Testicular Pain Which Doctor To Consult
Testicular pain – When you start to feel constant mild pains in your testicular area, it’s time to consult a urologist. If something doesn’t feel right, you need to have it checked right away to prevent any serious conditions. The urologist can also give you remedies and treatments to alleviate the pain.
What happens if you stop ejaculating?
Sexual dysfunction – In other cases, medical conditions can prevent ejaculation. For example, nerve damage can cause delayed ejaculation, Males with delayed ejaculation experience difficulty or inability to ejaculate in a reasonable time. Anejaculation is where people are completely unable to ejaculate semen.
- People with this condition can still produce sperm and experience orgasms — however, they cannot ejaculate.
- Anejaculation has a range of triggers, from pelvic injuries to acquiring infections.
- The condition can lead to infertility without treatment.
- Retrograde ejaculation is where some or all of the sperm enters the bladder instead of out of the penis.
The condition can also lead to infertility, but further issues are unlikely. Retrograde ejaculation is sometimes due to side effects from certain medications, such as tamsulosin, It is a harmless condition but may cause concern in some people. The side effects of not ejaculating depend on the cause and the person.
- People who choose not to ejaculate are unlikely to experience harmful side effects.
- The body breaks down unused sperm, which does not build up to trigger further problems.
- Over time, not ejaculating can trigger psychological problems.
- For example, people with sexual dysfunctions that affect their ability to ejaculate may experience distress or embarrassment.
It can also lead to relationship problems. For example, partners may become frustrated with a person with sexual dysfunction. These psychological problems could lead to mental health conditions, such as depression or anxiety disorders. Not everyone needs treatment for not ejaculating.
- For example, people who practice edging choose to delay ejaculation.
- There are several treatments for people with sexual dysfunctions that prevent ejaculation, depending on their cause.
- Many triggers are psychological, and people may benefit from psychotherapy or counseling.
- These sessions may involve the individual alone or with their partner.
Other causes are physical. For example, people with an infection can experience anejaculation or retrograde ejaculation. In these cases, a doctor may prescribe antibiotics or antiviral medications. Some medications or drugs can also cause sexual dysfunction as a side effect.
- For example, antidepressant use or excessive alcohol consumption could cause delayed ejaculation.
- Changing medications and reducing alcohol consumption can help in these situations.
- In addition, certain medical procedures, such as prostate surgery, can lead to retrograde ejaculation.
- People who are unable to ejaculate due to sexual dysfunction should talk to a doctor about treatment.
Some may also benefit from sex therapy. Sex therapists use a variety of techniques to help people with sexual dysfunction, including psychotherapy and mindfulness. Other general tips that can help include:
avoiding excessive alcohol consumption before intercoursebeing aware of medication side effects, which may include sexual dysfunctiontalking to a partner about the problempracticing stress management techniquesseeking help from a professional for mental health problems
It is normal to have problems ejaculating from time to time. People who can ejaculate occasionally are unlikely to need medical treatment. Those who intentionally avoid ejaculation also do not need further healthcare. It is worth seeing a doctor if the problem is due to sexual dysfunction.
For example, people who regularly experience issues or are unable to ejaculate at all should consult a healthcare professional. Many causes of sexual dysfunction are psychological. Talking to a partner about these problems is one way to address these issues. A mental health professional can also help. Not ejaculating is rarely harmful, but it depends on the cause.
Some people choose not to ejaculate, such as those practicing edging. Others cannot ejaculate due to sexual dysfunction. People should see a doctor if they consistently experience issues with ejaculation. Healthcare professionals can discuss possible treatment options.
Does a urologist treat groin pain?
Why does my groin hurt? January 25, 2017 There are many causes of groin pain in men (as any episode of the Three Stooges can attest). Some are nothing to be concerned about, while others are a sign that you should see a urologist right away. One cause is very obvious – trauma to the scrotal area will cause groin pain.
- Any kind of muscle, tendon, or ligament injury can contribute to groin pain.
- We see this most commonly in our athletes.
- Sometimes back related injuries can cause something called sciatica which can radiate to the groin.
- In urology, most of the time groin pain is caused by testicular disorders, kidney stones, and prostate issues.
Several different testicular disorders can cause groin pain. Examples would be a hydrocele, which involves a fluid buildup around the testicles that causes scrotal swelling, or a varicocele, which is an enlargement of the scrotal veins which can lead to a “heavy” feeling in the scrotum and can radiate pain to the groin area.
Infections such as epididymitis (inflammation of the epididymis) and orchitis (inflammation of the testicle) can also contribute to groin pain. We also see many patient with inguinal hernias, in which soft tissue bulges through a weak point in the abdominal muscles. We typically refer these patients to a general surgeon for further evaluation.
Retractile testes, where the testicle retracts up into the abdominal cavity can cause some groin tenderness. Two severe causes of pain are testicular torsion, where the testicle twists itself and cuts off the blood supply, and testicular cancer. Both of these situations require immediate medical attention.
When kidney stones are in the upper ureter, they are known to cause upper back and abdominal pain. As they move down the ureter and become closer to the bladder, they can cause pain in the lower back, groin, and testicle. Kidney stones typically are very painful and have an acute onset of pain. If you think you have a kidney stone, please make an appointment to see us.
The prostate is a small gland that sits under the bladder in men. The urethra goes through the middle of the prostate. The prostate secretes fluid that protects the sperm in the vagina during conception. As men age, the prostate continues to secrete this fluid, but will also grow in size depending on genetics.
This is usually when we see men with a weak urine stream having to push and strain to urinate and complain of getting up frequently to urinate. The prostate, like any other gland, can become infected or inflamed. This is called prostatitis. Prostatitis can present with pain radiating to the groin. Sometimes men will also have other symptoms such as burning with urination, pain at the tip of the penis, and the feeling of sitting on a golf ball.
There are many scrotal and testicular issues that can cause groin pain. If you have been experiencing any of these symptoms see your physician. You can make an appointment online at Austin Urology Institute by clicking, : Why does my groin hurt?
Can a urologist help with groin pain?
Groin Pain and Injuries in Men Groin pain and injuries can be part of the territory for active males. But when unusual pain, swelling or injury affects the groin area, it could be necessary to seek medical attention. Board Certified Urologist Dr. Michael Schlesinger is experienced in diagnosing and treating testicular and scrotal conditions and pain such as epididymitis, infections and trauma.
- Read more about common groin pain and injuries in men below: By Chris Woolston, M.S.
- Men are always just one misstep away from groin pain.
- Even if they manage to avoid serious injury, some aches and pains just come with the territory.
- It’s important for a man to know which types of pain can be shrugged off and which require medical attention.
Pulled groin muscle (adductor strain) Groin injuries are common among athletes, especially soccer players. One common type of injury is a “pulled groin muscle,” which doctors would call an adductor strain. Soccer players may be at higher risk for adductor strains because of their constant stop-and-go movements and the long strides they take.
The pain may grow gradually, and you may not be able to point to the moment when the trouble started. Eventually, the muscle becomes very painful when it moves or is pressed against. When your groin muscle starts limiting your game, you should see a doctor. X-rays or ultrasounds may be needed to make sure you don’t have a fracture, tear, or more serious condition.
You’ll need to take at least several weeks off from sports to give your groin a chance to heal. Your doctor or physical therapist can suggest stretches and exercises to help strengthen the muscle and speed your recovery. In the meantime, rest and ice may help ease the pain.
Inguinal hernia If you notice a small bulge in your groin area, there’s a good chance you’re looking at an inguinal hernia, a common condition that occurs when part of an internal organ — usually the intestine — breaks through the abdominal wall and starts intruding into the space that holds the spermatic cord.
The bulge can also move into your scrotum (the skin pouch containing the testicles, below the penis). This is what doctors look for when they ask you to turn your head and cough during a checkup. Inguinal hernias can occur when there is a weakness in the abdominal wall or groin muscles.
- Some men are born with this weakness.
- In others it can develop over time due to excessive weight loss or gain, persistent coughing or sneezing, or straining while using the bathroom.
- This type of hernia usually doesn’t hurt much, although you might feel some pain when sneezing, coughing, or lifting.
- For some people, this pain is the only sign of trouble.
If the pain becomes severe — and if the bulge doesn’t disappear when you lie down — a section of the intestine may be pinched. If so, you’ll probably suffer nausea and vomiting, and you won’t be able to have a bowel movement. This is an emergency situation: Without prompt surgery, your life could be at risk.
Most inguinal hernias aren’t dangerous. While they can often be managed by wearing a supportive belt (also called a truss) and avoiding heavy lifting, men generally opt to have corrective surgery to keep the intestines where they belong. Trauma to the testicles Every man has a story about a game of catch or a wrestling match that went seriously wrong.
It goes without saying that any blow to the testicles will be very painful. If the pain goes away within an hour and there are no other symptoms, it’s safe to chalk it up to a lesson learned. But if you’re still in serious pain one hour or more after the trauma, you need to see a doctor immediately.
There’s a chance that the testicle has become twisted, choking off the flow of blood. This is called testicular torsion, and it’s an emergency. If you don’t get help within six hours, there’s a good chance you’ll lose your testicle. In some cases, you’ll know right away that you need medical help. Any trauma that breaks through the scrotal sac is an obvious emergency.
According to the American Urological Association, you should also get prompt treatment if you develop swelling, bruising, or fever after a trauma to the testicles. A doctor will perform a physical examination — possibly including an ultrasound — to check for injuries.
If nothing has been damaged, you can get by with painkillers and, for extra protection and support during recovery, a jockstrap. More serious cases may require surgery. Epididymitis: A common cause of pain and swelling Sometimes testicular pain seems to come out of nowhere. Even if you haven’t had an injury, one of your testicles may start gradually aching and swelling.
This is often the first sign of epididymitis, a bacterial infection in the tubes that store sperm. The pain may spread to your lower back or side, and it may hurt when you urinate. Some men may also have fever or a milky discharge. Several different kinds of bacteria can cause epididymitis.
- You might have caught the germs during sex, or they may be bacteria that have spread from the urinary tract.
- No mater how it starts, epididymitis is easily treated with oral antibiotics.
- So don’t put up with that achy feeling.
- Make an urgent appointment with your family doctor or urologist.
- With the right medication, you’ll feel much better within a few days.
If the symptoms don’t get better or if they return, see your doctor promptly. Other causes of scrotal pain and swelling There are a few other, less common causes of pain or swelling in a testicle. The testicle itself can become inflamed, a complication of an infection from a bacteria or a virus.
This condition, called orchitis, may follow a viral illness such as the mumps. In fact, about one in three males who get the mumps after puberty will develop orchitis in one or both testicles. Treatment for bacterial orchitis is similar to the treatment for epididymitis. A short course of antibiotics should clear up the problem.
If a viral infection is to blame, the only treatment is time. The pain will fade and the swelling will recede. In some cases, the testicle may end up smaller than it was to begin with. If fluid builds up around a testicle, it can start swelling. It is usually painless, even when it grows rather large.
- This fluid accumulation is called a hydrocele (HI-dro-seel), and it is generally harmless.
- Hydroceles usually occur in men over age 40 who have experienced injury or infection in the scrotum or who have had radiation therapy.
- If the scrotum grows large enough to cause discomfort, the hydrocele may have to be surgically removed.
In cases where surgery is especially risky, a needle may be used to remove the fluid instead. A kidney stone can also cause pain in the groin if it moves into the urinary tract. In addition to pain in the groin, you may feel nausea or the need to vomit.
- Men are twice as likely as women to form kidney stones.
- Call your doctor immediately if you have any of these symptoms.
- Should I be worried about testicular cancer? Whenever you notice any changes in your testicles, it’s only natural to wonder about cancer.
- While cancer is much less common than epididymitis and other testicular problems, it’s always wise to know the symptoms.
The most common sign of testicular cancer is a painless lump. Less often, the testicle may swell. There may be a heavy or achy feeling in the scrotum or the lower abdomen, but severe pain is rare. If you’re concerned about testicular cancer, see your doctor.
References American Urological Association. Testicular trauma.2008. http://www.urologyhealth.org/ American Cancer Society. Do I have testicular cancer? 2008. http://www.cancer.org/ Morelli, V. and V. Smith. Groin injuries in athletes. American Family Physician. October 15, 2001.64: 1405-1414. http://www.aafp.org/ Ringdahl, E.
and L. Teague. Testicular torsion. American Family Physician. November 15, 2006.74: 1739-1743. Cleveland Clinic. Inguinal hernia.2005. http://www.clevelandclinic.org/health/health-info/docs/1800/1809.asp?index=8099 Inguinal Hernia. Penn State Milton S. Hershey Medical Center College of Medicine.
http://www.hmc.psu.edu/healthinfo/i/inguinalhernia.htm Epididymitis. Sexually Transmitted Diseases Treatment Guidelines 2006. Centers for Disease Control and Prevention. http://www.cdc.gov/std/Treatment/2006/epididymitis.htm Top Five Soccer Injuries. University of Pittsburgh School of Medicine. http://sportsmedicine.upmc.com/MySportSoccerTop5.htm Parmar, M.S.
This is what doctors do to see if someones testicles are twisted! #shorts
Kidney Stones. BMJ 2004;328:1420-1424 (12 June), doi:10.1136/bmj.328.7453.1420 http://bmj.bmjjournals.com/cgi/content/full/328/7453/1420 Last Updated: Jan 20, 2017 Diseases and Conditions Health Library Copyright ©2017 LimeHealth. All Rights Reserved. The post appeared first on,
Should I see a urologist for epididymitis?
The epididymis is a small, coiled tube located at the rear of the testicle. It’s responsible for storing and transporting sperm. When this tube becomes inflamed, the condition is called epididymitis. Epididymitis can be painful. If you suspect you might have this condition, it’s a good idea to see a urologist promptly.