Symptoms A-Z

Spontaneous Testicle Pain Symptoms, Causes & Common Questions

Understand your spontaneous testicle pain symptoms, including 9 causes and common questions.

This symptom can also be referred to as: testicle hurts for no reason

An image depicting a person suffering from spontaneous testicle pain symptoms

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Contents

  1. 9 Possible Spontaneous Testicle Pain Causes
  2. Questions Your Doctor May Ask
  3. Statistics

9 Possible Spontaneous Testicle Pain Causes

The list below shows results from the use of our quiz by Buoy users who experienced spontaneous testicle pain. 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 urinary tract or prostate infection, or by trauma due to injury or heavy lifting.

Symptoms include redness, swelling, and pain in the testicle; pain on urination or ejaculation; discharge from the penis; and blood in the semen.

Men having unprotected sex are at the highest risk for developing this condition. Treatment involves antibiotics as well as rest, cold packs to the testicles, wearing an athletic supporter, and refraining from lifting and sexual intercourse until the infection is gone.

Rarity: Common

Top Symptoms: nausea, fever, chills, pain in one testicle, vomiting

Urgency: In-person visit

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 testicle. Testicular torsion can occur spontaneously, after several hours of exercise, or after an event such as trauma to the scrotum.

Symptoms include.

Treatments include manual de-torsion, which is a temporary fix, and necessary emergency surgery in order to salvage the affected testicle.

Rarity: Rare

Top Symptoms: testicle pain, nausea, pain in one testicle, vomiting, testicular swelling

Symptoms that always occur with testicular torsion: testicle pain

Urgency: Hospital emergency room

Chlamydia (male)

Chlamydia in men is one of the most common sexually transmitted diseases, or STDs. The disease is caused by the Chlamydia trachomatis bacteria.

A man can get chlamydia through having vaginal, anal, or oral sex with an infected partner, either male or female.

Symptoms of chlamydia in men include discharge from the penis; burning sensation on urination; and sometimes pain and swelling in the testicles. The disease can spread to the rectum and cause rectal pain, bleeding, and discharge. It may affect the eyes and cause bacterial conjunctivitis.

It is important to get treatment for these symptoms, as chlamydia in men can lead to sterility. It also leaves a person more susceptible to contracting HIV.

Diagnosis is made through urine test and/or a swab from the end of the penis.

Treatment involves a course of antibiotics, usually by mouth, to kill the bacteria. Be sure to finish all of the medication as directed.

It is possible to be re-infected with chlamydia even after having the disease, so it still very important to practice safe sex.

Rarity: Rare

Top Symptoms: testicle pain, sudden urgency to urinate, painful urination, frequent urination, fluid leaking

Urgency: Primary care doctor

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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

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 of the last six months.

Chronic prostatitis can be caused by bacteria (chronic bacterial prostatitis) or inflammation without evidence of a bacterial infection (chronic nonbacterial prostatitis or chronic pelvic pain syndrome).

Symptoms include pain on urination, more frequent urination or urgency, difficulty urinating, pain in the pelvis or with sexual activity, erectile dysfunction, as well as low-grade fever and depression.

Treatment options include antibiotics and other medication, physical activity and physical therapy, psychological support, and surgery.

Rarity: Common

Top Symptoms: urinary changes, painful urination, testicle pain, frequent urination, penis pain

Urgency: Primary care doctor

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), cloudy urine (pyuria), feeling the urge to urinate, needing to urinate more frequently, blood in the urine (hematuria), inability to control the bladder or pain in the lower abdomen. Infections of the upper urinary tract may cause fever and chills, nausea and vomiting, and flank pain.

Treatment includes antibiotic medications, pain medications, and intravenous fluids.

Rarity: Common

Top Symptoms: abdominal cramps (stomach cramps), pelvis pain, sudden urgency to urinate, signs of urinary tract inflammation, urinary changes

Symptoms that always occur with urinary tract infection: signs of urinary tract inflammation

Urgency: Phone call or in-person visit

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

Questions Your Doctor May Ask About Spontaneous Testicle Pain

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

  • Are you sexually active?
  • Do you notice anything going on with your testicles or scrotum?
  • Do you feel pain when you urinate?
  • 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 why you're having spontaneous testicle pain

Spontaneous Testicle Pain Symptom Checker Statistics

People who have experienced spontaneous testicle pain have also experienced:

  • 5% Pain In The Lower Right Abdomen
  • 5% Penis Pain
  • 4% Lower Back Pain

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

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

People who have experienced spontaneous testicle pain 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”).

Spontaneous Testicle Pain Symptom Checker

Take a quiz to find out why you're having spontaneous testicle pain