What to do if…
you develop sudden testicular pain or swelling
Short answer
Go to the emergency room now if testicular pain is sudden or severe, even if it eases or stops. Also go now if swelling is sudden and painful, or if pain comes with nausea or vomiting. Call 911 if you need emergency assistance or cannot travel safely.
Do not do these things
- Do not wait for sudden or severe pain to settle before seeking emergency care.
- Do not ignore sudden pain because it eased or stopped.
- Do not choose urgent care instead of the emergency room when pain is sudden or severe.
- Do not delay leaving to try home treatments.
- Do not drive yourself if pain, faintness, or distress makes driving unsafe.
What to do now
- Go to the emergency room now if the pain is sudden or severe, even if it eased or stopped. Also go now if swelling is sudden and painful, or if you have nausea or vomiting with the pain.
- Call 911 if you need emergency assistance or cannot get to the emergency room safely.
- At check-in, say: “New sudden testicular pain or swelling.” Give the time the symptoms started and say whether the pain eased or stopped.
- Tell the emergency team about nausea, vomiting, lower abdominal pain, fever, chills, redness, urinary burning, discharge, a lump, an injury, or one testicle sitting higher than usual.
- Take identification, insurance information, and a medication list only if they are immediately to hand. Do not delay leaving to find them.
- If the symptoms are not sudden or severe and you do not have emergency features, contact a healthcare clinician promptly for assessment of any unexplained new swelling, lump, redness, tenderness, or ongoing pain.
What can wait
- You do not need to work out whether this is torsion, infection, an injury, or another cause before seeking care.
- You do not need to contact your usual clinician before going to the emergency room when symptoms are sudden or severe.
- Work, school, messages, and non-essential packing can wait.
Important reassurance
Seeking care promptly is the safest next step, even if the cause turns out not to be an emergency.
Scope note
These are first steps only. After assessment, later decisions and follow-up may need help from a healthcare clinician or urologist.
Important note
This is general information, not medical advice or a diagnosis. Call 911 if you need emergency assistance.
Additional Resources
About this guide
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