Health information to help you understand symptoms. It isn't a diagnosis.
Check symptoms

Twisted veins or dull ache above a testicle

Also called: Varicocele

Twisted veins or a dull ache above a testicle is often a varicocele. Most are harmless.

Common causesVaricocele
Usually serious?Usually not
Get checked ifPain or infertility
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Feels like a bag of worms.

Can affect fertility.

When to get medical care

Call 911Not an emergency.
Get care todaySudden swelling.
See a doctor soonPain or fertility concerns.

Causes

Caused by enlarged veins.

OwieClear has pages on 1 condition that can cause twisted veins or dull ache above a testicle. Each shows how soon to get care.

Common causes

  • VaricoceleSee a doctor if it doesn't get better

    Enlarged veins in the scrotum, often on the left side, that can feel like a bag of worms.

What you can do at home

  • Supportive underwear.

Medicines

Surgery if needed.

At the doctor

Diagnosed by exam.

Questions you may be asked

  • Pain

The exam

A scrotal exam.

Tests

  • Ultrasound

Prevention

Get checked.

  • Self-checks

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

Start the symptom checker

Sources

Last updated 2026-11-13.