Testicular Issues: Symptoms, Fertility, and Hormonal Concerns

Testicular issues?

Hello, doctor.
I have soft lumps below both sides of my testicles that are not painful and there is no infection or mumps.
One side had become softer for a while, but it is not now.
The soft lumps have been present for about 4 to 5 months.

1.
Do I have epididymitis?
2.
If I have epididymitis, does that mean I have lost my fertility?
3.
I am currently in puberty; will I not produce estrogen?
Thank you for your response.

Niming, 10~19 year old female. Ask Date: 2021/06/05

Dr. Fu Shizhang reply Urology

It is recommended to visit an outpatient clinic for examination (palpation, ultrasound, blood tests).
Online consultations cannot replace an in-person consultation and physical examination by a physician.
If there is a medical condition, it is still advised to seek care at a healthcare facility.

Reply Date: 2021/06/05

More Info

When it comes to testicular issues, it's crucial to understand the symptoms, potential fertility implications, and hormonal concerns. Based on your description of having a soft lump below both testicles that is not painful and has been present for several months, there are a few possibilities to consider.

1. Epididymitis: This condition refers to the inflammation of the epididymis, which is the tube that stores and carries sperm. Epididymitis can be caused by infections, sexually transmitted infections, or even non-infectious factors. If you had a previous infection, such as mumps (which can lead to orchitis), it could potentially affect the epididymis. However, if you are not experiencing pain or other symptoms like fever or discharge, it may not be the case.

2. Hydrocele or Spermatocele: A hydrocele is a fluid-filled sac surrounding a testicle that can cause swelling. A spermatocele is a cyst that develops in the epididymis and can also feel like a soft lump. Both conditions are generally benign and do not typically affect fertility.

3. Varicocele: This is another possibility, where veins within the scrotum become enlarged. Varicoceles can sometimes affect sperm production and quality, but many men with varicoceles can still father children.

4. Testicular Tumors: While less common, it’s essential to rule out the possibility of a tumor, especially if the lump changes in size or consistency. Tumors can be benign or malignant, and early detection is crucial for effective treatment.

Regarding your concerns about fertility and hormonal levels:
- Fertility: If you do have epididymitis, it does not necessarily mean you will lose your fertility. Many men recover fully from this condition without long-term effects on their ability to conceive. However, chronic conditions or severe infections can potentially lead to complications that might affect fertility.

- Hormonal Concerns: During puberty, your body is undergoing significant hormonal changes, including the production of testosterone and other hormones. If you are concerned about estrogen levels or hormonal imbalances, it would be advisable to consult with a healthcare provider who can perform blood tests to assess your hormone levels.

In conclusion, while the presence of a soft lump in the scrotal area can be concerning, it is essential to have a thorough evaluation by a healthcare professional. They may recommend an ultrasound or other diagnostic tests to determine the exact nature of the lump and provide you with appropriate treatment options. If you are experiencing any changes in your fertility, hormonal levels, or other symptoms, do not hesitate to seek medical advice. Early intervention can help address any underlying issues and provide peace of mind.

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