Testicular issues
Hello Doctor, I have recently noticed that my right testicle occasionally appears to be hanging lower than usual, and the angle of the testicle seems to have changed from an upward-tilted oval shape to a downward-hanging oval shape.
Is this a normal phenomenon, or could it be a case of testicular torsion? Thank you for your response.
Tim, 10~19 year old female. Ask Date: 2019/02/07
Dr. Du Shixi reply Urology
Hello: Testicular torsion is an emergency that cannot be delayed; if it exceeds a few hours, surgical removal is necessary.
Therefore, it is certainly not a matter of wishing good health.
Reply Date: 2019/02/07
More Info
When it comes to testicular health, it’s important to understand the normal anatomy and function of the testes, as well as the potential issues that can arise. The testes are typically suspended in the scrotum, which allows them to maintain a temperature slightly lower than the body temperature, essential for sperm production. Variations in the position of the testes can occur due to several factors, including temperature, physical activity, and even the body's natural reflexes.
In your case, the observation of the right testicle occasionally drooping and changing shape from an oval position to a more downward-facing orientation can be concerning, but it may not necessarily indicate a serious problem. The scrotum is designed to allow the testes to move; they can ascend or descend based on temperature and other factors. For instance, during warmer temperatures, the scrotum relaxes, allowing the testes to hang lower, while in cooler conditions, the scrotum contracts to bring the testes closer to the body for warmth.
However, if you are experiencing significant changes in the position of your testicle, especially if accompanied by pain, swelling, or any other unusual symptoms, it is crucial to seek medical attention. Testicular torsion, which is a medical emergency, occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms of torsion include sudden, severe pain, swelling, and sometimes nausea. If you suspect torsion, immediate medical intervention is necessary to save the testicle.
Other potential issues that could cause changes in the position or shape of the testicle include epididymitis (inflammation of the epididymis), varicocele (enlargement of veins within the scrotum), or even hernias. Each of these conditions can present with different symptoms, so it’s important to monitor any accompanying signs such as pain, swelling, or changes in urination.
In summary, while some degree of movement and position change in the testicles is normal, especially in response to environmental factors, any persistent or concerning changes should be evaluated by a healthcare professional. A thorough examination, possibly including an ultrasound, can help determine the underlying cause of your symptoms and ensure that your testicular health is maintained. Always prioritize your health and do not hesitate to seek medical advice when in doubt.
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