How painful is the pain in a man’s balls? Zhihu

For men, ball pain refers to male testicular pain. A man’s testicles are located on the left and right sides of the man’s scrotum. In addition to external causes, men’s ball pain is often caused by Triggered by internal causes in men. So why do men have sore balls?

There is a joke circulating on the Internet: A person can bear 45del (unit) of pain. But when a woman gives birth to a child, she has to endure 57del of pain. It probably looks like 20 bones were broken. However, if a man is kicked in the balls, the pain is 9,000 del, which translates into giving birth to 160 children at the same time, or breaking 3,200 bones. This statement is really an exaggeration, but although it doesn’t hurt like 3,200 broken bones, it does hurt a lot!

1. Internal bleeding

The most common injury that causes pain in the balls is internal bleeding in the scrotum. Because the blood vessels on the inner wall of the scrotum are rich and dense, severe friction may cause the blood vessels inside to break. Generally speaking, this is caused by a violent impact or abrasion. If you are careless when climbing over a wall and your scrotum is subject to severe friction for a short period of time, and the outer skin of your scrotum is not damaged, then in just a few hours, the area around your balls will be filled with blood and your scrotum will be swollen. As big as a coconut. Pain is naturally inevitable, but it is the relatively mildest of several types of pain.

Though for the first few hours, your pain will not be too deep. But if you put it off until the next sunrise, you might have to say goodbye to your balls, because scrotal hematoma is sometimes a sign of testicular damage.

2. Ischemia

Testicular ischemic pain is more common. The pain is severe and aggravates during activity. It is relieved appropriately during rest. The fluid microscopy is normal and often Arterial stenosis due to testicular arteriosclerosis.

3. Testicular dislocation

This kind of injury is relatively rare. They usually result from car accidents involving motorcyclists or riding accidents involving equestrian athletes. A moderate impact will make your balls lose their direction. It is more severe than internal bleeding and shattering, and can even make you faint from pain. Because the testicle is an internal organ, the pain response when it is displaced is much greater than when it is ruptured. And sometimes this kind of displacement is not worthy of surgical solution by opening the scrotum - the process of restoring it through massage-type pushing, imagine how painful it is.

4. Testicular torsion

It usually occurs after a few hours of strenuous exercise, or due to external force on the testicles. Severe testicular pain suddenly occurs during sleep or quiet, which is the first symptom of this disease. This is also one of the main diagnostic criteria for testicular torsion. Some patients are accompanied by scrotal swelling, nausea and vomiting, and obvious tenderness.

5. Varicocele

The testicles may also be related to varicocele. Varicocele is common in young adults and refers to the stasis of blood flow in the spermatic vein. The resulting blood vessels in the spermatic cord pampiniform plexus are dilated, tortuous and elongated. The incidence is 10-15% in the population. This disease mostly occurs on the left side, but bilateral disease is not uncommon. Varicocele can be accompanied by testicular atrophy and sperm birth disorders, causing male infertility. Those with mild symptoms and those without spermatogenic dysfunction do not need surgical treatment. If the symptoms are severe or cause testicular spermatogenic dysfunction, surgical treatment is required.

6. Orchitis

There are many factors that cause orchitis. For example, patients with mumps may be complicated by orchitis, causing testicular pain and swelling. Gonorrhea is currently the most common sexually transmitted disease and can cause orchitis in severe cases. Chronic prostatitis can also cause testicular pain, which is manifested as unilateral pain, mostly dull or stretching pain, and is persistent. Orchitis is more common in young people and less common in the elderly.

7. Testicular injury

Testicular injuries are mostly related to violence, car accidents, etc. After the injury, the patient will have severe testicular pain accompanied by nausea, vomiting, and even fainting or shock. .

8. Epididymitis

Testicular pain is also caused by epididymitis. The male epididymis is located next to the testicles. Inflammation caused by infection of the epididymis can also spread to the testicles. Like orchitis, it can irritate the testicles and cause testicular pain in men. Epididymitis can also damage the testicles and cause male infertility.

9. Scrotal inflammation

Inflammation of the scrotum is also a cause of testicular pain in men. The scrotum is responsible for the growth and development of sperm, as well as the temporary storage of sperm.

Inflammation of the scrotum not only irritates the male testicles, but also damages the sperm in the seminal vesicles, causing sperm death, thus reducing male fertility and leading to male infertility.

10. Other inflammatory diseases

The causes of male testicular pain are inflammation of other diseases, such as prostatitis, male endocrine disorders, urinary tract infections, etc. The existence of these diseases can cause Testicular pain in men.