Testicular Size Differences and Prostate Health Concerns - Urology

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Testicular issues


Hello Doctor, I have one testicle larger than the other.
Today I visited a urologist who performed a physical examination and said it was normal.
I had a similar examination a year ago, and no ultrasound was performed.
How often should I get checked, or is regular monitoring unnecessary? Additionally, I have not engaged in masturbation or sexual activity recently.
Over a long period (several years), could toxins or impurities accumulate in the prostate? (I have seen rumors about this online.)

Xiao Zhi, 20~29 year old female. Ask Date: 2017/04/04

Dr. Du Shixi reply Urology


Hello: A testicular physician can determine if there are any abnormalities through physical examination.
If everything is normal, there is generally no need for regular ultrasound checks.
Regarding the concerns about toxins or impurities accumulating in the prostate due to lack of masturbation or sexual activity, there is no need to worry.
Some information and claims found online may not be reliable, so it is advisable to refer to educational materials provided by major medical centers.
Engaging in moderate exercise and paying attention to diet is beneficial.
If engaging in sexual activity, it is important to practice safe sex.
Thank you for your inquiry.

Reply Date: 2017/04/04

More Info


When it comes to understanding testicular size differences and prostate health concerns, it's important to approach the topic with a clear understanding of anatomy, physiology, and the implications of various health conditions.
Firstly, it is not uncommon for men to have one testicle that is slightly larger or hangs lower than the other. This asymmetry is generally normal and can be attributed to anatomical variations. However, if there is a significant difference in size or if one testicle becomes painful, swollen, or hard, it is crucial to seek medical attention. Regular self-examinations can help you become familiar with your normal anatomy, making it easier to notice any changes.
Regarding prostate health, concerns often arise about the accumulation of toxins or "dirty substances" in the prostate due to a lack of sexual activity or ejaculation. The prostate gland produces seminal fluid, which is a component of semen. While some internet sources may suggest that prolonged abstinence can lead to harmful buildup, there is no substantial scientific evidence to support the idea that the prostate accumulates toxins in this manner. The prostate is a dynamic organ that continues to function regardless of sexual activity.
However, it is worth noting that regular ejaculation has been associated with certain health benefits, including a potential reduction in the risk of prostate cancer. Some studies suggest that men who ejaculate more frequently may have a lower risk of developing prostate cancer later in life. This does not mean that abstaining from sexual activity will lead to prostate issues, but rather that regular ejaculation could be beneficial for prostate health.

As for the frequency of check-ups, if you have been examined by a urologist and they have deemed your testicular size differences as normal, there may not be a need for frequent follow-ups unless you experience new symptoms. Generally, it is advisable to have a check-up at least once a year, especially if you have any concerns or if there are changes in your health status. If you notice any unusual symptoms such as pain, swelling, or changes in urination, you should consult a healthcare provider promptly.

In conclusion, while variations in testicular size are typically normal, maintaining awareness of your body and any changes is essential. Regular check-ups with a healthcare provider can help monitor your prostate health and address any concerns you may have. It is also important to rely on credible medical sources for information rather than unverified internet claims. If you have further questions or concerns about your prostate health or testicular size, discussing them with your healthcare provider is the best course of action. They can provide personalized advice based on your medical history and current health status.

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