Fungal infections and testicular issues?
Hello Doctor: I would like to ask a couple of questions.
First, I have a growth on the left side of my testicle that feels like a polyp; when I touch it, it feels like a small bead.
Is this a sign of illness? My second question is regarding my foreskin, which is somewhat elongated but does not interfere with sexual activity.
I have a habit of not using condoms, and recently I noticed small white spots on my foreskin that are neither itchy nor painful.
Could this be a fungal infection? Is there a risk of it spreading? Which specialist should I see for these issues, a surgeon or a urologist? I rarely visit the doctor, so I would appreciate your help.
Thank you!
jin zhang you hai pa, 30~39 year old female. Ask Date: 2017/02/08
More Info
When it comes to testicular concerns and potential fungal infections, it’s essential to approach the situation with a clear understanding of the symptoms and possible conditions involved. Based on your description, you have two primary concerns: a lump on the left testicle that feels like a small bead, and the presence of small white bumps on your foreskin.
Testicular Lump
The lump you describe on your left testicle could be a variety of things. It’s important to note that not all lumps are indicative of serious conditions. Common benign causes include:
1. Epididymal Cyst: A fluid-filled sac that can develop in the epididymis, which is located at the back of the testicle. These are usually painless and can feel like a small bead.
2. Varicocele: An enlargement of the veins within the scrotum, which can sometimes be felt as a lump.
3. Testicular Tumor: While less common, any new lump should be evaluated to rule out the possibility of testicular cancer, especially if it is hard, irregular, or associated with other symptoms like pain or swelling.
Given the potential seriousness of a testicular lump, it is advisable to consult a urologist. They can perform a physical examination and may recommend an ultrasound to determine the nature of the lump.
White Bumps on the Foreskin
The small white bumps you mentioned on your foreskin could be due to several factors:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans and are normal anatomical variations.
2. Fungal Infection: If the bumps are associated with other symptoms like redness, itching, or discharge, it could indicate a fungal infection, such as candidiasis (thrush), especially if you have a history of such infections.
3. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands and are considered normal.
4. Sexually Transmitted Infections (STIs): Certain STIs can present with bumps or lesions on the genital area. Given your history of unprotected sexual encounters, it’s crucial to consider this possibility.
Recommendations
1. Consult a Urologist: Since both concerns involve the genital area, a urologist is the appropriate specialist to evaluate both the testicular lump and the bumps on your foreskin.
2. Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety or mismanagement of your health.
3. Testing for STIs: Given your sexual history, it would be wise to undergo testing for STIs, including fungal infections, to rule out any underlying issues that could be contributing to your symptoms.
4. Hygiene and Care: Maintain good hygiene, especially if you suspect a fungal infection. Keeping the area clean and dry can help prevent further irritation or infection.
5. Follow-Up: If you notice any changes in the size, shape, or characteristics of the lump or bumps, or if you develop new symptoms such as pain, swelling, or discharge, seek medical attention promptly.
Conclusion
In summary, both the testicular lump and the white bumps on your foreskin warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment are key to managing any potential issues effectively. Don’t hesitate to reach out to a urologist for a comprehensive assessment and peace of mind regarding your health.
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