Testicular Issues: When to Seek Medical Advice

Q: Testicular Issues: When to Seek Medical Advice

Hello： If it occurs occasionally, there is no need for a follow-up appointment. <br>If it persists, consider monitoring it every six months. <br>Wishing you good health.

Testicular issues?

Two months ago, I noticed a lump on my testicle, located on the surface of the testicle next to the midsection of the epididymis.
It does not move and is painful when pressed.
I went to the hospital for an examination, and the doctor ordered an ultrasound.
The results showed that I have a varicocele, but there were no other significant issues.
Now, more than two months have passed, and the lump is still there, but it is not as painful when pressed as it was two months ago.
Should I return for a follow-up appointment?

M, 10~19 year old female. Ask Date: 2021/06/16

Dr. Du Shixi reply Urology

Hello: If it occurs occasionally, there is no need for a follow-up appointment.
If it persists, consider monitoring it every six months.
Wishing you good health.

Reply Date: 2021/06/16

More Info

When it comes to testicular issues, it’s crucial to be vigilant and proactive about your health. Based on your description, it sounds like you have already taken an important step by seeking medical attention and undergoing an ultrasound examination. The finding of a varicocele (enlarged veins within the scrotum) is not uncommon and can sometimes be associated with discomfort or a feeling of heaviness in the testicles. However, the presence of a lump or mass on the testicle, especially one that causes pain upon pressure, warrants careful consideration.

In your case, the lump you initially felt has not changed significantly over the past two months, and while the pain has decreased, it’s essential to monitor any changes in size, shape, or discomfort. Here are some points to consider regarding when to seek further medical advice:
1. Persistent Symptoms: If the lump remains unchanged or continues to cause discomfort, it is advisable to return to your healthcare provider. Even if the pain has decreased, any persistent lump should be evaluated to rule out any underlying conditions.

2. Changes in Size or Shape: If you notice any changes in the lump, such as an increase in size, hardness, or if it becomes more painful, you should seek medical attention promptly. Changes in the characteristics of a lump can sometimes indicate a need for further investigation.

3. Associated Symptoms: Be aware of any new symptoms that may arise, such as swelling in the scrotum, changes in urination, or any systemic symptoms like fever or weight loss. These could be signs of a more serious condition that requires immediate evaluation.

4. Follow-Up Care: Since you have already been diagnosed with a varicocele, it’s important to follow up with your doctor to discuss management options. Varicoceles can sometimes lead to complications, including infertility, so understanding the implications of your diagnosis is crucial.

5. Peace of Mind: If you are feeling anxious or uncertain about the lump, it’s always better to err on the side of caution. A follow-up visit can provide reassurance and allow for a thorough examination to ensure that everything is as it should be.

In summary, while the decrease in pain is a positive sign, the persistence of the lump and your previous symptoms suggest that a follow-up appointment is warranted. Your healthcare provider can perform a physical examination and may recommend additional imaging or tests if necessary. Remember, it’s always better to be proactive about your health, especially when it comes to any changes in your reproductive system. Don’t hesitate to reach out to your doctor for further evaluation and peace of mind.

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