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The most common causes include epididymitis (inflammation of the epididymis, usually from bacterial infection), orchitis (inflammation of the testicle, often from infection), trauma, inguinal hernia, and referred pain from kidney stones or the lower back. Testicular torsion is a surgical emergency that causes sudden, severe pain and requires immediate in-person care.

Diagnosis typically involves a medical history review, physical examination, urine analysis, urethral swab testing for sexually transmitted infections, and scrotal ultrasound to assess blood flow and rule out torsion or masses. A physician can guide you on which tests are appropriate based on your symptoms.

You should seek emergency care immediately if you experience sudden, severe testicular pain, especially if accompanied by nausea, vomiting, or swelling. These symptoms may indicate testicular torsion, which requires surgery within hours to preserve the testicle. Doctronic is not a substitute for emergency evaluation in these situations.

Yes. Infections such as chlamydia and gonorrhea are leading causes of epididymitis in sexually active men under 35. These infections spread from the urethra or bladder to the epididymis and can cause significant pain, swelling, and discharge. Antibiotic treatment is necessary and partners may also need evaluation.

Epididymitis caused by sexually transmitted infections is typically treated with a course of doxycycline, sometimes combined with another antibiotic. Cases caused by enteric bacteria are often treated with levofloxacin or ciprofloxacin. Rest, scrotal support, and anti-inflammatory medications like ibuprofen help relieve symptoms during recovery.

Yes, recurrent epididymitis or orchitis can occur, particularly with repeated exposure to sexually transmitted infections or an underlying urological abnormality. Chronic testicular pain, lasting more than three months, may require further evaluation by a urologist to identify and treat the underlying cause.

When you describe your symptoms, Doctronic's AI performs an initial clinical evaluation and collects your relevant health history. A licensed physician then reviews your case, determines the likely cause, and creates a personalized treatment plan that may include a prescription if appropriate. All care is doctor-reviewed and HIPAA-compliant.

Yes. Doctronic is available to adults 18 and older in any U.S. state. Our network of licensed physicians can evaluate and treat testicular pain and related conditions regardless of where you are located.