Testicular Sensations: What Could Be Causing the Difference?

Q: Testicular Sensations: What Could Be Causing the Difference?

Hello： The sizes of the testicles are different, their textures vary, and their positions are uneven, but they do not feel excessively hard upon examination. <br>It is important to visit a hospital for a physician to conduct an examination for confirmation (a physician cannot pro

Testicular issues

Hello doctor, over the past two days, I have noticed a different texture in the area behind the left testicle compared to the right one, which feels the same in position.
I'm not sure if it's due to the angle of touch.
To feel something similar on the right testicle, I have to touch deeper inside the scrotum.
Since I haven't studied this area professionally, I can't tell if it's a blood vessel or the epididymis.
It doesn't feel like what I've read online about abnormalities being hard to the touch.
The size doesn't seem significantly different, and there is no feeling of shrinkage, heaviness, or pain.
It just feels like the testicle is round, but when I touch the area behind it, the texture feels different.
I'm hesitant to apply too much pressure; only slight pressure gives me a pain sensation similar to what I usually feel when touching the testicles.

Niming, 20~29 year old female. Ask Date: 2017/01/03

Dr. Du Shixi reply Urology

Hello: The sizes of the testicles are different, their textures vary, and their positions are uneven, but they do not feel excessively hard upon examination.
It is important to visit a hospital for a physician to conduct an examination for confirmation (a physician cannot provide treatment, prescribe medication, or issue a diagnosis without a personal examination).

Reply Date: 2017/01/03

More Info

When it comes to sensations in the testicles, it's important to understand that the anatomy of the male reproductive system can lead to variations in how each testicle feels. The testicles are not identical; they can have slight differences in size, shape, and texture. This is normal and can be influenced by various factors, including the position of the testicles within the scrotum, the presence of blood vessels, and the epididymis, which is the coiled tube located at the back of each testicle that stores and matures sperm.

From your description, it seems like you are experiencing a difference in sensation between your left and right testicles, particularly in the area behind the left testicle. This could be due to several benign reasons:
1. Epididymis: The epididymis is located at the back of each testicle and can sometimes feel different depending on how it is positioned or if there is any fluid accumulation. It is normal for the epididymis to feel slightly different from the testicle itself.

2. Blood Vessels: The spermatic cord, which contains blood vessels and nerves, runs from the abdomen to each testicle. Variations in how these structures feel can lead to differences in sensation.
3. Positioning: The way you are touching or examining your testicles can also affect how they feel. If you are applying pressure in different ways or angles, it may lead to a perception of differences that are not actually present.

4. Muscle Tension: Sometimes, the cremaster muscle, which helps to raise and lower the testicles, can cause a sensation of tightness or differences in how the testicles feel based on temperature or arousal.

5. Normal Variability: Just as with any part of the body, there is a natural variability in how testicles feel from person to person and even from one testicle to another in the same individual.

Given that you do not report any pain, swelling, or significant changes in size, it is likely that what you are experiencing is within the realm of normal anatomical variation. However, if you notice any of the following symptoms, it would be wise to consult a healthcare professional:
- Persistent pain or discomfort in one or both testicles.

- Swelling or a noticeable change in size.

- A hard lump or mass that feels different from the surrounding tissue.

- Changes in skin color or texture on the scrotum.

- Any other unusual symptoms such as fever or systemic illness.

In conclusion, while it is common to feel differences in the testicles, especially when examining them yourself, it is always best to err on the side of caution. If you have any concerns or if the sensations change or worsen, seeking a medical evaluation is advisable. A healthcare provider can perform a physical examination and may recommend an ultrasound if there are any concerns about abnormalities. Regular self-examinations can help you become familiar with what is normal for you, making it easier to identify any changes that may require further investigation.

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