[28M] With severe intermittent left testicular pain

What might be happening

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

• Intermittent Testicular Torsion: This condition occurs when the testicle twists on the spermatic cord, cutting off its blood supply. It can cause severe pain that comes and goes. Although your symptoms have been ongoing for a while, intermittent torsion can sometimes resolve on its own temporarily. This condition is serious and requires immediate medical attention to prevent permanent damage.

  • Treatment typically involves surgical intervention to untwist the testicle and secure it to prevent future torsion.

• 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 and sometimes lead to fertility issues. Varicoceles are more common on the left side and can cause discomfort that comes and goes.

  • Treatment may include wearing supportive underwear or, in some cases, surgical intervention.

• Chronic Epididymitis: Unlike acute epididymitis, chronic epididymitis can cause long-term pain and discomfort without the typical signs of infection like swelling or redness. It may be due to irritation or inflammation rather than infection.

  • Treatment often involves pain management and addressing any underlying causes.

What you can do

While it's important to consult a healthcare professional for a proper diagnosis, here are some steps you can take in the meantime:

1. Pain Management: Consider using over-the-counter pain relievers like ibuprofen or acetaminophen to help manage the discomfort.
2. Supportive Underwear: Wearing supportive underwear or an athletic supporter can help alleviate some of the discomfort by providing additional support.
3. Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and gain insights. This information can be valuable for your healthcare provider.
4. Avoid Strain: Try to avoid activities that may exacerbate the pain, such as heavy lifting or strenuous exercise.

What you should look out for

Seek medical attention promptly if you experience any of the following:

• Sudden, severe testicular pain that doesn't improve
• Swelling or redness in the testicular area
• Fever or chills
• Changes in urination or unusual discharge

Remember, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to ask.