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Pain in the right testicle
Last reviewed: 04.07.2025

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Pain in the right testicle can bother males both in adulthood and adolescence. The pain sensations vary from aching and pulling to unbearably strong. Even if the cause of the pain does not pose a serious danger to a man, any pain in the testicles negatively affects the neuro-emotional state, causing fear and panic, accompanied by a general feeling of weakness, increased sweating, nausea or vomiting.
Causes of pain in the right testicle
The causes of pain in the right testicle may be the following:
- Orchitis. This disease is characterized by an inflammatory process in the testicles, which is usually a complication of such pathologies as mumps, flu, and gonorrhea. Testicular trauma, physical overexertion, decreased protective functions of the body, and prolonged hypothermia can also influence the development of inflammation. The acute stage of the disease lasts from two to four weeks. In chronic orchitis, the symptoms persist for more than one month.
- Epididymitis is an inflammation of the epididymis. The causes of the disease include the penetration of infection from the urinary tract, as well as previous diseases such as urethritis, prostatitis, mumps, tuberculosis.
- Testicular trauma. A closed testicular trauma can occur from a fall, a blow, or while riding a bicycle. The pain is accompanied by swelling of the scrotum and a change in its color to blue-red. With minor injuries, the hematoma usually disappears in two to three weeks. With significant and severe injuries, the testicle may shift into the inguinal canal, under the skin of the abdomen, etc.
- Testicular torsion. This pathology leads to disruption of the blood supply to the testicle and a decrease in its size if the victim is not provided assistance within about six hours. Testicular torsion is relatively rare and occurs if the surrounding tissues are poorly attached to the scrotum.
- An inguinal hernia can also be the cause of pain radiating to the right testicle.
- Varicocele is a swelling of the veins in the spermatic cord. It should be noted that the disease rarely affects the right side, but such a possibility exists.
- Hydrocele is a drop of the testicle. A serous fluid mass accumulates between the membranes of the testicle, which leads to its enlargement. When touched, the drop is felt as a compacted elastic formation. If it has a large diameter, it can cause discomfort during sexual intercourse and emptying the bladder.
- Spermatocele is a cystic formation in the scrotum. The seminal cyst is connected to the testicle and its appendage. Large cystic formations can cause discomfort when walking and moving, as well as during sexual intercourse due to their overflow with seminal fluid. If the cyst grows quickly, a feeling of squeezing in the scrotum may appear, as well as discomfort when sitting.
Symptoms of pain in the right testicle
Associated symptoms with pain in the right testicle:
- Discomfort when touching one or both testicles.
- Enlargement of the testicle.
- Changes in the structure and shape of the testicle.
- Pain in the scrotum.
- Nausea or vomiting, temperature reaction of the body.
- Formation of a bulge on the testicle.
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Aching pain in the right testicle
A pulling pain in the right testicle is a rather serious symptom that requires a mandatory visit to the doctor. Particularly alarming when a pulling pain in the testicle appears are symptoms such as fever, nausea, and increased pain when palpating the testicles. A pulling pain in the right testicle can be a concern with an inguinal hernia, testicular torsion, as well as with diseases such as prostatitis, orchitis, epididymitis, and ureaplasmosis. A comprehensive examination is necessary to differentiate the symptoms. Often, pain in the right testicle is provoked by minor injuries that occur repeatedly, for example, when playing sports or riding a bicycle. A pulling pain in the right testicle can also occur with prolonged sexual abstinence.
Aching pain in the right testicle
Aching pain in the right testicle feels quite similar to nagging pain and is provoked in most cases by the same factors. Quite often, discomfort and pain arise due to injury to the scrotum, which in turn can lead to the formation of hydrocele. Aching pain can be caused by epididymitis, accompanied by the development of an inflammatory process in the epididymis. Most often, such a disorder occurs under the influence of bacterial infections. Aching pain can be caused by testicular torsion. The exact causes of this phenomenon have not been fully studied. Aching pain can also occur with inflammation of the testicle. Aching pain in the testicles can be provoked by the development of chronic prostatitis, as well as long-term abstinence from sexual intercourse.
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Severe pain in the right testicle
Severe pain in the right testicle may occur with such a disorder as testicular torsion. In this case, emergency medical care is required, since the testicle may die due to circulatory problems due to torsion. Severe pain in the right testicle is typical for such a disease as epididymitis. Associated symptoms may include problems with urination and an increase in body temperature. It should be noted that severe pain that occurs with the development of an inflammatory process in the testicles can radiate to the groin, lumbar region, buttocks, and spread to the inner thighs.
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Sharp pain in the right testicle
Sharp pain in the right testicle may occur with a scrotal injury, testicular torsion, infectious and inflammatory diseases affecting the genitourinary system. With an injury to the groin area, sharp pain in the right testicle can be so intense that it can lead to shock and loss of consciousness. In this case, the patient needs emergency medical care. Inflammatory diseases that cause sharp pain in the right testicle require timely and immediate treatment by an experienced specialist.
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Who to contact?
How to recognize pain in the right testicle?
Diagnosis of pain in the right testicle involves palpation of the scrotum, rectal examination, blood and urine tests. If necessary, a secretory examination of the prostate gland is performed, a microscopic analysis of the poppy from the urethra is carried out, a polydimensional chain reaction is studied, and a bacteriological examination is prescribed. When diagnosing pain in the right testicle, a spermogram and stool analysis can be prescribed. A necessary procedure for diagnosing pain in the right testicle is an ultrasound examination. In most cases, with the help of ultrasound, it is possible to establish the causes of chronic pain in the right testicle. If a cyst is suspected, a diaphanoscopy is performed - transillumination of tissues with a beam of light.
What to do if your right testicle hurts?
Treatment of pain in the right testicle in acute orchitis is usually conservative. The patient is prescribed rest, bed rest, the position of the testicle should be elevated, this can be done with a special bag for the scrotum, local cold treatment is possible for two to three days. If bacteria and leukocytes are present in the urine, the patient is prescribed antiseptics (Furagin, Biseptol), antibacterial agents. If the pathogen is not detected, broad-spectrum antibiotics of the cephalosporin and aminoglycoside groups are used. Four to five days after the temperature drops and the acute symptoms decrease, it is possible to apply warming compresses, do electrophoresis, and conduct UHF procedures, which improve microcirculation at the site of exposure to the magnetic field. As a result, healing occurs faster, the inflammatory process decreases, and the intensity of the pain syndrome decreases. In severe cases, the patient may be prescribed surgery. If the disease is chronic, physiotherapy methods are mainly used for treatment, UV irradiation is carried out, and paraffin applications are made. In case of frequent exacerbations, surgical intervention is indicated. With timely and correct treatment of acute orchitis, the prognosis for the outcome of the disease is usually favorable. In case of chronic inflammation, especially when both sides are affected, there is a negative impact on the reproductive function.
How to prevent pain in the right testicle?
Prevention of pain in the right testicle consists of timely treatment of chronic inflammations of the genitourinary system, primarily such as urethritis and prostatitis. If you suspect inflammation of the epididymis, as well as in case of injuries to the groin area, you should immediately contact a urologist.