Testicular Asymmetry: Is Left Lower and Right Higher Normal? - Urology

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Testicular issues


Hello, Doctor.
I would like to inquire about the issue of the height difference between my testicles.
I noticed a few years ago that when my scrotum contracts, my left testicle is higher while my right testicle is lower.
However, I just saw other responses and some reports indicating that it is normal for the left testicle to be lower and the right testicle to be higher.
Could you please clarify if having the left testicle lower and the right testicle higher is common for everyone, or is it more likely for the majority of people? If it is true that everyone has the left testicle lower and the right testicle higher, what should I do? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2021/07/22

Dr. Du Shixi reply Urology


Hello: As long as the size difference is not too significant, there are no hard lumps, and both high and low values are acceptable.
Wishing you good health.

Reply Date: 2021/07/22

More Info


Testicular asymmetry, where one testicle hangs lower than the other, is a common anatomical variation among males. Typically, it is observed that the left testicle tends to hang lower than the right in many individuals. However, this is not a strict rule, and variations exist. In your case, where the left testicle is higher and the right is lower, this can still be considered normal as human anatomy exhibits a wide range of variations.

The reasons for this asymmetry can be attributed to several factors, including the anatomy of the scrotum, the position of the spermatic cord, and individual differences in muscle tone and relaxation. The cremaster muscle, which helps regulate the position of the testicles in response to temperature changes, can also play a role in how high or low each testicle hangs. When the body is warm, the muscle relaxes, allowing the testicles to hang lower; conversely, in cooler conditions, the muscle contracts, pulling the testicles closer to the body for warmth.

It's important to note that while asymmetry is common, significant differences in size or shape, or any accompanying symptoms such as pain, swelling, or changes in texture, should be evaluated by a healthcare professional. These could indicate underlying conditions such as varicocele, hydrocele, or even testicular torsion, which require medical attention.

If you are concerned about the position of your testicles or if you notice any changes, it is advisable to consult a urologist. They can perform a physical examination and, if necessary, imaging studies to ensure that everything is functioning normally. In most cases, however, variations in testicular position are benign and do not require treatment.

In summary, while many individuals may have the left testicle lower than the right, your observation of the opposite is not uncommon and can be perfectly normal. The human body is diverse, and variations in anatomy are part of that diversity. If you have any concerns or experience any unusual symptoms, seeking medical advice is always a prudent step.

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