Testicular Issues: Causes, Symptoms, and Management

Q: Testicular Issues: Causes, Symptoms, and Management

Hello： Testicular congestion is not harmful, but in practice, it should not feel as hard as a rock. <br>Additionally, frequent touching should not theoretically cause the testicles to become hard due to congestion. <br>It is not recommended to engage in excessive running. <br>If

Testicular issues

Hello Doctor: I am the inquirer from #131007.
After about 20 days, I feel that the inflammation in my right testicle and epididymis has reduced, and the firmness of the normal part of the testicle has gradually become consistent.
There is no pain, but one thing is very concerning to me: the inflamed part of my right testicle experiences intermittent engorgement (similar to penile erection), and when it reaches its peak, it becomes as hard as a rock, but then it quickly returns to normal.
Sometimes it resolves on its own, and the situation varies.
It often occurs after walking, brisk walking, prolonged sitting, changes in weather, or when I see intimate scenes in videos.
I wonder if this is due to my lack of a sexual partner and the fact that I rarely engage in masturbation (I am very busy with work and often experience nocturnal emissions).
I previously consulted a doctor about this issue, and he simply stated, "It is normal for the inflamed testicle to become engorged; there is no pain, and the ultrasound showed nothing concerning," and he assured me that I did not need to return for follow-up.
I feel embarrassed to keep bothering the doctor (I had previously returned for check-ups over ten times, including seven ultrasounds, two color Doppler ultrasounds, and blood tests for tumor markers, all of which were normal).
I would like to ask the doctor: 1.
Is frequent engorgement of the testicle harmful to the body? How can I prevent testicular engorgement? 2.
Could my frequent self-examination be causing the engorgement (there were times when I touched it and it became hard when it was initially fine)? 3.
I love jogging and run nearly 100 km per month.
During the period of testicular inflammation, the doctor advised me to refrain from running, which I complied with.
Later, the doctor said I could run again, but now I only have intermittent engorgement of the testicle.
Is it safe for me to continue jogging? Thank you very much for your response, Doctor!

Xiao Long, 20~29 year old female. Ask Date: 2017/12/25

Dr. Du Shixi reply Urology

Hello: Testicular congestion is not harmful, but in practice, it should not feel as hard as a rock.
Additionally, frequent touching should not theoretically cause the testicles to become hard due to congestion.
It is not recommended to engage in excessive running.
If the issue persists, it is advisable to consult a urologist at a hospital.
Wishing you good health.

Reply Date: 2017/12/25

More Info

Understanding testicular issues, particularly those related to inflammation and blood flow, is crucial for maintaining reproductive health and overall well-being. Based on your description, it seems you have experienced inflammation of the right testicle and its associated structures, which can lead to various symptoms, including swelling, pain, and changes in blood flow.

1. Is frequent testicular engorgement harmful? How can it be prevented?
Frequent engorgement of the testicles, particularly if it occurs without pain or other alarming symptoms, is generally not harmful. This phenomenon can be attributed to increased blood flow, which may occur due to various stimuli, including physical activity, temperature changes, or sexual arousal. To prevent excessive engorgement, consider wearing supportive underwear that minimizes movement during physical activities. Additionally, managing stress and anxiety, which can also contribute to increased arousal and engorgement, may help.

2. Could frequent self-examination lead to engorgement?
Yes, frequent touching or self-examination of the testicles can lead to temporary engorgement. The act of touching can stimulate blood flow to the area, causing the testicles to become firmer and more engorged. If you notice that this occurs frequently when you touch them, it may be beneficial to limit the frequency of self-examinations to avoid unnecessary stimulation.

3. Can I continue running despite the engorgement?
Given that your doctor has cleared you for running and that you are no longer experiencing pain or significant discomfort, it is generally safe to continue your running regimen. However, it is essential to listen to your body. If you notice that running exacerbates the engorgement or leads to discomfort, it may be wise to adjust your activity level or consult your physician for further advice.

In terms of management, it is crucial to maintain open communication with your healthcare provider. If the engorgement becomes painful, persistent, or is accompanied by other symptoms such as fever, nausea, or changes in urination, you should seek medical attention promptly. Regular follow-ups, even if they seem unnecessary, can help monitor any changes in your condition and ensure that any potential issues are addressed early.

Additionally, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and adequate hydration, can support overall reproductive health. Avoiding excessive alcohol consumption and smoking can also contribute positively to your testicular health.

In conclusion, while the symptoms you are experiencing may be concerning, they are not uncommon in cases of testicular inflammation. With appropriate management and lifestyle adjustments, you can continue to engage in your regular activities while monitoring your symptoms. If you have any further concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for guidance.

Similar Q&A

Understanding Testicular Issues: Symptoms, Concerns, and Solutions

Hello Doctor, I would like to ask a few questions regarding symptoms related to my testicles. First, let me briefly describe my medical history: I had surgery for a hernia and bilateral cryptorchidism when I was young. I have completed my military service, and during routine he...

Dr. Fu Shizhang reply Urology
1. There is no need for excessive concern in this situation. If there is worry about testicular torsion, a testicular fixation surgery is typically performed. However, if a child has previously undergone surgery for cryptorchidism, it is generally unlikely to encounter torsion. ...

Understanding Testicular Issues: Concerns About Cryptorchidism and Pain

Hello Doctor: From my memory, since childhood, it seems that I only have one testicle, which is similar to cryptorchidism. Since I didn't feel anything unusual, I didn't think much about it until 2 or 3 years ago when my girlfriend also found it strange. Since it was di...

Dr. Lin Hexing reply Urology
Hello Amin: The main issue you are concerned about is the suspicion of cryptorchidism. I am not sure if the small urology clinic you visited is truly staffed by a board-certified urologist. If they have assured you that there is no issue with cryptorchidism and you still have dou...

Understanding Testicular Issues: Pain, Swelling, and Fertility Concerns

Hello, Dr. Hsu. At the end of April, I accidentally collided with a classmate while playing basketball, and I ended up kneeling and pressing on my left testicle. At that moment, I didn't feel any pain, but a few days later, I noticed some bruising. I went to see a doctor, wh...

Dr. Xu Weikai reply Urology
Ah Hsien: Hello, I recommend visiting a urologist for an examination. An ultrasound of the testicles can be performed to check for blood clots or varicocele. If you have any further questions, feel free to ask, and we can discuss and research together. Online responses should onl...

Understanding Testicular Pain: Causes and Concerns for Men

Hello Dr. Hsu, my left testicle has been experiencing pain for one or two days approximately every six months. After that, the pain subsides. What could be the reason for this? [This started happening this year] Thank you.

Dr. Xu Weikai reply Urology
Xiao Ming: Hello, I also cannot make a judgment. I suggest providing detailed information about the location, duration, extent of the involvement, and any accompanying symptoms. Is it related to climate or temperature? Is it related to exercise? Is it related to sexual activity o...