Why do men's balls hurt: causes and treatment

The male reproductive organs are located outside of the groin area, making them much more vulnerable than females. When a man's balls hurt, the reasons can be very different, because it is very easy to injure the male testicles and penis. Also, the testicles are exposed to infectious diseases and inflammatory processes. They are negatively affected by promiscuous, violent sex and prolonged abstinence.

Representatives of the strong half of humanity are very sensitive to their dignity, so it is important for them to know which doctor to turn to and what to do in this case.

Pain in the testicles in a man

A little anatomy

The testicles or testicles are the male sex glands, inside they are divided into 200-250 lobules, between which there are partitions. In each lobule are the seminiferous tubules, in which the nucleation and maturation of sperm takes place. The sperm enters the epididymis through the seminiferous tubules and is then transported to the vas deferens in the urethra. The structure of the testicles is quite complex, they are traversed by a dense network of blood vessels, so there are a few reasons why a testicle can hurt in men.

Healthy testicles are easy to feel through the scrotum and are smooth, elastic and round. The appendages are shaped like scrolls. The testicles perform important functions in the male body. They reproduce sperm, produce testosterone. The appendages are responsible for the maturation of sperm, the passage of sperm from the testicles to the vas deferens.

With the help of paired organs, the balance of hormones in the male body is maintained, as they produce testosterone and sperm, which are responsible for the formation of secondary sexual characteristics.

Unpleasant sensations appear at any age, they vary in strength and depend on the cause that caused them. You should consult a doctor if you need to determine the cause of pain in one testicle or two at the same time.

The main causes of pain in the testicles

When the balls hurt in men, they often think that this happened from a blow or a pinch, sometimes not even suspecting that the banal flu SARS, especially with complications, can negatively affect the functioning of the testicles. Testicle pain in men can be caused by hormonal disorders, injuries, vascular pathologies, a huge list of pathologies of the urogenital and excretory systems. At the slightest pain in the scrotum, you need to be examined by a competent urologist. It is better to check again to solve the problem: if the testicles hurt, what could it be and be treated, than to lose your potency as a result of a complication of the disease.

There is a whole list of reasons why pain can occur. Painful sensations vary in intensity, appear in one of the testicles or in both at once.

Urologists divide the reasons why a testicle can hurt in a man into several groups. Each of the causes is autonomous, but despite this, all organs in the human body are interconnected. Description of groups of reasons why a testicle can hurt in a man:


This group of reasons why an egg can hurt in men includes mechanical injuries to the testicles and penis upon impact, as well as injuries that result in damage to the nerve endings that penetrate the penis and testicles.

Such injuries occur as a result of hypothermia, overheating, and frequent complacency. As a result, after masturbation, the right egg hurts, but discomfort can also appear on the left side, as well as on both sides at once.

If the injury occurred with too active friction during intercourse or improper use of sex toys, then after sex, the balls will hurt.

The reasons for testicular pain in men are wearing tight underwear, chemical or radioactive exposure at home or work.


In this case, if a man's balls hurt from excitement, the reasons lie in an erection that did not end in ejaculation. If there is pain in the testicles during abstinence or after an incomplete discharge, then nothing terrible and pathological will happen to the reproductive organ. Scientists explain why men's eggs hurt after long-term arousal from a genetic point of view. They attribute this to the tightening of the testicular muscles leading to their spasm.


Sexually transmitted diseases, inflammatory processes become the reason why a man's balls hurt.

vascular pathological

This group of causes that cause pain in testicles in men includes numerous problems with blood vessels. This is a blockage of blood vessels that supply nutrients to the testicles, causing the eggs to hurt, testicular torsion, which leads to necrosis if you do not immediately consult a specialist, varicocele (varicose veins of the testicles, in the last stages that lead tothat the testicles hurt in men and pull into the scrotum).


This group of reasons why a man's balls hurt include prostatitis, urethritis, urolithiasis and other pathologies, the pain of which is transmitted to the testicles.

Diseases that cause pain in the scrotum

If it hurts in the groin area, you should understand that only a consultation with a competent urologist will help you get treatment recommendations.

This may indicate the presence of the following diseases:

Inflammation of the seminal vesicles (vesiculitis)

Inflammation occurs as a result of urethritis when an infection from the urethra travels with the bloodstream to the seminal vesicles. Vesiculitis causes aching pains in the testicles and lower abdomen in men.

urolithiasis disease

Another reason eggs can hurt in men. It develops as a result of a violation of nutrition, when a person consumes a large amount of salt, with obesity, genetic predisposition, inflammatory processes in the organs of the urinary system, metabolic disorders. Doctors have been using proven treatment regimens for a long time, they know what to do if the testicles hurt as a result of urolithiasis.


This is an inflammatory disease that occurs as a result of hypothermia, reduced immunity, and hormonal imbalance. It often causes aching pain in the testicles in men.


If a man has one testicle, then you need to be tested for urethritis. This is a disease characterized by the development of a bacterial flora in the urethra. The bacteria then travel with the blood to the testicles, where they cause a bacterial infection. What to do if the eggs hurt due to urethritis, the urologist decides. Usually, a course of antibiotics is prescribed in the form of injections or droppers.

urethral cancer

A malignant tumor that metastasizes to the testicles. When the tumor reaches a diameter of more than 3 cm, the testicle hurts. The diagnosis sounds pretty scary. So when a testicle hurts in men, it's best to make sure it's not cancer.


The reason a man's testicles hurt is because of STDs. In particular, these are syphilis, genital herpes, ureaplasmosis, mycoplasmosis, chlamydia, granulomas, gonorrhea. The main causative agents of these diseases are fungi, bacteria, viruses. When this happens, it can hurt right in the testicles or below, and the pain is often dull and dull. Pain in the testicles in men, the causes of which lie in sexually transmitted diseases, are accompanied by discharge from the penis, wounds on its surface and an increase in lymph nodes. You should contact a venereologist who will find out why the testicles hurt and tell you what to do to get rid of discomfort.


Disease associated with varicose veins of the pampiniform plexus of the testicle. Due to the anatomical features of the structure of the circulatory system, it most often develops on the left. Therefore, if the left testicle hurts after sex, then you need to check for the presence of this disease.

Malignant tumors of the testicles

If your left testicle or testicle hurts after sex, you may be developing cancer. The disease provokes hereditary predisposition, severe testicular injury, cryptorchidism. But urologists say that the testicles are the only place where the causes of malignant tumors have not yet been accurately determined and why the male organs of the ovum hurt in this case. They are not yet fully explored.


If the pain in the testicles is accompanied by a change in the shape and texture of the skin of the scrotum, most likely this is due to dropsy of the testicle (hydrocele). Pain syndrome Men describe a feeling of heaviness in the groin caused by the accumulation of fluid in the testicles. Dropsy is one of the most common reasons why a testicle hurts in men.


If the right side of a man's lower abdomen hurts and radiates to the testicles and leg, this indicates a hernia localized on this side. Hernias are surgically removed, but after that, the pain syndrome in the testicles continues to bother men for a long time. Evidence of a hernia explains why men's eggs hurt when they're aroused. When excited, it can produce excruciating, stabbing pains and pinches.

Injury to the valves of the vas deferens

If the pain in the balls appears after sex, then the man has not ejaculated. Sperm is produced in full, however, after orgasm, the semen is not thrown out but goes into the urine, which is why the balls hurt after sex.

inflammation and infectious diseases

This is one of the most common reasons men go to a urologist with complaints that the testicles are sore or undershot. Pain often occurs during sex. This may indicate orchitis if inflammation, prostatitis (inflammation of the prostate), epididymitis (inflammation of the epididymis) become the cause of testicular pain.

With epididymitis, pain appears on one side, it gradually increases, the scrotum swells, the process of urination is accompanied by burning, a white liquid is released from the urethra. If epididymitis is diagnosed, a man's balls and lower abdomen hurt, what should I do in this case? Urgent treatment is required, otherwise infertility may develop in the future.

Orchitis is a common reason testicles hurt. With orchitis, the testicles not only hurt, but also increase in size, a temperature appears, pain radiates to the groin and lower back. If a man's balls hurt because of orchitis, what should I do in this case? It is necessary to consult a competent specialist and conduct complex therapy.

Prostatitis is a common cause of sore eggs in men. Inflammation of the prostate, which can occur in acute and chronic forms. The acute form is characterized by severe pain that appears abruptly and quickly disappears. In men, the chronic form causes mild, pulling pains in the eggs that occur periodically. Pain occurs when urinating. If the eggs hurt in men because of prostatitis, only a doctor can decide what to do.

The most dangerous causes of the disease

There are a number of reasons why a man's balls can hurt, which poses a threat to his health. They rarely occur, but you still need to know these serious reasons why a man's balls hurt and how to treat them to be prepared.

These include:

  • Severe trauma to the scrotum.

    It often causes sharp and aching pains in the testicles in men. With mechanical impact, a violation of the integrity of the testicle is possible. In this state, a man is afflicted with severe and excruciating pain, from which he can fall into shock and lose consciousness. If a man's balls hurt from an injury, then a decision should be made quickly on what to do for the woman. See a doctor right away to avoid complications that can even lead to testicle loss.

  • Torsion of the spermatic cord.

    A very dangerous reason why the eggs hurt requires an immediate visit to the urologist. Most often occurs during sleep. In this case, a man with no visible injuries and no diseases of the reproductive system suddenly has a sharp pain in the scrotum, radiating to the leg. But sometimes with active movements during intercourse there is a torsion, which is the answer to the question: why do the testicles hurt after sex?

    The disease becomes the reason why the testicles hurt, it quickly leads to the development of necrosis of testicular tissues, due to the compression of the nerves and blood vessels that feed the testicles. There is such a reason why the testicle can hurt more often in childhood, in men it can be provoked by great physical overstrain.

    In a normal state, each testicle is suspended from the spermatic cord, in which the vessels and vas deferens run. Sometimes the testicle moves inside the scrotum and its cord becomes twisted. Blood flow to the testicles stops, and sperm cannot be expelled. In this case, you definitely need to know why a man's balls hurt for no reason, because the situation quickly becomes critical, since torsion leads to atrophy and necrosis of the testicles.

Physiological causes

Not always discomfort and pain in the testicles in men are associated with the development of pathological processes. Often this is due to a man's simple physiology. This happens when sperm has not been released after sexual arousal and explains why the testicles hurt after the riser. This happens more often in adolescence, when young men are very sexually active, but at the same time they do not yet understand why men's balls hurt, they do not know how to release sexual tension.

But sometimes the question of why the eggs hurt after a long abstinence worries even adults. When a man is aroused, his genitals swell with bloodlust. If for some reason he cannot get sexual salvation, then there will be pain in the testicles. If there is such a problem that the testicles hurt from abstinence, the question "what to do" is solved in several ways:

  1. Sex. You can solve the question: what to do if the balls hurt from excitement, with the help of sex, during which the excessive tension of the testicles will subside and the pain will go away.
  2. complacency. Another answer to the question: if the balls hurt from abstinence, what to do.
  3. Distraction from thoughts about sex. If the eggs hurt from abstinence, but doctors forbid sex, then you need to wait a couple of hours until the excitement itself subsides (usually the pain lasts no more than 4 hours).

But it is important to know that if the balls hurt after masturbation, this can be due to the opposite reason, that is, if a man ejaculates often in a short time. This pain is not life threatening, it will pass in a few hours. But in this case, men should moderate their sexual enthusiasm.

Causes of pain in the testicles in men can be various types of surgical interventions on the abdomen and groin. After such operations, sexual contacts are usually limited for some time, so the testicles overflow with ejaculate and pain occurs. In this case, the answer to the question of what to do if the balls in men hurt from excitement in the postoperative period is only one - to wait until it passes on its own.

Diagnosis, treatment, prevention

The reasons why a man's balls hurt are different. Representatives of the strong half of humanity need to know in which cases it is impossible to delay the process and to which doctor to turn if the testicles hurt, what are the causes of this in men and how to treat them. An urgent visit to the doctor is necessary in the following cases:

  • when there is a sharp pain in the testicles when touching the scrotum in men;
  • the testicles hurt after sex, they hardened, their color and shape visually changed;
  • aching pain in the testicles increases over time;
  • a bulge appeared on the scrotum;
  • when a man's testicle hurts, the temperature rises, nausea and vomiting appear;
  • After an injury, a man's balls hurt for an hour.

Not everyone knows which doctor to turn to in such cases. To determine the cause of the discomfort in the testicles and understand why the eggs can hurt, you should contact an andrologist-urologist. This is a doctor who specializes in male diseases. Do not determine causes independently and treat them at home. You can lose time, especially if the discomfort in the testicles is caused by pathological conditions.

In some cases, a simple examination and palpation of the scrotum is enough to identify the causes of pain in the eggs in men and prescribe treatment. The doctor conducts a thorough visual examination and examines the texture of the testicles. Usually after that it becomes clear why the testicles hurt.

If, after examination and palpation, no pathology can be detected, what does this mean, to determine the reason for the pain in a man's testicles, an ultrasound of the scrotum, an MRI, a spermiogram, a blood test, a urine test, a smear from the urethra, possibly a biopsy of the testicles. Such diagnostic techniques allow you to identify the causative agent of the disease and decide how to get rid of pain in the testicles.

It is better not to delay a visit to a specialist, because the earlier the diagnosis is made and the causes of pain in the testicles in men are identified, the sooner treatment will be prescribed. This is very important, especially when it comes to such a male organ.

The solution to the problem of why the testicles hurt depends on the diagnosis. Factors such as the age of the patient, the peculiarities of the course of the disease play a major role, because different treatments can be prescribed even within the same disease.

Prevention will help reduce the risk of the causes of why men have testicles.

Prevention is as follows:

  • wear loose underwear made of natural fabrics;
  • regular self-examination and palpation of the scrotum for changes in color and density, which allows you to determine what hurts the testicles;
  • constant sex, preferably with a partner, since long abstinence in men provokes pain in the testicles;
  • Compliance with safety rules during physical work, sports.

Most often, the reasons why eggs can hurt in men do not carry a fatal threat to life. However, in some cases this indicates the presence of certain problems in the body. What to do if eggs hurt in men with varicose veins of the pampiniform plexus, hydrocele and other serious diseases should be decided by a specialist, whose help is needed immediately.