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@BringMeMyFix
If you've got the congenital (genital) condition, you'd have been experiencing the symptoms regularly since puberty.
It can be brought on by the most mundane of activities e.g. getting out of bed, having a bath, blah.
They don't really feel twisted - and remember, this isn't the both of them entangling; it's the epididymis for one of them twisting up in of itself. The sensation is more like having a bollock in a vice-like grip, where contact from certain angles causes even more exquisite pain.
There's also a sort of knock-on deep in your gut ache and cramping - my wife said that aspect sounded a bit like bad period pains.
Sometimes the offending bollock can be manipulated so as to untwist, but it's a bit hit and miss. The epididymis gets increasing swollen, and trying to guess which way to *untwist *is a lottery.
Other times it miraculously disappears, often during the most mundane activities e.g. getting out of bed, having a bath, blah.