Testicular Concerns: Common Questions and Care Tips

Q: Testicular Concerns: Common Questions and Care Tips

Hello： 1) No. <br>2) Smegma usually isn't too much; washing it off with warm water and drying is sufficient. <br>There's no need to apply too much force or scrub; it will gradually become clean. <br>If there is a lot of smegma, it is essential to keep the area dry, and the cleani

Questions regarding testicular issues?

Hello Dr.
Du, I noticed that there is a line on the surface of my scrotum that looks deeper, resembling the penile frenulum extending downwards.
However, my testicles are not perfectly symmetrical along this line.
Is this a problem? Occasionally, my testicles are at different heights, both front and back; could this lead to what is referred to online as testicular torsion?
Recently, I thought I had developed something, but it turned out to be just some spots.
The doctor said it was nothing serious unless I wanted to have laser treatment.
However, I was informed that I need to clean the smegma that has accumulated in the folds of my foreskin.
When I shower, I push down to remove the smegma gradually.
Is it sufficient to rinse it off slowly, or should I use a cotton swab to scrape it all off at once? Will the smegma wash down to the area under the frenulum, or is that not a concern?
Also, I’m not sure if I’ve been too vigorous while rinsing in the past couple of days, as I feel a slight pain.
Is this normal? Should I take a break for a day or two before rinsing again, or is it just because I’m not used to this after my first couple of washes? I also feel a bit of discomfort when pulling down, although the doctor mentioned that I don’t need a circumcision and that I just didn’t know I could push it all the way down.
Thank you.

Bo, 20~29 year old female. Ask Date: 2020/05/28

Dr. Du Shixi reply Urology

Hello: 1) No.
2) Smegma usually isn't too much; washing it off with warm water and drying is sufficient.
There's no need to apply too much force or scrub; it will gradually become clean.
If there is a lot of smegma, it is essential to keep the area dry, and the cleaning of smegma can be completed over 2-3 days.
Wishing you good health, and wear loose-fitting underwear.

Reply Date: 2020/05/28

More Info

When it comes to testicular health, it's common for individuals to have concerns about the appearance and function of their testicles. Your observations about the appearance of your scrotum and testicles, including the line that resembles the penile frenulum, are quite normal. This line, known as the raphe, is a natural anatomical feature that runs from the base of the penis down to the perineum, and it does not indicate any underlying health issues.
Regarding the asymmetry of your testicles, it is important to note that it is completely normal for one testicle to hang lower than the other. In fact, most men experience some degree of asymmetry in their testicles, which can vary from day to day due to temperature changes, physical activity, and other factors. The notion of "testicular inversion" you mentioned is not a medically recognized condition and should not be a cause for concern.
If you have noticed any unusual lumps or bumps, it is always wise to consult a healthcare professional. You mentioned that a doctor assessed a spot and deemed it non-concerning, which is reassuring. However, if you ever feel uncertain or if the spot changes in size, color, or shape, it is advisable to seek a follow-up evaluation.

Regarding hygiene, it is essential to maintain proper cleanliness in the genital area to prevent infections and other complications. The accumulation of smegma (the buildup of dead skin cells and oils) under the foreskin can lead to discomfort and potential infections. Gently cleaning the area during showers is typically sufficient. You do not need to use a cotton swab to scrape the area aggressively, as this could cause irritation or injury. Instead, you can gently push back the foreskin and rinse with warm water to help remove any buildup. If you experience pain while cleaning, it may be due to sensitivity or irritation, especially if this is your first time cleaning thoroughly. It is advisable to take a break and allow the area to recover before attempting to clean again.

If you continue to experience discomfort or if the pain persists, it would be wise to consult your healthcare provider. They can provide guidance tailored to your specific situation and help ensure that you are maintaining proper hygiene without causing harm.

In summary, the concerns you have regarding the appearance and hygiene of your testicles are common and often normal. Maintaining good hygiene practices and consulting a healthcare professional when in doubt are the best approaches to ensure your testicular health. Remember, it’s always better to ask questions and seek clarification from a medical professional if you have any concerns about your body.

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