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Geoffrey asked...

I have had an ache in my left testicle for about a month now...

I have had an ache in my left testicle for about a month now, I was examined by my doctor and he is sending me for a ultra sound, have I any reason to be concerned

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The answer

Thank you for contacting us with your question. An ache in the testicles can happen for a number of different reasons and your Dr is right to send you for a scan, this will help him to diagnose the exact cause. It is not usually a reason to worry the testicles are very sensitive and even the smallest of issues can give rise to testicular aching or discomfort.

The source of the ache can arise from inside the testicle itself or from the tube and supporting tissue behind the testicle which is known as the epididymis. Some of the most common separate causes of testicular aching or pain are inflammation of the testes, inflammation of the epididymis, a build up of fluid called a hydrocele and causes scrotal swelling, fluid build up in the testicles, urinary infection, kidney stones and inguinal hernias where a loop of bowel tissue descends into the testicular region. A twist to the testicle known as tortion can also produce aching and pain, as can any type of minor injury to the testicle.

There are many other possible causes of testicular aches such as inflammation of the prostate and inflammation of the veins and there are occasions when we are unable to find a cause for the aching and this is known as idiopathic testicular pain.

The ultra sound scan you are having is a painless procedure and should help your Doctor to detect the presence of fluid, inflammation or any hernia in the area and give information on the general health of your testicles. Overall it is nothing to be too concerned about and should help to provide an answer and then guide any treatment that may be required to treat the ache you have been experiencing.

We do hope you will find this information of use and wish you the best of luck for a speedy recovery.

Answered by the Health at Hand nurses