Testicular Pain (Epididymitis): UK Online Doctor Guide
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Testicular pain has many causes — some are emergencies.
- Sudden severe pain in a young man may be testicular torsion — A&E immediately.
- Epididymitis is infection of the tube behind the testicle, often bacterial.
- Treatment treat most cases of epididymitis.
- An online GP can advise on next steps.
Causes
- Testicular torsion — twisted testicle, sudden severe pain. Surgical emergency.
- Epididymitis — bacterial infection (often UTI bacteria, sometimes STI).
- Hydrocele/varicocele — fluid or varicose veins.
- Trauma.
- Testicular cancer — usually painless lump.
When to act fast
Sudden severe testicular pain — especially in young men — needs A&E within hours to save the testicle. Do not wait for an appointment.
Treatment of epididymitis
- Treatment — choice depends on likely cause (e.g. ofloxacin for STI-related, or a suitable treatment for UTI-related).
- Pain relief, scrotal support, ice packs.
- Recovery often takes weeks.
Red flags — when to seek urgent help
Call 999 or go to A&E if you experience any of the following:
- Sudden severe testicular pain (possible torsion — A&E NOW)
- Painless testicular lump (possible cancer — urgent referral)
- Fever and severe symptoms
Frequently asked questions
Common questions UK patients ask about epididymo-orchitis.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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