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Hi Jim, I am an American Board Certified Neurologist and I am very glad to help you with your health concerns.
There are myriad health conditions that can cause this type of symptom you are having in the testicular area, for example certain neurological conditions like a neuropathy can cause this. There are nerves like for example genitofemoral nerve or ilioinguinal nerve the damage of which can cause this type of aching/pain in the testis area. Certain type of hernia too can cause this. Ligament injury in the testes or groin area also can cause this. Circulation problem to the testes too can cause this type of aching. Local pathologies arising from the testis itself too can cause this.
As you see there are many possibilities and if not already done then you may please try to get examined by a doctor in the clinic preferably by a neurologist and an urologist so that both neurological and urological causes can be ruled out. After a thorough examination they will also arrange for certain relevant investigations which should help in identifying the exact cause for your symptom and then treated appropriately.
And please see that the type of symptom you are having in the testis does not automatically mean there is some underlying serious condition, in fact on many occasions these type of symptoms are related to just some benign non-serious conditions which can be treated/cured, however considering that a firm final diagnosis has still not been made accordingly you may try to see your clinic doctors, preferably a neurologist & urologist as soon as possible so that you can receive a thorough clinical evaluation/clinical examination and certain relevant investigations too as pointed above, and once a final precise diagnosis is made it will be treated appropriately. An early diagnosis and treatment gives the best chance for quick and complete cure so please try to see doctors as soon as possible.
All the very best!
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