Symptoms A-Z

Pain in One Testicle Symptoms, Causes & Common Questions

Pain in one testicle can be rare and serious if not treated promptly. The pain can reside in either the right or left testicle and be associated with testicular swelling, lower abdomen pain, and burning when urinating. Sharp pain in one testicle can be caused by testicular torsion, an injury to the groin, a bacterial infection, or prostatitis. Read below for more causes and treatment options.

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Pain in One Testicle Symptoms Explained

Experiencing an injury to or inflammation in just one testicle is not necessarily unusual, but is something that should be treated by a medical provider as soon as possible. Most of the possible related conditions heal readily, although some can cause permanent damage and loss of fertility if treatment does not begin right away.

Inflammation of one testicle is also called unilateral (one-sided) testicular pain or unilateral orchitis.

Common characteristics of pain in one testicle

If you're experiencing pain in one testicle, it can likely be described by:

  • Sudden, severe pain in one testicle
  • Dull pain that may radiate from, or into, your lower abdomen
  • Swelling, redness, and soreness of your scrotum and testicle
  • Unusual positioning: The testicle may seem to be hanging or lying in an unusual position, or placed higher than normal within your scrotum.

Common accompanying symptoms of pain in one testicle

If you're experiencing pain in one testicle, it's also likely to experience:

Who is most often affected by pain in one testicle?

The following individuals are more likely to experience symptoms of pain in one testicle.

  • Male infants less than one year of age
  • Teenage boys/young men
  • Sexually active men
  • It's possible for any male to be affected: Especially those having unprotected anal or vaginal sex.

When is pain in one testicle most likely to occur?

Pain is more likely just before and during sexual activity, after ejaculation, and during and/or after exercise. You may experience pain when awake, asleep, standing, sitting, or moving.

Is pain in one testicle serious?

The severity of pain in one testicle is ultimately dependent on the cause.

  • Not serious: Mild pain and swelling that may occur after something like a long horseback or bicycle ride, and presents no other symptoms, is probably not serious.
  • Moderately serious: Testicular pain along with burning on urination is most likely due to a urinary tract infection or a sexually transmitted disease.
  • Serious: Sudden, severe pain in one testicle is very serious and must be treated immediately.

What Can Cause Testicle Pain?

Many conditions can have pain in one testicle as a symptom. The most common are those involving twisting of the testicle within the scrotum; injuries from accidents or sports; and sexually transmitted diseases.

Most common cause types

The most common causes of pain in one testicle include the following.

  • Torsion: This is a twisting of your spermatic cord (the testicular blood supply). Testicular torsion occurs most often on the left side and rarely affects both sides at once.
  • Testicular appendage torsion: This is the twisting of a small piece of vestigial tissue that lies across the top of your testicle, inside your scrotum. The symptoms are similar to actual torsion but not as severe. One side of your testicle will be sore to the touch with a small, hard lump at the top. This rarely happens after age 18, and usually resolves on its own.
  • Trauma/injury due to accident, sports injury, riding a horse or bicycle, hematoma, contusion, or rupture of testicle: An injury can lead to torsion.

Less common cause types

Less common causes of pain in one testicle includes the following.

  • Bacterial infections: These are usually from sexually transmitted diseases, or from infection with E. coli bacteria. E. coli is a normal inhabitant of your colon and is found in feces.
  • Prostatitis: This is inflammation of your prostate and usually spreads to other parts of the urinary and reproductive system, causing pain and discomfort throughout.
  • Scarring of the epididymis: The epididymis is the long-coiled tube which carries semen and can be damaged after chronic inflammation, especially from prostatitis or sexually transmitted disease.
  • Viral infections: Mumps, chickenpox, and other viral infections can affect the testicles.
  • Kidney stones: If a stone travels down the ureter, it can cause severe pain in the testicle.
  • Testicular abscess: This is a pocket of infection, usually from an injury with a break in the skin.

Rare and unusual pain in one testicle causes

The following, although possible, are the least likely to cause pain in one testicle.

  • Torsion that has no apparent cause: However, it may follow an injury to the testicle.
  • Congenital abnormality: Being born with a congenital condition that causes the testicles to move freely within the scrotum, instead of being anchored down. This can lead to torsion.
  • Inguinal hernia: An inguinal hernia is when a loop of small intestine protrudes into the scrotum.
  • Post-vasectomy pain: This is from granulated or coarsely healing tissue that may form at the site of the surgery and cause pain months or years later.
  • Sexual arousal without release: This can cause pain in one or both testicles, particularly in young men.
  • Tumor within the scrotum: Pain and swelling will be gradual in onset.

10 Possible Pain In One Testicle Conditions

The list below shows results from the use of our quiz by Buoy users who experienced pain in one testicle. This list does not constitute medical advice and may not accurately represent what you have.

Epididymitis

Epididymitis is an inflammation of one or both of the tubes of the epididymis, a coiled tube which stores sperm inside each testicle. It is caused by a bacterial infection, most often from sexually transmitted diseases (STDs) such as chlamydia and gonorrhea. Epididymitis can also be caused by a urina...

Intermittent testicular torsion

Intermittent testicular torsion is also called ITT or chronic testicular torsion. Torsion refers to an abnormal twisting of the spermatic cord, which runs from each testicle up into the abdomen and carries blood vessels, nerves, and sperm-transporting ducts.

In intermittent cases, the testicle becomes untwisted on its own and the symptoms spontaneously resolve. The condition nearly always returns, however, and may continue to come and go.

The cause is believed to be a congenital abnormality that leaves the testicle insufficiently anchored within the scrotum.

Symptoms include sudden, severe groin and testicular pain with nausea and vomiting, followed by spontaneous relief of symptoms even without treatment.

Eventually, testicular torsion can result in loss of circulation followed by tissue death and loss of the testicle. Any type of testicular torsion is a medical emergency. Take the patient to the emergency room or call 9-1-1.

Diagnosis is made through physical examination and sometimes ultrasound.

Treatment involves emergency surgery to untwist the spermatic cord and anchor the testicle in its proper place within the scrotum.

Rarity: Rare

Top Symptoms: nausea, testicle pain that comes and goes, vomiting, pain in one testicle, testicular swelling

Symptoms that always occur with intermittent testicular torsion: testicle pain that comes and goes

Urgency: Primary care doctor

Testicular torsion

In torsion, the testicle is inadequately attached to the scrotum, allowing it to rotate freely within. This can lead to twisting of the testicle about the blood vessels to which it is connected, cutting off blood flow and leading to severe pain and the eventual death of the testicl...

Groin nerve irritation

There are several nerves supplying the groin, inner thigh and genital region. Entrapment or irritation of one of these nerves can result in pain or numbness in this area. This is often caused by surgery in this area but can happen without a specific cause as well.

Rarity: Rare

Top Symptoms: thigh numbness, groin numbness, testicle numbness, sharp testicle or scrotum pain, sharp groin pain

Urgency: Primary care doctor

Chronic prostatitis

Chronic prostatitis is inflammation of the prostate gland, located between the bladder and penis, which produces fluid that nourishes and protects sperm. Chronic prostatitis is distinguished from acute prostatitis in that chronic prostatitis has caused symptoms for at least three...

Pain In One Testicle Symptom Checker

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Non-serious testicle injury

Being struck in the testicles is very common, and despite the intense pain that follows, rarely requires professional medical care.

Rarity: Rare

Top Symptoms: testicle pain from an injury, testicle injury

Symptoms that always occur with non-serious testicle injury: testicle injury

Urgency: Self-treatment

Groin hernia

A groin hernia, also called an inguinal hernia, means that a structure in the lower abdomen – a loop of intestine or a section of fat – has pushed through the muscles of the abdominal wall. This creates a bulge, or hernia, that can be seen and felt in the groin.

A hernia is caused by a weak spot in the abdominal wall muscles, which can separate under heavy lifting or repeated straining. The weakness may be inherited or may be from previous surgery, injury, or pregnancy.

Symptoms include a bulge low down in the abdomen, most visible when the person stands; and pain in the bulge with any strain on the abdominal muscles, such as lifting a heavy object or bending over.

A hernia will not heal on its own. There is the risk of serious complications if the blood supply to the herniated organ becomes reduced or cut off.

Diagnosis is made through physical examination and x-ray or CT scan.

A small hernia may need no treatment. A larger one can be repaired with surgery.

Rarity: Uncommon

Top Symptoms: pain in the lower right abdomen, pain in the lower left abdomen, groin pain, testicle pain, groin lump

Urgency: Primary care doctor

Urinary tract infection

A urinary tract infection is an infection of the urinary tract, which includes the kidneys, bladder, and urethra. Urinary tract infections are usually caused by infections by fecal bacteria.

Symptoms of urinary tract infections include pain with urination (dysuria), ...

Orchitis

Orchitis occurs when one or both testicles are inflamed. This is often caused by sexually transmitted infections like gonorrhea or chlamydia. More rarely, orchitis is caused by a virus.

Rarity: Rare

Top Symptoms: spontaneous testicle pain, fever, tender testicular swelling, muscle aches, new headache

Urgency: Primary care doctor

Painful bladder syndrome (interstitial cystitis)

Painful bladder syndrome, also called interstitial cystitis or IC, is a chronic condition of pain and discomfort in the urinary system.

The cause is unknown. It may be an autoimmune disorder and is often found with fibromyalgia, irritable bowel syndrome, chronic fatigue syndrome, or vulvodynia (pain in the outer female organs.) Some researchers feel the condition may be linked to a history of abuse.

Painful bladder syndrome is more common in women than in men, but can happen to anyone.

Symptoms vary and may include pressure and discomfort in the lower abdomen; pain during sexual intercourse; bladder pain; and a frequent urge to urinate.

A medical provider should be seen for these symptoms, because painful bladder syndrome can interfere with quality of life and lead to depression.

Diagnosis is made through patient history; physical examination; blood and urine tests; and sometimes cystoscopy. Women may have a pelvic examination and men may have a digital rectal examination.

There is no cure specifically for painful bladder syndrome, so treatment involves addressing the symptoms and making lifestyle changes.

Rarity: Rare

Top Symptoms: fatigue, abdominal cramps (stomach cramps), depressed mood, pelvis pain, arthralgias or myalgias

Urgency: Primary care doctor

Possible Treatments for Your Scrotum Pain

When pain in one testicle is an emergency

Seek immediate treatment in the emergency room or call 911 if you have sudden, severe pain and obvious swelling in one testicle, especially with no apparent cause. This is usually due to torsion and treatment must begin within two to four hours at most, or there can be loss of blood supply. Surgery is usually necessary, either to save the testicle or to remove it in order to prevent gangrene.

When to see a doctor for pain in one testicle

You should schedule an appointment for:

  • Dull pain in the testicle that comes on gradually: It may radiate down from, or up into, the lower abdomen.
  • Pain in the testicle along with fever, chills, and burning with urination

At-home treatments for pain in one testicle

To address mild or temporary pain in one testicle, try the following.

  • Rest
  • Ice packs: For short periods of time
  • Over-the-counter non-steroidal anti-inflammatory drugs to ease pain

Questions Your Doctor May Ask About Pain In One Testicle

To diagnose this condition, your doctor would likely ask the following questions:

  • Do you feel pain when you urinate?
  • Are you sexually active?
  • Do you notice anything going on with your testicles or scrotum?
  • Have you experienced any nausea?

The above questions are also covered by our A.I. Health Assistant.

If you've answered yes to one or more of these questions

Take a quiz to find out what might be causing your pain in one testicle

Pain In One Testicle Symptom Checker Statistics

People who have experienced pain in one testicle have also experienced:

  • 8% Abdominal Pain (Stomach Ache)
  • 8% Pain In The Lower Right Abdomen
  • 7% Pain In The Lower Left Abdomen

People who have experienced pain in one testicle were most often matched with:

  • 40% Testicular Torsion
  • 33% Epididymitis
  • 26% Intermittent Testicular Torsion

People who have experienced pain in one testicle had symptoms persist for:

  • 33% Less than a week
  • 27% Less than a day
  • 20% Over a month

Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

Pain In One Testicle Symptom Checker

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Disclaimer: The article does not replace an evaluation by a physician. Information on this page is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes.