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Testicular pain is a symptom that can point to a number of diseases that doctors will need to further investigate. Here, I will cover some of the most probable causes that you should be aware of and what steps you need to take in further management of this condition. 

One of the first suspicions that a doctor will need to investigate would be due to an inguinal hernia. This is a condition where parts of your intestines can fall through a weakness in the abdominal wall. This weakness can be secondary to strenuous exercise or more commonly, abdominal obesity. This will create a bulge that can be painful. Doctors will examine for the possibility of inguinal hernias when they examine a patient's testicles and ask them to cough. When there is a true hernia, a cough should cause the bulge to temporarily disappear as your intestines move back into the proper position. If an inguinal hernia is confirmed, a simple surgery can be done to put the intestines back in the proper alignment. 

If a hernia is ruled out, there is still an extensive list of what could be the cause of your testicular pain. Infections can also lead to dull pain that can be prolonged without therapy. The most common type of infection would be called epididymitis. This is the inflammation of the epididymis typically caused by a sexually transmitted disease. Patients with a history of risky sexual practice are at an increased risk of having an STD so it is imperative that you protect yourself as much as possible. Using condoms during sexual intercourse can provide the best protection against contracting any type of STD. 

Another potential cause of dull and aching testicular pain could be from a testicular tumor. These are rare occurrences but if a child is born with cryptorchidism, the risk increases substantially. This is a condition where the testicles do not descend properly into your scrotum during the fetal period and are housed in the abdominal cavity instead of the scrotum. With time, most of these cases will resolve on their own but if doctors find that the testicle will not descend on its own, surgery will be necessary in order to bring the testicle down. This should be done in the first years of life and any delay in this surgery can lead to infertility and predispose a patient for testicular cancer. Self-examination looking for lumps on your testicles is a good way to check for this disease and doctors will remove the testicle. 

Due to the increased number of children not receiving childhood vaccinations, another possibility that is now something that doctors need to consider would be infections from measles or mumps. Both of these conditions can occur when a child does not have the MMR vaccination. You will suspect to have this disease when you notice a fever and rash followed by testicular pain. The best way to defend against this disease is to get a vaccination. There are no studies that prove the connection between vaccinations and autism and this urban legend has led to a number of children suffering without a reasonable defense. [1]

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