Does Herpes Cause Pain in Testicles?

Testicle pain can be concerning, and many wonder if herpes is a cause. While genital herpes does not directly infect the testicles, it can lead to complications that might result in testicular discomfort. Understanding this connection and other potential causes of testicle pain is important.

Understanding Genital Herpes and Its Symptoms

Genital herpes is an infection caused by the herpes simplex virus (HSV), primarily HSV-2, though HSV-1 can also cause it. This viral infection typically manifests with common symptoms in the genital or anal area, such as small bumps or blisters that develop into painful sores.

Individuals may also experience itching, tingling, or a burning sensation in the affected areas. Initial outbreaks can sometimes be accompanied by flu-like symptoms such as fever, headache, muscle aches, and swollen lymph nodes in the groin. These symptoms commonly appear on the penis, scrotum, anus, buttocks, or thighs.

The Link Between Herpes and Testicle Pain

Herpes does not directly infect the testicles to cause pain. However, it can contribute to epididymitis, an inflammation of the epididymis. The epididymis is a coiled tube located at the back of each testicle that stores and carries sperm.

Epididymitis symptoms typically include pain in the scrotum, which can be one-sided and develop gradually. Other signs involve swelling, warmth, and tenderness of the affected testicle, along with possible pain during urination, frequent urination, or penile discharge. While bacterial sexually transmitted infections (STIs) like chlamydia and gonorrhea are the most common causes of epididymitis, herpes can indirectly contribute to its development. For instance, herpes sores can cause urinary retention by blocking the urethra, creating an environment where bacteria can multiply and ascend to the epididymis, leading to inflammation.

Other Potential Causes of Testicle Pain

Testicle pain can stem from various sources beyond herpes or other STIs. Injuries or trauma to the scrotal area are a common cause of pain and swelling. Kidney stones can also manifest as referred pain in the testicles, in addition to severe pain in the side or groin, nausea, and vomiting.

Other conditions include varicocele, which are enlarged veins in the scrotum that may cause a dull ache or a feeling of heaviness, often worsening with physical activity or prolonged standing. A hydrocele, a fluid buildup around the testicle, can lead to scrotal swelling and discomfort. More serious causes encompass testicular torsion, a medical emergency where the spermatic cord twists, cutting off blood supply, and orchitis, an inflammation of the testicle often caused by bacterial or viral infections like mumps. Inguinal hernias, where tissue protrudes into the scrotum, and even, less commonly, testicular cancer, which may present as a dull ache or heaviness, can also cause pain.

When to Seek Medical Attention

Any new or persistent testicle pain should prompt a medical evaluation. It is particularly important to seek immediate attention if the pain is sudden and severe, or if it is accompanied by nausea, vomiting, or fever. These symptoms could indicate a serious condition like testicular torsion, which requires urgent treatment to prevent permanent damage.

Medical consultation is also advised for any noticeable lump, swelling, or change in the size or shape of the testicles. Seeking professional diagnosis ensures appropriate treatment and can rule out potentially serious underlying health issues.