Testicular Microlithiasis and Its Impact on Male Health

Testicular issues and male hormones?

Hello, doctor.
I previously experienced occasional pain in my testicles, so I went to the hospital for an examination.
However, the doctor only ordered an ultrasound and did not perform a clinical examination on-site.
The ultrasound showed that the testicles and epididymis were generally normal, but there was microcalcification in both testicles.
The doctor mentioned that there was no varicocele and suggested that semen analysis could be done later if there were fertility issues.
Unfortunately, the doctor was in a hurry, so I couldn't ask other questions.
Could you please clarify the following?
Impression: Microlithiasis of bilateral testicles.

#Fluid collection in the scrotum (-)
#Skin thickening of the scrotum (-)
#Tortuous dilated venous plexus (-)
#Multiple hyperechoic foci in bilateral testicles.
1.
I would like to know what effects microcalcification of the testicles may have.
If microcalcification has been present since childhood, could it affect the color of semen, hormone levels, or the development of the reproductive organs?
2.
I have small white bumps on the skin of my scrotum and the base of my penis.
What could those be? Are they indicative of any disease or concern?
3.
I have hair follicles and hair growth on the foreskin beneath my penis.
Is this normal?

Nìmíng, 20~29 year old female. Ask Date: 2020/04/15

Dr. Li Xinyi reply Urology

There is no definitive literature indicating that microcalcifications are problematic; however, some studies suggest that certain malignant testicular tumors may occur more frequently in individuals with microcalcifications.
In your case, it is recommended to have regular follow-up with scrotal ultrasound.
You can also perform self-examinations to check for any lumps in the testicles.
The second and third questions seem to be without issues, but it is advisable to consult a urologist for an in-person examination if you have any concerns.

Reply Date: 2020/04/15

More Info

Testicular microlithiasis (TM) is a condition characterized by the presence of small calcifications within the testicles, which can be detected through ultrasound imaging. While the exact cause of TM remains unclear, it is often associated with various conditions, including infertility, testicular cancer, and other testicular abnormalities. Understanding the implications of TM is crucial for male reproductive health, especially for those concerned about fertility and overall well-being.

1. Impact of Testicular Microlithiasis: The presence of microliths in the testicles can potentially affect sperm production and quality. Research indicates that men with TM may have a higher incidence of infertility, although the relationship is not entirely straightforward. It is essential to note that while TM can be associated with lower sperm counts and motility, not all individuals with TM will experience fertility issues. The impact on hormone levels and genital development is less clear, but some studies suggest that TM may correlate with other testicular pathologies that could affect hormonal balance.

2. White Bumps on the Skin: The small white bumps you observe on the skin of your scrotum and the base of your penis could be sebaceous cysts or pearly penile papules, which are common and typically benign. These are not usually indicative of any disease and do not require treatment unless they cause discomfort or concern. However, if you notice changes in size, color, or if they become painful, it is advisable to consult a healthcare professional for further evaluation.

3. Hair Follicles on the Foreskin: The presence of hair follicles on the foreskin is generally considered normal. Hair growth in this area can vary significantly among individuals and is influenced by hormonal levels and genetic factors. If you notice any unusual changes, such as irritation, pain, or discharge, it would be prudent to seek medical advice.

In summary, while testicular microlithiasis can be associated with certain reproductive health issues, it does not automatically imply severe problems. Regular monitoring and consultations with a urologist or a fertility specialist can help manage any concerns regarding fertility and overall testicular health. If you are planning to conceive in the future, it may be beneficial to undergo a semen analysis to assess sperm quality and quantity, as this can provide valuable insights into your reproductive health.
Moreover, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding harmful substances, can positively influence reproductive health. If you have ongoing concerns or experience symptoms such as pain or discomfort, do not hesitate to seek further medical evaluation.

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