Conversation: The conversation between human and AI assistant.
[|Human|] Hi I suffer from chronic testicular pain, I have had this pain for roughly 9 years and have not found relief. I have tried many options. What are the best ways to stop the pain? Is surgical removal a good option. It is the only thing I have not tried. I am a 25yo gay male and do not want to have kids so that is not an issue for me. The pain is debilitating and prevents me from functioning properly. Any help or suggestions would be greatly appreciated.
[|AI|]  Hi, I had gone through your question and understand your concerns. Surgery is the last option and before that the right cause should be found. You need to do at least ultrasound of testicles but MRI scan or scenography would be more accurate. But my opinion is that this is suggestive of chronic epididymitis which is inflammation of part of testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scenography. Orhidectomy as an option may be considered but only if these conservative methods would be unsuccessful. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.