Irritable bowel syndrome (IBS) may force people to strain while passing stool. This could lead to testicular injury, causing dull, aching, or burning pain. Treatment may include pain medications, pelvic floor exercises, and surgery.
IBS is a gastrointestinal condition that causes abdominal pain, discomfort, and changes in bowel habits. Symptoms include bloating, constipation, and diarrhea.
Some people with IBS report testicular pain. This article looks at the possible connection between these conditions. It discusses the causes of testicular pain and how it might feel. It also outlines the diagnosis, treatment, and outlook for testicular pain.

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Scientists remain unsure about the connection between IBS and testicular pain. Testicular pain is unlikely to be a symptom of IBS but could be a complication.
The connection between IBS and testicle pain may happen in the following ways:
Muscle straining
Some people with IBS may find themselves straining when trying to pass stool. This can happen when IBS leads to periods of constipation. This straining might cause damage to the testicles, leading to pain.
However, scientists have not confirmed this link.
Learn about IBS with constipation.
Varicoceles
Scientists define varicoceles as enlarged veins within the scrotum.
There is no clear connection between varicocele and IBS. An
Hernia
As the United Kingdom’s National Health Service explains, straining while passing stool could cause an inguinal hernia. This is when part of an internal organ forces its way through a muscle into the groin. Doctors must operate on the groin to treat an inguinal hernia, and this surgery can lead to testicular pain.
However, this is a tenuous connection. Doctors consider hernias relatively unrelated to IBS.
Read about hernia types and treatments.
Testicular pain happens for many reasons,
- spermatoceles, which are cysts that form in small tubes within the testicles
- infection
- trauma
- tumor
- thickening or scarring of testicles
- lower back strain
- inflammation of blood vessels within the testicles
- post-vasectomy pain
- problems with the pelvic floor
Testicular pain
- worsen with sitting, sexual activity, and exercise
- occur only when there is some pressure on the testicles
- occur only when walking or stooping
- be dull, aching, or burning
Testicular pain may also come with pain in other body parts.
Learn about performing a testicular self-exam.
To diagnose the cause of testicular pain, a doctor may order the following
Diagnosing the cause of testicular pain can be challenging. On average, individuals with chronic testicular pain will require
There are many possible treatments for testicular pain, depending on the underlying cause. The following treatments may help ease a person’s pain:
- applying warming or cooling therapies
- antibiotics
- pain-relief medications
- nonsteroidal anti-inflammatory drugs
- antidepressants
- anticonvulsants
- pelvic floor physical therapy
- psychotherapy
In some cases, doctors may
Anyone with ongoing testicular pain should seek a doctor’s advice. Testicular pain could indicate a serious condition that requires prompt treatment.
It may be useful to note down symptoms when they occur. This can help doctors understand what a person is experiencing. A doctor may ask about:
- when the pain typically occurs
- how the pain feels
- any other symptoms
If someone experiences testicular pain and any of the following symptoms, they should seek immediate medical attention:
- increased heart rate
- fever
- chills
- severe pain
- blood in urine
- change in scrotum skin color
The outlook for people with testicular pain varies depending on its underlying cause. Although the pain can be unpleasant, it does not always indicate a serious condition.
Testicular pain is a symptom of testicular cancer. Although this condition can be life threatening, surgical removal of the testicles is an effective treatment. According to the American Cancer Society, the 5-year survival rate for testicular cancer is
Learn about other symptoms of testicular cancer.
IBS is a gastrointestinal condition that can cause abdominal pain and bowel-related symptoms. Some people with IBS also experience testicular pain.
Testicular pain has many causes, ranging from cancer to infection. Scientists do not fully understand the relationship between IBS and testicular pain.
People can try home remedies or over-the-counter pain medications to manage testicular pain. If pain is persistent, a person should discuss it with a doctor.