[19M] With persistent testicular pain and cyst

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

1. Epididymal Cyst (Spermatocele): This is a fluid-filled sac that can develop in the epididymis, which is the tube that carries sperm from the testicle. While these cysts are usually painless, they can sometimes cause discomfort or a feeling of heaviness, especially if they are large or if there is pressure on surrounding structures. Treatment is often not necessary unless the cyst is causing significant discomfort, in which case surgical removal might be considered.

2. Testicular Torsion: Although less likely given the duration of your symptoms, testicular torsion is a condition where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This is a medical emergency and typically presents with sudden, severe pain. However, intermittent torsion can cause recurrent pain and should be ruled out by a healthcare provider.

3. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It can cause a dull, aching pain, especially after physical activity or standing for long periods. Varicoceles can sometimes affect testicular position and are more common on the left side.

4. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause pain and a noticeable bulge in the groin or scrotum, and the pain may worsen with activity.

5. Chronic Epididymitis: This is inflammation of the epididymis that can cause persistent pain and discomfort. It may be due to infection, trauma, or other causes. Treatment typically involves antibiotics if an infection is present, along with pain management strategies.

What you can do

While it's important to follow up with your healthcare provider for a thorough evaluation, here are some steps you can take to manage your symptoms:

1. Pain Management: Continue using over-the-counter pain relievers as needed, but follow the recommended dosage. Applying a cold pack to the area may also help reduce pain and swelling.

2. Supportive Underwear: Continue experimenting with different types of supportive underwear to find what works best for you. This can help alleviate discomfort by providing additional support.

3. Activity Modification: Avoid activities that exacerbate your pain, such as running or prolonged sitting, especially while driving. Consider taking breaks to stand and stretch if you must sit for long periods.

4. Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and note any activities or factors that seem to worsen or improve your condition. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Sudden, severe testicular pain, which could indicate testicular torsion.
• Swelling, redness, or warmth in the scrotum, which could suggest an infection.
• Fever or chills, which may indicate an underlying infection.
• Any noticeable changes in the size or shape of your testicles.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.