i understand your concern The testicle and spermatic cord are common places to suffer chronic and sometimes debilitating pain. Some of the causes of chronic testicular and spermatic cord pain are trauma, infection and neurologic disease. The pain itself can range from just annoying to completely debilitating. Since the pain subsided on antibiotic medications, it is highly suggestive of the infectious origin of this pain. You can ask your doctor for additional pain relief medication to add to the effectiveness of the treatment. The most common condition related to testicular inflammation and infection is epididymitis (inflammation of one or both epididymes). As the epididymis is attached to the testicle, infection often spreads to the testicle (called epididymo-orchitis). Orchitis is inflammation of the testicle, which only rarely occurs by itself. These conditions, which can occur at any age, may cause severe, sudden pain. Most infections related to scrotal pain in adolescent and young adult males are caused by sexually-transmitted bacterial infections (STDs, STIs), especially chlamydia and gonorrhea. Other effective treatments of chronic testicular pain inculde Self-care may include over-the-counter pain relievers (e.g., ibuprofen), applying ice to the scrotum, reduced activity, placing a rolled towel under the scrotum while lying down, and wearing scrotal support Some other preventive measures are Practice safer sex to avoid sexually transmitted infections. Protect the scrotal area from injury by wearing a protective cup or athletic supporter while playing sports. Limit repetitive stress on the perineum and pudendal nerve, which may occur with excessive bicycling or weight-lifting. Perform regular testicular self-exams for early detection of tumors. Promptly treat urinary tract infections (UTIs) and prostatitis, and address any underlying causes. Learn about prevention of urinary tract infections and kidney stones. Take Care!