How to Discuss Testicular Health Concerns with Your Doctor - Urology

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Confirm if it is normal?


Hello, doctor.
When I was younger, I experienced trauma to my testicles, and I would like to confirm if their function is normal.
I am not currently trying to conceive; I just want to ensure everything is okay.
What should I say to the doctor, and are there any specific tests I need to undergo? Thank you.

Wang, 20~29 year old female. Ask Date: 2017/03/19

Dr. Du Shixi reply Urology


Hello: The testicles have been hit before, when it happened, and the circumstances at that time --> Just tell the urologist at the hospital, if there were any issues, something would have happened then, so don't worry too much.
The doctor will arrange for examinations (depending on your needs, whether it's fertility or male hormones), just communicate with the doctor.

Reply Date: 2017/03/19

More Info


When discussing testicular health concerns with your doctor, it's important to approach the conversation openly and honestly. Here’s how you can effectively communicate your concerns:
1. Be Direct and Honest: Start by explaining your history. You can say something like, "I had an incident in my childhood where my testicles were injured, and I want to ensure that everything is functioning normally." This sets the context for your inquiry.

2. Express Your Concerns: Clearly state that you are not currently trying to conceive but are interested in understanding your testicular health. You might say, "I’m not looking to start a family right now, but I want to make sure my testicular health is good."
3. Ask Specific Questions: Prepare a list of questions you want to ask. For example:
- "Are there specific tests I should undergo to check my testicular function?"
- "What symptoms should I be aware of that might indicate a problem?"
- "Is there a way to assess hormone levels related to testicular function?"
4. Discuss Symptoms: If you have experienced any symptoms such as pain, swelling, changes in size, or any unusual lumps, mention these to your doctor. For instance, "I haven't noticed any pain or swelling, but I want to be sure everything is normal."
5. Request Examinations: Your doctor may suggest a physical examination, which typically involves checking for lumps, swelling, or abnormalities in the testicles. You can ask, "Will a physical exam be sufficient, or should I consider additional tests like an ultrasound or hormone level tests?"
6. Follow-Up: After your initial discussion, ask about the next steps. You might say, "What should I do if any issues are found during the examination?"

Additional Information on Testicular Health
Testicular health is crucial for overall male reproductive health. Here are some key points to consider:
- Self-Examination: Regular self-examinations can help you become familiar with the normal size and shape of your testicles, making it easier to notice any changes. You can perform this during a warm shower when the scrotum is relaxed.

- Common Tests: Depending on your doctor's assessment, they may recommend:
- Ultrasound: This imaging test can help identify any abnormalities such as tumors or cysts.

- Hormone Testing: Blood tests can measure testosterone and other hormone levels to assess testicular function.

- Semen Analysis: If fertility is a concern in the future, a semen analysis can evaluate sperm count and quality.

- Symptoms to Watch For: Be aware of any unusual symptoms, such as:
- Persistent pain or discomfort in the testicles or scrotum.

- Swelling or lumps in the testicles.

- Changes in the size or shape of the testicles.

- Any changes in sexual function or libido.

- Injury History: Since you mentioned a past injury, it’s essential to discuss any lingering effects or concerns related to that incident. Past trauma can sometimes lead to complications, so it’s good to address this with your doctor.

- Lifestyle Factors: Discuss any lifestyle factors that may affect testicular health, such as smoking, alcohol consumption, and exposure to environmental toxins.

By approaching your doctor with clear communication and specific questions, you can ensure that your concerns about testicular health are addressed comprehensively. Remember, your health is important, and seeking clarity on these issues is a proactive step toward maintaining your overall well-being.

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