Testicular Asymmetry: Concerns and Solutions

Q: Testicular Asymmetry: Concerns and Solutions

Hello： 1. Varicocele is possible, but mild cases are not easy to detect. 2. If this is your usual condition, there is no problem. 3. No, loose-fitting is better. 4. No, prolonged sitting or standing can lead to poor blood circulation. Wishing you g

Testicular issues

Hello, doctor! My left testicle is noticeably lower than my right testicle, but both are about the same size, not significantly different, roughly matching the size of an "OK" gesture.
I found online that it's normal for the testicles to not be at the same height, but I'm quite worried about the noticeable difference in position.
When cold, both testicles are positioned similarly, but when warm, the difference is quite pronounced.
About a month ago, I experienced discomfort in the left scrotum, which was painful when standing but much better when lying down.
Pressing the area between my groin and testicles clearly causes pain.
I had a doctor examine me, but he didn't say much.
After taking the medication he prescribed, the pain became less noticeable.
I also researched that "varicocele" could potentially cause the left testicle to hang lower.
Recently, I've started to feel soreness near the left testicle again.

1.
Doctor, could this be due to varicocele?
2.
Is it a problem that the left testicle is more horizontal while the right is more vertical?
3.
Can wearing briefs help improve the position of the testicles?
4.
Does excessive masturbation contribute to varicocele?
Thank you, doctor!

K, 20~29 year old female. Ask Date: 2018/06/07

Dr. Du Shixi reply Urology

Hello: 1.
Varicocele is possible, but mild cases are not easy to detect.
2.
If this is your usual condition, there is no problem.
3.
No, loose-fitting is better.
4.
No, prolonged sitting or standing can lead to poor blood circulation.
Wishing you good health.

Reply Date: 2018/06/07

More Info

Testicular asymmetry, particularly when one testicle hangs lower than the other, is a common phenomenon and can be influenced by various factors. In your case, it seems that you have some concerns regarding the position and discomfort associated with your left testicle. Let's address your questions one by one.

1. Could it be due to varicocele?
Yes, the condition you mentioned, known as varicocele, can indeed cause one testicle to hang lower than the other. Varicocele is characterized by the enlargement of the veins within the scrotum, which can lead to discomfort and a feeling of heaviness in the affected testicle. It is more common on the left side due to the anatomical differences in venous drainage. If you are experiencing pain and discomfort, it is advisable to consult a urologist for a thorough examination, which may include an ultrasound to assess the blood flow and the presence of any varicocele.

2. Is the difference in orientation of the testicles a problem?
It is normal for testicles to have slight differences in position and orientation. The left testicle typically hangs lower than the right in many men, and this asymmetry can be more pronounced in some individuals. As long as there are no significant changes in size, shape, or associated pain, this is usually not a cause for concern. However, if you notice any sudden changes or if the discomfort persists, it is essential to seek medical advice.

3. Can wearing briefs improve testicular position?
Wearing supportive underwear, such as briefs or athletic supporters, can help provide support to the testicles and may alleviate some discomfort. While it may not change the anatomical position of the testicles, it can help reduce any strain or discomfort you might be feeling, especially during physical activities. However, it is important to note that this is more of a symptomatic relief rather than a solution to any underlying issues.

4. Does excessive masturbation cause varicocele?
There is no direct evidence to suggest that masturbation causes varicocele. Varicocele is primarily related to anatomical and physiological factors, such as the structure of the veins and blood flow dynamics. However, excessive or aggressive sexual activity may lead to temporary discomfort or irritation in the genital area. If you are experiencing pain, it might be beneficial to moderate your activity and observe if the discomfort subsides.

In summary, while testicular asymmetry is generally normal, your symptoms of pain and discomfort warrant further investigation. It is crucial to consult with a healthcare professional who can perform a physical examination and possibly recommend imaging studies to rule out conditions such as varicocele or other underlying issues. Maintaining good genital health and seeking timely medical advice will help ensure any potential problems are addressed early on.

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