[34M] Experiencing chronic pelvic and testicular pain with swelling

What might be happening

Based on the information you've provided, here are a few possibilities:

• Prostatitis: This is inflammation or infection of the prostate gland that can cause pain in the lower back, groin, and pelvic area. It can also cause painful or difficult urination.

  • Treatment typically involves antibiotics, pain relievers, and other medications to reduce symptoms.

• Epididymitis: This is inflammation of the epididymis, the tube located at the back of the testicles. It can cause pain and swelling in the testicles.

  • Treatment typically involves antibiotics and pain relievers.

• Testicular torsion: This is a medical emergency that occurs when the spermatic cord, which provides blood flow to the testicle, rotates and becomes twisted. This cuts off the testicle's blood supply and causes sudden, severe pain and swelling.

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

• Hernia: This is a condition in which part of an organ is displaced and protrudes through the wall of the cavity containing it. In your case, it could be an inguinal hernia, which occurs when part of your intestine protrudes through a weak spot in your abdominal muscles. This can cause pain and swelling around the testicles.

  • Treatment typically involves surgery to repair the hernia.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention as soon as possible. If you're experiencing severe pain, go to the emergency room. If the pain is manageable, make an appointment with your primary care physician or a urologist. They can perform a physical examination and order tests, such as blood tests, urine tests, and imaging studies, to determine the cause of your symptoms.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

• Severe or worsening pain
• Blood in your urine
• High fever
• Nausea or vomiting
• Difficulty urinating or complete inability to urinate

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.