The brain is not good at localizing internal pain. A similar effect to the testicular-pain-in-abdomen effect is that when people have heart attacks they often feel pain in their arm or jaw. This effect is called *referred pain*. Internal pain at a specific location usually cannot be distinguished from other internal pain carried on the same nerve path.
In a particularly odd bit of human development, the testes originally develop in the abdomen and descend slowly, getting wrapped in layers of abdominal wall as they go. They share a nerve supply, which like most internal pain is dull and vague rather than sharp and localized. As a result, the brain only knows that internal testicular pain is coming from somewhere in the abdomen/related area. It’s an example of referred pain, where the pain doesn’t line up with the actual location.
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