Testicular Mobility: Is It Normal or a Cause for Concern? - Urology

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Testicular issues


Hello doctor, a few days ago while taking a shower, I noticed that my testicles can rotate up and down.
I'm a bit worried if this is normal, and whether it could lead to something like testicular torsion.

Niming, 10~19 year old female. Ask Date: 2021/09/06

Dr. Du Shixi reply Urology


Hello: A few days ago, I noticed that my testicles can move up and down and rotate, and I'm a bit worried if this is normal, like whether it could lead to testicular torsion.
--> The testicles are naturally mobile and can rotate and move up and down.
Testicular torsion is an emergency condition that cannot be prevented, but it is rare.
There's no need to worry.
Wishing you good health.

Reply Date: 2021/09/06

More Info


Testicular mobility, or the ability of the testicles to move freely within the scrotum, is generally a normal anatomical feature. The testicles are suspended in the scrotum by the spermatic cord, which allows for some degree of movement. This mobility can be influenced by various factors, including temperature, physical activity, and even the position of the body.
In a healthy male, the testicles can move up and down in response to temperature changes; they tend to ascend closer to the body when it is cold and descend further away when it is warm. This is a protective mechanism that helps maintain an optimal temperature for sperm production, which is typically slightly lower than body temperature.

However, your concern about the possibility of testicular torsion is valid. Testicular torsion occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition is considered a medical emergency and can lead to severe pain, swelling, and potentially the loss of the testicle if not treated promptly. Symptoms of torsion include sudden, severe pain in the scrotum, swelling, nausea, and vomiting. If you experience any of these symptoms, it is crucial to seek medical attention immediately.

In your case, if you are simply noticing that your testicles can move freely without any accompanying pain or discomfort, it is likely a normal variation. However, if you notice any unusual symptoms, such as pain, swelling, or changes in the appearance of the testicles, it would be wise to consult a healthcare professional for a thorough evaluation.

It is also important to note that some individuals may have a condition known as "testicular hypermobility," where the testicles can move more freely than usual. While this condition is generally benign, it can sometimes lead to discomfort or concerns about torsion. Regular self-examinations of the testicles can help you become familiar with what is normal for you, making it easier to identify any changes that may warrant further investigation.

In summary, testicular mobility is typically normal and can vary from person to person. However, if you have any concerns about your testicular health or experience any unusual symptoms, it is always best to consult with a healthcare provider for personalized advice and reassurance. Regular check-ups and open communication with your doctor can help ensure that any potential issues are addressed promptly and effectively.

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