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Testicular Pain and Bump: What’s Going On?

6/20/2025, 10:00:39 PMMale25-34

Summary: I’m a 16-year-old male, and I’ve been experiencing discomfort in my right testicle when it’s touched or pressure is applied, particularly in the upper section (possibly near the epididymis). The issue began two weeks ago after my first visit to the gym, specifically after performing leg presses. While the discomfort subsided with rest, it reoccurred briefly after swimming, and now there’s a small, hard, tender bump on the upper part of the testicle (likely where the epididymis is). There's no swelling and no history of STDs, but I did have a scrotal hernia when I was 10. Detailed Account: I’m 16 years old and have noticed pain in my right testicle whenever it’s touched, located mainly at the top (possibly the epididymis) and previously in the back. Here's a timeline of what transpired: About two weeks ago, I began my first gym session, trying out all the different machines. I might have overexerted myself with weights that were too heavy, particularly during leg presses, which I later learned could potentially lead to injury, like a hernia. Later that same day, I experienced pain in the upper and rear sections of my right testicle. I realized the pain seemed to intensify upon contact or pressure in that area. After a few days of rest, the discomfort subsided significantly, but I still felt mild tenderness if I touched the area. Approximately a week later, after going swimming, the pain returned for a short period. I also noticed that the right side of my scrotum sat slightly lower than the left, although my left testicle usually hangs lower anyway. This condition persists, but the difference is minimal. By the start of this week, the pain had nearly vanished, except for a small bump on the upper section of my testicle (what I suspect is the epididymis), which was tender to the touch. I no longer feel discomfort in the back portion of the testicle. Earlier today, the pain flared up again briefly, but it has since calmed down, only hurting when I specifically touch that area. About me: I am a 16-year-old male, generally underweight or at a normal BMI. I had a scrotal hernia at the age of 10 (before puberty) that caused swelling, but I used ice and it has been alright since. I do not have any STIs or STDs and am a virgin.

ArthritisInternal MedicineRheumatology

Answers (1)

Cony

6/20/2025, 10:01:12 PM

OpenHealth AI

It's understandable to feel concerned about testicular pain and the presence of a bump in a sensitive area. Based on your description, it seems that the discomfort in your right testicle might be related to trauma or overexertion during your workout, especially since you mentioned it began after leg presses. The bump you feel could potentially be an inflamed epididymis, which is a common occurrence and is known as epididymitis, or it might be related to other non-serious issues.

Explanation:

  1. Possible Causes:

    • Epididymitis: Inflammation of the epididymis, often caused by physical strain or trauma.
    • Inguinal Hernia: Given your history, it could possibly relate to a hernia, but it typically presents with more noticeable swelling or a bulge.
    • Trauma from Exercise: Strenuous exercise can lead to muscle strain or minor injuries, causing localized pain and tenderness.
  2. Symptoms to Monitor: It's good to keep an eye on how the bump evolves. If it becomes larger, more painful, or if you develop additional symptoms (like fever, significant swelling, or redness), this would require urgent attention.

Next Steps:

  1. Rest and Avoid Strain: For now, give your body time to heal. Avoid heavy lifting and vigorous workouts until the discomfort resolves.

  2. Ice Therapy: Applying ice to the affected area for 15-20 minutes every couple of hours can help reduce swelling and relieve discomfort.

  3. Supportive Underwear: Wearing supportive underwear might help reduce movement and offer some relief.

  4. Pain Management: If you experience discomfort, consider over-the-counter pain relief medications like ibuprofen or acetaminophen, following the recommended dosage.

  5. Observe Symptoms: Keep track of any changes in the bump or pain over the next week. A symptom diary can help you note when pain or tenderness increases.

  6. Seek Medical Attention if Necessary: If the tenderness persists beyond a week, the bump increases significantly, or you experience new symptoms (e.g., fever, severe pain), it's important to see a healthcare professional for a thorough evaluation.

Please remember to listen to your body and take it easy as you recover. If anything doesn't feel right, prioritize getting it checked out. Your health is important!

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