Since the patient complaints of pain, history of present illness (HPI) should include the severity, onset and duration of the pain as well as aggravating and relieving factors. Any change in testicular size, irregular lumps, soreness or heaviness of the testes should also be asked. Any medication/s taken by the patient for the pain such as analgesics or antibiotics is also important. Past medical history (PMHx) should include any history of STD's, single or multiple infections, treatment and residual problems, if applicable as well as concomitant diseases like Diabetes Mellitus or for any neurologic or vascular impairment (Seidel, et.al, 2006). Relevant to ask in the Family History are infertilities in siblings, history of penile, prostate and testicular cancer and hernias (Siedel, et.al, 2006). Information as to the social history should also include past or present use of alcohol, drugs and cigarette. Since the patient rides a bike everyday and engages in physical sports (softball), the use of protective gear on his genital area should be asked. The patient's sexual history should include the number of sexual partners, condom usage, sexual lifestyle (heterosexual, homosexual, bisexual) and questions as to any change in the frequency of sexual desire or activity and change in sexual response (e.g.