[18M] Experiencing testicular discomfort

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

• Varicocele: This is a swelling of the veins that drain the testicle. It's similar to a varicose vein you might see in your leg. Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility. However, not all varicoceles affect sperm production, and many men with varicoceles are able to father a child. They can also cause testicles to fail to develop normally or shrink.

  • Treatment might not be necessary unless you are experiencing pain or fertility issues. If you do require treatment, it can often be done surgically.

• Epididymitis: This is an inflammation of the epididymis, the coiled tube at the back of the testicle that stores and carries sperm. It's most often caused by a bacterial infection, including sexually transmitted bacterial infections, such as gonorrhea or chlamydia.

  • Treatment typically involves antibiotics, pain relievers, and anti-inflammatory medications.

• Testicular torsion: This is a serious emergency in which the testicle becomes twisted in the scrotum and loses its blood supply. It's most common in adolescent boys, but it can occur at any age.

  • Treatment involves immediate surgery to untwist the testicle and restore blood flow.

What you can do

You should seek immediate medical attention. A healthcare provider can perform a physical examination and possibly order an ultrasound to determine the cause of your symptoms. In the meantime, continue to wear supportive underwear, as you mentioned that it helps to alleviate your pain.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

• Sudden, severe testicular pain
• Testicular pain accompanied by nausea, vomiting, fever, or blood in your urine
• Swelling or redness of your scrotum

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.