When Should You See a Urologist for Testicular Pain?
Posted on May 27, 2025 by root

Testicular pain is a common yet often misunderstood condition that can affect men of all ages. While some discomfort might be benign, others can indicate a serious medical issue requiring immediate attention. If you’re experiencing testicular pain, understanding its causes, the difference between normal discomfort and warning signs, and when to consult a specialist can help you take the right steps toward recovery.
What Causes a Sore Testicle?
Testicular pain can manifest as a dull ache or sharp pain in one or both testicles. It can arise from a wide range of causes, including trauma, infection, inflammation or more serious medical conditions. The discomfort might be relatively harmless in many cases, but it can also indicate something more severe, such as torsion or tumors.
According to a January 16, 2024, article in Men’s Health magazine by a urological specialist, testicular pain is “so common in fact that it is very likely that every guy, at some point in his life, will have experience with it.”
Is Scrotum Pain the Same as Testicle Pain?
Generally, pain in the testicles and the scrotum is similar. The scrotum is the pouch of skin that holds the testicles, so pain experienced in the scrotum essentially relates to the area where the testicles are located.
Normal Discomfort vs. Red Flags
It’s essential to differentiate between normal discomfort and symptoms that may signal a serious underlying condition. Common causes of mild discomfort may include:
- Epididymitis: An inflammation of the epididymis usually caused by infection, which can lead to swelling and discomfort.
- Trauma: A direct injury to the testicles can cause temporary pain that typically resolves with time.
- Varicocele: Enlarged veins within the scrotum, which may cause a dull ache but are often not serious.
However, certain symptoms should raise concern and prompt a visit to a urologist like Dr. Justin Houman. These red flags include:
- Severe, sudden pain: This could indicate testicular torsion, a medical emergency where the spermatic cord becomes twisted, cutting off blood supply. According to the American Urological Association, testicular torsion typically occurs on the left side more than the right.
- Swelling or a firm mass: Any noticeable lump or swelling in the testicles should be evaluated by a professional, as it could be a sign of a tumor.
- Pain accompanied by fever: This could indicate an infection and should be addressed promptly.
- Changes in urination: Any difficulty urinating or blood in the urine could suggest a more serious condition.
- Worsening Pain: Pain that worsens with sitting, standing or physical activity
- Tenderness in the Groin: Tenderness or hypersensitivity in the groin or testicles
- Post-Vasectomy Pain: Pain after a vasectomy (Post-Vasectomy Pain Syndrome – PVPS)
Justin Houman, MD, FACS, also declares that “Testicular pain is classified as chronic if it happens for more than three months.”
Recognizing these signs is critical, as delaying medical attention could lead to severe complications or irreversible damage.
When to Consult a Specialist
If you experience any of the red flag symptoms listed above, it’s crucial to consult a urologist immediately. Dr. Justin Houman, a board-certified urologist based in Los Angeles, has extensive experience in addressing men’s health issues, particularly those involving the male reproductive system. His practice focuses on enhancing men’s quality of life through various interventions, including hormone management, sexual function improvement and reproductive goal achievement.
Dr. Houman’s expertise as a fellowship-trained Men’s Sexual and Reproductive Health specialist further substantiates his capability to handle complicated cases. He employs minimally invasive techniques and is well-versed in procedures such as microsurgical varicocelectomies, vasectomy reversals, sperm retrievals and treatment for conditions like Peyronie’s disease and male incontinence.
Patients benefit from Dr. Houman’s tailored approach, which ensures that each individual receives the care they need based on their unique circumstances. During a consultation, he thoroughly examines your medical history and symptoms and recommends diagnostic tests if necessary.
What to Expect During Your Visit
Schedule a consultation with Dr. Houman regarding your testicular pain, and you can expect a compassionate and informative experience. The initial visit typically involves:
- Medical History Review: Discussing your symptoms, including the onset, duration and nature of the pain.
- Physical Examination: A thorough examination of the groin and testicles to assess any swelling, tenderness or abnormalities.
- Diagnostic Testing: Depending on the evaluation, additional tests such as ultrasound imaging may be recommended to get a clearer picture of what is causing the pain.
- Treatment Options: Based on the findings, Dr. Houman will explain treatment options, ranging from conservative management to more invasive procedures.
Best Testicular Pain & Chronic Orchialgia Doctor in Los Angeles
Testicular pain can be alarming, but being informed can empower you to take action when necessary. While some discomfort may be innocent and transient, recognizing the warning signs and seeking timely medical advice is crucial for your health.
If you’re experiencing testicular pain or have any concerns about your reproductive health, don’t hesitate to contact Dr. Justin Houman’s office in Los Angeles. His dedication to men’s health and comprehensive treatment strategies can help you manage the pain and enhance your overall quality of life.
Posted on behalf of Justin Houman MD