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I have had some nonspecific testicular pain (mostly left

Hello, I have had some nonspecific...
Hello,
I have had some nonspecific testicular pain (mostly left testicle, but occasionally right testicle) now for several months--over a year now, in fact. I have had now 3 separate rounds of STD testing that have all come back negative (RPR, HIV, HSV, Go/Ch, etc) in the last year or so. Likewise I saw a urologist on several occasions a few months after this all started happening, as well as a dermatologist, who apparently ruled out any sort of STD as the cause. And the urologist said my urine sample showed no signs of a UTI for that matter, as well as a "normal" ultrasound. Eventually he just claimed epididymitis with no particular cause, did a month of antibiotics, and that was that. Pain has still subsisted.
In other words, the vast majority of the traditional causes for testicular pain have been effectively ruled out. I am just wondering if this could be in some way psychosomatic now, where since I "expect" that my testicles are in pain, that they DO end up hurting. I was worried about having some problems going on (still am, since I still have pain) but with so many ruled out I really don't know what could be possible causes at this point.
What am I missing here? If it's not an STD, not a UTI, and there's no torsion etc that show up in an ultrasound, what could possibly cause my testicular pain at this point?
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Answered in 3 minutes by:
9/3/2013
Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20,393
Experience: I am fellowship trained specializing in general urology and reconstructive urology.
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Hello and thanks for trusting me to help you today. I look forward to working with you.
Did you have an ultrasound done?
Have you ever had a hernia repair?
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Customer reply replied 4 years ago

Yes as I mentioned previously I did have an ultrasound performed that did not show any issues of torsion, inflammation, or anything like that.

Have not had a hernia repair.

I should also mention that I have an autoimmune condition, RA, and sometimes I wonder if the recurrent testicular pain may not be a symptom of that as well.

No, testicular pain is not a symptom of rheumatoid arthritis. If your exams and your ultrasounds have been normal, then your pain is likely due to nerve inflammation . This type of pain is very difficult to diagnose and treat. I would recommend that your urologist consider placing you in a course of daily anti-inflammatory such as meloxicam to see if this stops your pain.They can even put you on a course of a medication called gabapentin which is designed to stop nerve pain. Hope this helps and let me know if you have questions.
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Customer reply replied 4 years ago

Thanks. I actually take meloxicam already to help with my chronic joint pain and it has not improved the testicular issues, but I will follow up with the urologist about considering something like a gabapentin.

I think gabapentin would be an excellent option in your case. I wish you the very best.
Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20,393
Experience: I am fellowship trained specializing in general urology and reconstructive urology.
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