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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Orchialgia is chronic pain of the testicles or scrotum that typically lasts for more than three months.


Common Causes


History and Symptoms

Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain:

  • Onset can be sudden or gradual
  • Site location: Unilateral or bilateral (bilateral testicular pain is more commonly seen)
  • Intermittent or constant: Pain is usually intermittent and can shift from one side to the other.
  • Type of pain: Patients usually have deep aching pain.
  • Associated symptoms:
  • Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain.

Laboratory Findings

Testing for gonorrhea and chlamydia should be routinely performed.[1]


Medical Therapy

Treatment is often with NSAIDs and antibiotics. However, this is not always effective.[1]

Related Chapters


  1. 1.0 1.1 Wampler SM, Llanes M (September 2010). "Common scrotal and testicular problems". Prim. Care 37 (3): 613–26, x. doi:10.1016/j.pop.2010.04.009. PMID 20705202.