Is It Normal for the Left Testicle to Have More Blood Vessels? - Urology

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Is it normal for the left testicular blood vessels to be more prominent?


Doctor, is it normal for the left testicle to feel like there are more tubular structures when I touch it? Because when I touch the right one, it feels more empty.

licht, 20~29 year old female. Ask Date: 2016/07/03

Dr. Fu Shizhang reply Urology


It is possible that you have a varicocele.
It is recommended to visit an outpatient clinic for examination, as online consultations cannot replace an in-person evaluation and physical examination by a physician.
If there is a medical condition, it is still advised to seek care at a healthcare facility.

Reply Date: 2016/07/03

More Info


When it comes to the anatomy of the male reproductive system, it is not uncommon for one testicle to have a different appearance or feel compared to the other. In many cases, the left testicle may have more visible blood vessels or a different texture due to several factors, including anatomical variations, the presence of the pampiniform plexus, and individual differences in vascularization.

The pampiniform plexus is a network of veins located in the spermatic cord that helps regulate the temperature of the testicles, which is crucial for sperm production. This network can sometimes be more prominent on one side, leading to the sensation of "more blood vessels" in the left testicle. Additionally, the left testicle typically hangs lower than the right, which can also contribute to the perception of differences in size or vascularity.

However, it is essential to consider other factors that could contribute to the feeling of increased vascularity or the presence of "tubular" structures. For instance, conditions such as varicocele (enlargement of the veins within the scrotum) are more commonly found on the left side and can lead to a feeling of fullness or increased vascularity. Varicoceles can sometimes be asymptomatic but may cause discomfort or fertility issues in some men.

If you are experiencing any discomfort, pain, or significant changes in the size or shape of your testicles, it is crucial to consult a healthcare professional for a thorough examination. They may perform a physical examination and possibly an ultrasound to assess the blood flow and structure of the testicles. This will help rule out any underlying conditions that may require treatment.

In summary, while it is not unusual for the left testicle to feel different from the right, especially in terms of vascularity, it is always best to err on the side of caution. If you have concerns about your testicular health or notice any unusual symptoms, seeking medical advice is the best course of action. Regular self-examinations and awareness of your body can help you detect any changes early, ensuring prompt evaluation and treatment if necessary.

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