How common is testicular pain in chlamydia?

Chlamydia can infect the urethra and may spread to the epididymis, the small structure behind each testicle. This can cause aching or tenderness, often on one side, with swelling, warmth, burning when urinating, or discharge. Some people have few or no noticeable symptoms, so the absence of pain does not rule out infection.

Testicular pain also has other causes, including injury, inflammation, a hernia, or twisting of the testicle. A sexual-health clinician may take a urine or swab sample and examine the scrotum to choose the right treatment.

Arrange prompt testing if you have testicular pain after sexual contact, urinary symptoms, discharge, or a partner with a diagnosed sexually transmitted infection. Avoid sex until you have received advice and completed the recommended treatment plan. Tell recent partners so they can obtain testing and treatment guidance.

Wear supportive underwear, rest, and use a wrapped cold pack for short periods if it helps. Take pain relief only when suitable for you and follow the label. Do not use someone else’s antibiotics or delay assessment while waiting for symptoms to settle.

Go to emergency care immediately for sudden severe testicular pain, a testicle that sits higher than usual, marked swelling, nausea or vomiting, or pain after a significant injury. Testicular twisting can damage blood supply and needs rapid treatment. Seek prompt clinical care for fever, worsening redness, or increasing swelling even when the pain began gradually.

Ask which chlamydia tests are suitable for the sites of sexual contact, whether you also need tests for other infections, and when treatment should begin. Ask when sex can safely resume, whether partners need notification, and which changes require urgent reassessment.