Why is the tingling pain sensation in the testicles having hurt while playing?
Patient: My fiancé is having a severe tingling pain sensation in his testicles.....he has already seen a doctor and is being sent to see a fertility specialist to examine his sperm count. He had one semen sample taken and it showed that his sperm count was 1 million vs a normal male sperm count of about 20 million. Now this I don't think has anything to do with his symptoms but what could be the cause of this tingling pain in his testicles. He has not hit them or damaged them while playing a sport for example. please help.   Miss Marie Doctor: Hi ! Good morning. I am Dr Shareef answering your query.Most of the time, this happens due to unnoticed repeated  trivial injury to the testes even during normal day to day activities if the testes are not supported by properly fitting undergarments. If I were his doctor, I would advise him for a well fitting testicular support, some anti inflammatory, and a broad spectrum antibiotic if need be after sending a urine sample for routine and culture sensitivity test to rule out a urinary tract infection which could give rise to similar problem. If there was no relief, I would advise him for a Doppler ultrasound of both testes to rule out a chronic torsion of the testis. Further management would depend on the investigation reports. The sperm count could get affected in case of untreated infection of the urogenital system and also a condition called varicocele. So, it has to be ruled out by a physical examination of your fiance by a doctor.I hope this information would help him in discussing with his family physician/treating doctor in further management of his problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.