Regarding the orientation of the testicles?
Hello doctor, I have recently noticed that my testicles sometimes change position from upright to hanging down, accompanied by a slight feeling of swelling and pain.
However, after an hour or two, they return to the upright position.
This has happened about two or three times.
Is it normal for the testicles to change direction? Thank you, doctor.
ABC, 10~19 year old female. Ask Date: 2019/02/12
Dr. Du Shixi reply Urology
Hello: The scrotum naturally has space, so the position of the testicles can change.
Wishing you good health.
Reply Date: 2019/02/12
More Info
It is not uncommon for testicles to change position within the scrotum, and this phenomenon can be attributed to several factors. The testicles are suspended in the scrotum by the spermatic cord, which allows for some degree of movement. This movement can be influenced by temperature, muscle contractions, and other physiological responses.
One of the primary reasons for the testicles to change position is the cremasteric reflex. This reflex is a natural response where the cremaster muscle contracts, pulling the testicles closer to the body in response to cold temperatures or physical stimulation. Conversely, when the body is warm, the muscle relaxes, allowing the testicles to hang lower in the scrotum. This mechanism helps regulate the temperature of the testicles, which is crucial for sperm production and overall testicular health.
In your case, the occasional feeling of swelling or discomfort, along with the positional changes, could be related to this reflex or other benign factors. However, if you are experiencing persistent pain, swelling, or any other concerning symptoms, it is essential to consult a healthcare professional for a thorough evaluation.
Another potential cause for positional changes and discomfort could be a condition known as testicular torsion. This occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Testicular torsion is a medical emergency and requires immediate attention. Symptoms typically include sudden, severe pain in the scrotum, swelling, and sometimes nausea. If you experience these symptoms, seek medical help right away.
In addition to torsion, other conditions such as epididymitis (inflammation of the epididymis) or a hernia can also cause discomfort and positional changes in the testicles. Epididymitis may present with pain, swelling, and tenderness, often accompanied by fever or urinary symptoms. A hernia may cause a bulge in the groin area and discomfort, particularly when lifting or straining.
While occasional positional changes of the testicles are generally normal, it is crucial to monitor your symptoms. If the discomfort persists, increases in intensity, or is accompanied by other symptoms such as fever, nausea, or changes in urination, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the condition of the testicles and surrounding structures.
In summary, while it is normal for testicles to change position due to natural reflexes and physiological responses, any persistent pain or discomfort should not be ignored. It is always better to err on the side of caution and consult a healthcare professional if you have concerns about your reproductive health. Regular check-ups and open communication with your doctor can help ensure your well-being and address any issues that may arise.
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