Normal Testicle Size: What's Considered Average? - Urology

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Testicular size


I found articles online regarding normal testicular size, with some stating it should be between 3.5 to 4.5 cm, while others suggest it should be 5 cm.
Which one is considered normal? Are medical textbooks inconsistent, or is it that the average size is larger in foreigners, which is why some sources mention 5 cm? I also came across a method using the "OK" hand gesture for measurement, which I found easy to use, so I’m quite concerned.
I even purchased a testicular volume measuring device.
Today, I measured my left testicle at 4×3×2.5 cm and my right at 4.5×3×2.5 cm.
I would like to know if these sizes are considered normal for someone from Taiwan.
Additionally, why do some sources say 3.5 to 4.5 cm while others state it should be 5 cm? I hope the doctor can clarify this for me.
Thank you.

Mr. Chen, 20~29 year old female. Ask Date: 2019/10/12

Dr. Du Mingyi reply Urology


Everyone has different heights and sizes, and yours falls within the normal range, so it is considered normal.

Reply Date: 2019/10/12

More Info


Understanding normal testicle size is an important aspect of male reproductive health, and it can vary based on several factors, including genetics, age, and ethnicity. The average size of adult testicles is typically reported to be around 3.5 to 5 cm in length, with a width of about 2.5 to 3 cm. However, these measurements can differ slightly depending on the source of the information.

In general, a testicle size of 4 cm in length and 2.5 cm in width, as you have measured, falls within the normal range. The left testicle measuring 4 x 3 x 2.5 cm and the right testicle measuring 4.5 x 3 x 2.5 cm are both considered normal sizes. It is important to note that there can be slight asymmetry between the two testicles, which is common and usually not a cause for concern.

The variation in reported average sizes, such as the differences between 3.5 to 4.5 cm and up to 5 cm, can be attributed to several factors:
1. Population Differences: Studies conducted in different populations may yield varying average sizes due to genetic and environmental factors. For instance, populations in different regions or countries may have different average sizes based on genetic predispositions.

2. Measurement Techniques: The method used to measure testicle size can also lead to discrepancies. Some studies may use ultrasound measurements, while others may rely on physical examination or self-reported sizes, which can introduce variability.

3. Age Factors: Testicle size can change with age. In younger males, testicles may be smaller and grow larger during puberty. Adult sizes may stabilize, but factors such as hormonal changes, health conditions, and lifestyle can influence size over time.

4. Cultural Differences: Cultural perceptions of normalcy can also affect how sizes are reported and understood. In some cultures, there may be a greater emphasis on larger sizes, while in others, a smaller size may be considered normal.

Regarding the use of measurement tools like a testicle volume measuring device, it is essential to use them correctly and understand that slight variations in size are normal. If you have concerns about your testicle size or any changes in size, shape, or consistency, it is advisable to consult a healthcare professional. They can provide a thorough examination and address any specific concerns you may have.

In conclusion, your measurements indicate that your testicles are within the normal range for size. The differences in reported average sizes can be attributed to various factors, including population differences, measurement techniques, and age. If you have any further concerns or questions about your reproductive health, please do not hesitate to reach out to a healthcare provider for personalized advice and guidance.

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