[34M] Experiencing moderate to severe testicular discomfort

What might be happening

Based on the information you've provided, possible diagnoses include:

• Epididymitis: This is inflammation of the epididymis, the tube at the back of the testicle that carries sperm. It's often caused by a bacterial infection, including sexually transmitted infections (STIs), such as gonorrhea or chlamydia. However, you mentioned no new sexual partners, which makes this less likely. Epididymitis typically causes pain and swelling in one or both testicles, but you've reported no swelling.

  • Treatment usually involves antibiotics, pain relievers, and rest.

• Testicular Torsion: This is a serious condition caused by the spermatic cord to the testicle becoming twisted, cutting off the blood supply. It typically causes sudden, severe testicular pain and swelling, and is a medical emergency. However, you've reported a gradual onset of pain and no swelling, which makes this less likely.

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

• Orchitis: This is inflammation of one or both testicles, often caused by a bacterial or viral infection, such as the mumps virus. It typically causes testicular pain, swelling, and sometimes fever and nausea, but you've reported no swelling or other symptoms, which makes this less likely.

  • Treatment usually involves antibiotics (if bacterial), pain relievers, and rest.

• Testicular Cancer: While this is a serious condition, it's also relatively rare and typically causes a lump in the testicle rather than pain. However, any persistent testicular pain should be evaluated by a healthcare provider to rule out this condition.

  • Treatment involves surgery, radiation therapy, and/or chemotherapy, depending on the type and stage of the cancer.

What you can do

Given the severity and persistence of your symptoms, it's important to seek medical attention as soon as possible. While waiting for your appointment:

1. Try to rest and elevate your scrotum when possible.
2. Over-the-counter pain relievers, such as Tylenol, can help manage your pain.
3. Avoid any activities that may exacerbate your symptoms, such as heavy lifting or strenuous exercise.

What you should look out for

Please seek immediate medical attention if you experience:

• Sudden, severe testicular pain
• Testicular swelling
• Blood in your semen
• A lump in your testicle
• Fever
• Nausea or vomiting

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.