Testicular Issues: Is It Related to Varicocele? - Urology

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Testicular issues


Hello doctor, for the past two days, my testicles have been moving into the position of the epididymis.
The first time it happened, they returned to normal when I was lying down.
The second time, I manually repositioned them, but I didn't experience any nausea or severe pain.
Could this be related to my varicocele?

Xiao Hai, 10~19 year old female. Ask Date: 2018/03/15

Dr. Du Shixi reply Urology


Hello: If there is no vomiting or severe pain, it is mostly normal.
Varicocele is quite common in males and typically does not present with the symptoms you mentioned.
You may want to consult a urologist at the hospital, especially if the epididymis seems to be positioned more anteriorly.
Wishing you good health.

Reply Date: 2018/03/15

More Info


Understanding testicular issues, particularly in relation to varicocele, is essential for proper diagnosis and management. Varicocele is a condition characterized by the enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. This condition is relatively common, affecting about 15% of the male population, and is often found in men aged 15 to 25.
The symptoms of varicocele can vary. Some men may experience a dull ache or discomfort in the scrotum, especially after prolonged standing or physical activity. Others may notice a feeling of heaviness or a visible swelling in the scrotum. In some cases, varicocele can lead to fertility issues, as it may affect sperm production and quality due to increased temperature in the testicular area.

In your case, the sensation of your testicles changing position and the involvement of the epididymis (the coiled tube at the back of the testicle that stores and matures sperm) could be related to several factors, including the presence of a varicocele. However, the fact that you do not experience severe pain or nausea is a positive sign, as these symptoms could indicate a more serious condition, such as testicular torsion, which is a medical emergency.

It is important to note that while varicocele can cause discomfort and may be associated with changes in testicular position, it is not typically associated with acute symptoms like those you described. The movement of the testicle could be due to a variety of benign reasons, including changes in body position or muscle contractions.
If you are experiencing recurrent issues with your testicles, it is advisable to consult a healthcare professional for a thorough evaluation. A physical examination and possibly an ultrasound can help determine if a varicocele or another condition is present.
In summary, while varicocele can lead to discomfort and may affect fertility, the specific symptoms you are experiencing may not be directly caused by it. It is crucial to seek medical advice to rule out any serious conditions and to receive appropriate treatment if necessary. Regular check-ups and monitoring are essential for maintaining reproductive health and addressing any concerns that may arise.

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