Doppler ultrasound examination should be performed at a hospital. Patients can receive treatment with medication.