
Embarrassment is no excuse for not seeing a doctor when testicle pain persists. A blow to the male genitalia hurts immediately and lingers for minutes, but usually disappears after a short recovery time. If the pain from a crotch shot does not subside, seek medical attention.
Direct blows to the scrotum are the most painful, but easily treatable. Swelling and bruising resulting from a sports injury or other contact does need medical attention. Likely recommendations from your doctor include painkillers and hot baths. Wear a cup when participating in athletic activities to reduce your chance of severe testicular damage.
Infections in the testicles cause pain, swelling and heat. Any of these symptoms are good cause for a visit to the doctor. This condition, caused by bacterial infection, is known as orchitis. Your doctor should prescribe antibiotics and perhaps a steroid to counter inflammation.
Cysts and enlarged veins in and around the testicles are another possible source of pain and swelling. Your doctor can tell the difference between varicose veins around the testicles and cysts growing in your epididymis, or sperm collecting gland. Either of these conditions might accompany the symptoms of swelling and pain. Sometimes surgery is required.
Acute swelling and pain can accompany testicular torsion. This is a particularly nasty condition in which the testicles are twisted, cutting off the blood supply. Seek immediate medical attention if these symptoms are present. Testicles that are cut off from the oxygen in blood die within a few hours.
When testicular pain is persistent, your doctor is a friend, not a foe. A little embarrassment is a small price to pay for the continued functionality of your testicles.

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