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Pain in testicles since October, antibiotics did nothing. Ultrasound was "unremarkable"...could it be a gastrointestinal issue? hernia?
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I'm 24 years old, male, 5'9" tall, about 220 pounds, white.

I've been experiencing pain and tenderness in both of my testicles since early October. I can describe it as being a dull pain which can turn into a more sharp pain, kind of like there's fishing line be used to pull my testicle back. Pain can and is sometimes worse in my left testicle but both are sore.

The pain seems to be worse when I have a full stomach and I've had feelings of constipation/incompete feeling bowel movements despite going to the bathroom regularly. I have had feelings of fullness and like a hot feeling in my pelvic area on and off. In the past month or so, I've felt like I'm not peeing all the way or that I'm peeing more, although this symptom is new. There is a family history of gastrointestinal issues with both my mother and maternal grandmother.

Sometimes my testicles are really sensitive and I've had at least two instances in the past few days where the pain was so sharp and sudden upon touching/moving a certain way that I almost went to the ER. Pain in inner thighs has been felt also; I felt that lifting my left leg up significantly incresed the pain in my left testicle the other day when I had that sharper pain.

I went to Urgent Care in October about a week after the pain started. The NP I saw ordered a urinalysis and a few specific STD tests (chlamydia, gonorrhea, trichomoniasis, and mycoplasma genitalium) and sent me for an ultrasound. Urinalysis was normal and STD tests negative. Last sexual contact was in July with someone who is HIV and sexual activity before that was infrequent, maybe once every few months, but admittedly usually unprotected.

Scrotal ultrasound was "unremarkable" and the notes specifically stated "no significant hydrocele or variocele", "no torsion or hyperemia", "no focal solid mass or cysts", "no microcalcifications", and "no ultrasound evidence of epididymitis."

I returned to Urgent Care a month later after symptoms remained. The NP I saw in Ugrent Care this time said the way I descibed the pain is how people commonly describe epididymitis. She examined me and noted tenderness in both testicles and prescribed antibiotics.

I've had days where I've felt almost back to normal and days where I just want to lay in bed...I'm now awaiting an appointment with a urologist in February but I'm really scared that I've got something serious going on.

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1 year ago