Is It Normal for One Testicle to Be Larger and Hang Lower? - Urology

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Testicular size


It is common for the testicles to vary in size and position.
Typically, one testicle may be larger than the other, and it is also normal for one testicle to hang lower than the other.
In many cases, the right testicle is larger and may hang lower than the left.
However, if you experience any pain, swelling, or significant changes in size or position, it is advisable to consult a healthcare professional for further evaluation.

Heihei, 10~19 year old female. Ask Date: 2020/08/25

Dr. Xu Wencang reply Urology


It can be observed, and if there are any issues, you can go for an outpatient ultrasound examination.

Reply Date: 2020/08/25

More Info


It is quite common for one testicle to be larger and hang lower than the other. In fact, it is normal for most men to have some degree of asymmetry in their testicles. The right testicle is often larger than the left, or vice versa, and it is also typical for one testicle to hang lower than the other. This anatomical variation is usually due to the way the body develops and the positioning of the testicles within the scrotum.

The testicles are housed in the scrotum, which is a pouch of skin that hangs outside the body. This external positioning is crucial for temperature regulation, as sperm production requires a temperature that is slightly cooler than the body's core temperature. The scrotum can contract or relax to help maintain the optimal temperature for sperm production. As a result, the testicles may shift in position, causing one to appear lower than the other at times.

However, while asymmetry is generally normal, there are certain signs and symptoms that should prompt further evaluation by a healthcare professional. If you notice any of the following, it is advisable to seek medical attention:
1. Sudden Changes: If you experience a sudden change in size or position of one testicle, it could indicate a medical issue such as testicular torsion or an infection.

2. Pain or Discomfort: If one testicle becomes painful, swollen, or tender, it may be a sign of an underlying condition that requires evaluation.

3. Lumps or Masses: The presence of lumps or masses in the testicle or scrotum should be assessed by a healthcare provider, as they could indicate conditions such as a hernia or testicular cancer.

4. Accompanying Symptoms: Symptoms such as fever, nausea, or changes in urination may indicate an infection or other health issue that needs attention.

In summary, having one testicle larger and hanging lower than the other is typically normal and not a cause for concern. However, it is essential to be aware of any changes or accompanying symptoms that could indicate a more serious condition. If you have any doubts or concerns about your testicular health, it is always best to consult with a healthcare professional for a thorough evaluation and peace of mind. Regular self-examinations can also help you monitor for any changes in size, shape, or texture of the testicles, which is an important aspect of maintaining reproductive health.

Similar Q&A

Is It Normal for One Testicle to Be Larger and Lower?

I recently noticed that my right testicle is larger and hangs lower than the left one. The right one is slightly bigger than my hand, while the left one is about the same size as my hand. I would like to ask if this is normal, as I haven't felt any noticeable lumps.


Dr. Li Xinyi reply Urology
Based on your description, it doesn't seem like there is a specific issue; however, if you have concerns, it is still advisable to undergo an ultrasound examination in the urology department and discuss it further with your physician.

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Concerns About Testicular Position and Size: What You Should Know

Typically, the testicles hang vertically, but my right testicle feels more horizontal and hangs lower. It seems to lack the elevation that the left testicle has, making it appear significantly lower and somewhat larger than the left one. Is there a problem with this?


Dr. Xu Weikai reply Urology
Anonymous: Hello, it's advisable to get checked. Generally, the left testicle tends to hang lower. As for size, they should be approximately the same. If there are concerns about the possibility of a tumor or similar issues, it's better to be cautious. If there are any ...

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Is It Normal for One Testicle to Hang Lower Than the Other?

Hello doctor, I would like to ask if it is normal for the left testicle to be lower than the right one? I just noticed it today and I'm quite anxious. Will this affect sexual function?


Dr. Du Shixi reply Urology
Hello: It's normal, many people experience this, and it won't affect sexual function. Wishing you good health.

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It is common for one testicle to hang lower than the other, and this can vary from time to time. Typically, the left testicle tends to hang lower than the right in many individuals. This asymmetry is usually normal and can be influenced by factors such as abdominal pressure, temp...


Dr. Liu Jianting reply Urology
That's right, you know quite a bit. It's best to consult a urologist for further confirmation!

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