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Learn about your testicular swelling, including causes, treatment options and remedies. Or get a personalized analysis of your testicular swelling from our A.I. health assistant. At Buoy, we build tools that help you know what’s wrong right now and how to get the right care.

Testicular Swelling Checker

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Your Testicular Swelling May Also be Known as:
Ball feels puffy
Ball feels swollen
Ball is puffy
Ball is swollen
Ball puffiness
Ball swelling
Genital puffiness
Puffy ball
Puffy genital
Puffy genitals

Testicular Swelling Symptoms

The testicles may seem to be somewhat vulnerable, yet their location also allows any problem to be quickly noted and readily treated.

It is important to have any testicular swelling symptoms treated right away in order to prevent possible loss of fertility. The medical provider will be glad to treat you, or to refer you to someone who can. Testicular swelling is also called scrotal swelling.

Characteristics:

Who is most often affected by testicular swelling symptoms?

Testicular swelling happens most often to men who:

  • Are uncircumcised.
  • Have unprotected sex.
  • Have contracted a sexually transmitted disease.
  • Have another bacterial illness that migrates to the reproductive tract.
  • Have an enlarged or inflamed prostate.
  • Have a chronic cough or chronic constipation, with subsequent straining.
  • Are overweight or obese.
  • Have recently had a groin injury, urinary tract surgery, or a vasectomy.
  • Regularly use a urinary catheter.
  • Were born prematurely and/or with abnormalities of the urinary or reproductive tract. Fluid around the testes is most common in infants but can occur in adult men as well.

Are testicular swelling symptoms serious?

  • Mild swelling following a minor injury should clear up in just a few days.
  • Larger swelling in a testicle, along with pain, fever, and sometimes abnormal discharge, can lead to scar tissue and loss of fertility if not treated.
  • Sudden severe pain and swelling in a testicle will result in loss of fertility if not immediately treated.

Testicular Swelling Causes Overview

Many conditions can have testicular swelling as a symptom. The most common are those involving trauma, disease, and structural abnormalities of the urinary and reproductive tracts, as well as tumors.

Most common testicular swelling cause types:

  • Swelling is normal in any part of the body following a direct hit, especially while doing something like playing sports, falling down, or being involved in a car accident.
  • Diseases:

    • Acute inflammation of one or both testes, from either bacteria or virus.
    • Inflammation of the epididymis, usually in men under 35. Usually from a bacterial sexually transmitted disease, but a urinary tract infection or an infected prostate gland can spread bacteria to the testicles.
    • Superficial inflammation or infection of just the scrotal skin.

Less common testicular swelling cause types:

  • Torsion, which is twisting of the testicle on its spermatic cord (the blood supply.)
  • Accumulation of fluid in a sac that forms around the testicle. This usually occurs in infants but can happen in adult men as well.
  • With an inguinal hernia, a loop of intestine pushes through a weak spot in the tissue that lines the abdominal wall. The loop drops down into the scrotum, creating pain and what looks like a large swelling.
  • If the veins on and within the scrotum become enlarged, this will interfere with blood supply and can affect fertility.

Allergy:

  • Contact allergy from something that has directly touched the skin, such as soap, lotions, irritating plants, or an insect bite.
  • Systemic allergy from something you have eaten or medications you have taken.

Edema, or fluid retention:

  • Congestive heart failure, which can lead to system-wide edema.

Rare and unusual testicular swelling cause types:

  • Rare parasitic worms which can migrate into the scrotum, especially in third-world countries.
  • Tumor or other abnormal growths, either benign or malignant.

Top 9 Testicular Swelling Causes

  1. 1.Epididymitis

    Epididymitis is swelling (inflammation) of the epididymis, a tube that sits on top of the testicle and is involved in making sperm. Most cases of inflammation are due to an infection.

    You should visit your primary care physician within the next 24 hours in order to find out the cause of the infection. If the cause is bacterial, which is common in this condition, antibiotics are prescribed.

    Rarity:
    Common
    Top Symptoms:
    nausea, fever, chills, vomiting, pain in one testicle
    Urgency:
    In-person visit
  2. 2.Chlamydia (Male)

    Chlamydia is a common bacterial infection that is spread by sexual contact. It can often be carried without symptoms, but can have serious health effects if left untreated.

    You should visit a physician to confirm the diagnosis and begin an antibiotic regiment immediately.

    Rarity:
    Common
    Top Symptoms:
    painful urination, sudden urgency to urinate, testicle pain, fluid leaking, frequent urination
    Urgency:
    Primary care doctor
  3. 3.Chlamydia (Male)

    Chlamydia is a common bacterial infection that is spread by sexual contact. It can often be carried without symptoms, but can have serious health effects if left untreated.

    You should visit a physician to confirm the diagnosis and begin an antibiotic regiment immediately.

    Rarity:
    Uncommon
    Top Symptoms:
    testicle pain, sudden urgency to urinate, painful urination, frequent urination, fluid leaking
    Urgency:
    Primary care doctor
  4. 4.Intermittent Testicular Torsion

    Testicular torsion occurs when the testicle rotates which cuts off the testicle's blood supply. This causes severe pain and swelling. In the case of intermittent testicular torsion, the testicle de-rotates itself and symptoms resolve.

    Intermittent testicular torsion resolves itself; however, it is likely to happen again and could be more severe. Talk with your doctor about an elective surgery than can permanently fix this problem.

    Rarity:
    Rare
    Top Symptoms:
    nausea, vomiting, testicle pain that comes and goes, 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 Swelling Checker

    Take a quiz to find out why you’re having testicular swelling.

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  5. 5.Chlamydia (Male)

    Chlamydia is a common bacterial infection that is spread by sexual contact. It can often be carried without symptoms, but can have serious health effects if left untreated.

    You should visit a physician to confirm the diagnosis and begin an antibiotic regimen immediately.

    Rarity:
    Rare
    Top Symptoms:
    sudden urgency to urinate, testicle pain, frequent urination, painful urination, testicular swelling
    Urgency:
    Primary care doctor
  6. 6.Chlamydia (Male)

    Chlamydia is a common bacterial infection that is spread by sexual contact. It can often be carried without symptoms, but can have serious health effects if left untreated.

    You should visit a physician to confirm the diagnosis and begin an antibiotic regiment immediately.

    Rarity:
    Rare
    Top Symptoms:
    testicle pain, sudden urgency to urinate, painful urination, frequent urination, fluid leaking
    Urgency:
    Primary care doctor
  7. 7.Testicular Torsion

    Testicular torsion occurs when the testicle rotates which cuts off the testicle's blood supply. This causes severe pain and swelling.

    Testicular torsion is likely to require emergency surgery. You should go to the nearest ER.

    Rarity:
    Rare
    Top Symptoms:
    nausea, vomiting, testicle pain, pain in one testicle, testicular swelling
    Symptoms that always occur with testicular torsion:
    testicle pain
    Urgency:
    Hospital emergency room
  8. 8.Gonococcal Urethritis

    Gonorrhea is a sexually transmitted infection (STI) caused by a germ (bacterium) called the gonococcus. This bacterium is spread by sexual contact, or through transmission during childbirth, and causes inflammation of the urethra, which is the tube that passes urine.

    You should go to a retail clinic to be treated. They may likely refer you to be tested for sexually transmitted infections. If gonorrhea is confirmed, prescription antibiotics will be used for treatment. Please make sure you have protected intercourse until you have been tested.

    Rarity:
    Uncommon
    Top Symptoms:
    painful urination, fluid leaking, redness at the tip of the penis, spontaneous testicle pain, testicular swelling
    Urgency:
    Primary care doctor
  9. 9.Gonococcal Urethritis

    Gonorrhea is a sexually transmitted infection (STI) caused by a germ (bacterium) called the gonococcus. This bacterium is spread by sexual contact, or through transmission during childbirth, and causes inflammation of the urethra, which is the tube that passes urine.

    You should visit your primary care physician or a retail clinic to get tested as soon as possible and discuss treatment options. Please make sure you have protected intercourse until you have been tested.

    Rarity:
    Rare
    Top Symptoms:
    painful urination, fluid leaking, redness at the tip of the penis, testicular swelling, spontaneous testicle pain
    Urgency:
    Primary care doctor

Testicular Swelling Treatments and Relief

Seek immediate treatment in the emergency room, or call 911, if you have sudden severe pain and swelling in one or both testicles, along with nausea and vomiting. This is considered a medical emergency because it can result in tissue death and loss of the testicles.

Schedule an appointment for:

  • Pain, swelling, and fever with burning on urination and abnormal discharge from the penis.

Testicular swelling remedies that you can try at home:

  • If the pain seems minor, you can use an ice pack to reduce swelling.
  • Take an over-the-counter pain reliever such as ibuprofen or other NSAIDs.
  • Wear an athletic supporter to help take the pressure off of the testicles.
  • Rest and avoid strenuous activities, especially lifting anything heavy.
  • Make lifestyle improvements in diet, exercise, and sleep.
  • Always use protection during sexual activity.

Questions Your Doctor May Ask About Testicular Swelling

  • Q.Is your testicle swelling constant or come-and-go?
  • Q.Any fever today or during the last week?
  • Q.Have you experienced any nausea?
  • Q.Are you currently sexually active?

If you've answered yes to one or more of these questions, check our testicular swelling symptom checker.

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Testicular Swelling Symptom Checker Statistics

  • People who have experienced testicular swelling have also experienced:

    • 11% Pain in One Testicle
    • 9% Testicle Pain
    • 4% Frequent Urination
  • People who have experienced testicular swelling had symptoms persist for:

    • 40% Less Than a Week
    • 24% Less Than a Day
    • 22% Over a Month
  • People who have experienced testicular swelling were most often matched with:

    • 54% Epididymitis
    • 3% Chlamydia (Male)
  • Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

Testicular Swelling Checker

Take a quiz to find out why you’re having testicular swelling.

Take a quiz