Testicular Position and Hardness: Is It Normal? - Urology

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Testicular issues


Is it normal for one testicle to hang lower than the other, with the left one lying down and the right one standing upright? Also, is it normal for them to feel firm?

A Cai, 10~19 year old female. Ask Date: 2018/08/28

Dr. Du Shixi reply Urology


Hello: Each person's condition varies, but it should not be rigid; a medical examination is necessary.
Wishing you good health.

Reply Date: 2018/08/28

More Info


When it comes to the anatomy and positioning of the testicles, it is important to understand that variations in position and firmness can be quite normal. The testicles, or testes, are typically not symmetrical in their positioning. It is common for one testicle to hang lower than the other, which is a natural anatomical variation. This asymmetry is due to the way the scrotum is structured and the need for temperature regulation, as the testes must be kept slightly cooler than body temperature for optimal sperm production.

In your case, if one testicle is lying down while the other is standing up, this could simply be a reflection of your body's natural anatomy. The left testicle often hangs lower than the right in many men, but this can vary from person to person. As for the firmness of the testicles, they should feel firm but not hard. A firm texture is normal, as the testicles are composed of a dense tissue that is designed to protect the sperm-producing cells within. However, if you notice any unusual hardness, swelling, or pain, it is advisable to consult a healthcare professional.

It is also important to note that the firmness of the testicles can change due to various factors, including temperature, arousal, and overall health. For instance, during sexual arousal, the testicles may become firmer and may also retract slightly closer to the body. This is a normal physiological response.

If you are concerned about the positioning or firmness of your testicles, or if you experience any discomfort, it is always best to seek medical advice. A healthcare provider can perform a physical examination and, if necessary, conduct further tests to ensure that everything is functioning normally. Conditions such as testicular torsion, varicocele, or epididymitis can cause changes in the testicles' position or firmness and should be evaluated by a medical professional.

In summary, variations in the position of the testicles are generally normal, and a firm texture is also typical. However, any significant changes in firmness, shape, or pain should prompt a visit to a healthcare provider for further evaluation. Regular self-examinations can help you become familiar with your anatomy and detect any changes early on, which is crucial for maintaining reproductive health.

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