One testicle normally hangs lower than the other, but BOTH SHOULD HANG FREELY in the scrotum (sac). If the right testicle is “always up,” meaning it’s in the groin and not in the scrotum, then this needs medical attention. It could be what is called an “undescended testicle.” There’s nothing you can or should do on your own. After seeing your doctor, you’ll get medical care if there is a problem, or reassurance if not.
The list of causes of testicular pain is very long, but one cause is a medical emergency. Sudden onset of sharp pain and swelling that doesn't go away can be a sign of testicular torsion, or twisting of the testicle, which cuts off the blood supply. This requires immediate medical attention. Frequently recurring testicular pain might be a sign of "intermittent torsion," which should also be evaluated by your physician.
Other common causes of testicular pain include trauma, like getting kicked in the groin during sports participation, and infections like epididymitis from sexually transmitted organisms or orchitis from viral infections including mumps. Another frequent cause of pain is testicular congestion, commonly referred to by teenagers as "blue balls." The pain occurs following prolonged sexual excitement without ejaculation. This problem resolves with ejaculation and causes no harm.
Any male experiencing testicular pain should be evaluated by a doctor. Don’t let embarrassment stop you from protecting this very important part of your body!
