Retractile Testicles: When to Seek Medical Advice

Retractile testis

Hello Dr.
Lee, recently with the arrival of winter, the weather tends to get colder.
In the mornings, when I use the restroom and exert pressure in my abdomen, my testicles elevate to the position of the bladder, and I have to push them down.
I would like to know if this requires medical attention.

Oreo, 20~29 year old female. Ask Date: 2022/02/06

Dr. Li Xinyi reply Urology

Based on your description, there shouldn't be any issues.
Try not to exert too much force; let your body warm up a bit and see if it descends on its own.
If there are any problems, you should consult a urologist for an examination and discuss it with the doctor.

Reply Date: 2022/02/06

More Info

Retractile testicles, also known as retractile testes, are a condition where the testicles can move between the scrotum and the inguinal canal due to the contraction of the cremaster muscle. This phenomenon is often more noticeable in colder weather, as the muscle contracts in response to temperature changes. In your case, it seems that the testicles are retracting towards the abdomen when you exert pressure, which is a common occurrence and typically not a cause for concern.

However, it is essential to understand when to seek medical advice regarding this condition. Here are some key points to consider:
1. Normal Physiology: In many males, especially during childhood and adolescence, the testicles can move freely between the scrotum and the inguinal canal. This is a normal physiological response to temperature changes and physical activity. The cremaster muscle, which surrounds the testicles, contracts in response to cold temperatures or physical exertion, pulling the testicles closer to the body for warmth.

2. Symptoms to Monitor: While retractile testicles are generally not a medical concern, you should be vigilant for any accompanying symptoms that may indicate a problem. These include:
- Severe pain in the testicles or groin area.

- Swelling or redness in the scrotum.

- A noticeable lump or mass in the groin or scrotum.

- Changes in urination, such as difficulty or pain while urinating.

- Any signs of infection, such as fever or discharge.

3. When to Seek Medical Advice: If you experience any of the above symptoms, or if the retractile nature of your testicles is accompanied by significant discomfort or changes in your normal routine, it is advisable to consult a healthcare professional. A urologist can perform a physical examination and may recommend an ultrasound or other imaging studies if necessary.

4. Potential Complications: In some cases, if the testicles do not descend properly and remain in the inguinal canal, it can lead to conditions such as testicular torsion or inguinal hernia. Testicular torsion is a medical emergency that requires immediate attention, as it can lead to loss of the testicle if not treated promptly.

5. Long-Term Considerations: If you are experiencing recurrent issues with retractile testicles, it may be worth discussing with your doctor. They may suggest monitoring the situation or, in some cases, surgical intervention if there are concerns about the testicles not descending properly.

In summary, while retractile testicles are usually not a cause for concern, it is essential to monitor for any accompanying symptoms that could indicate a more serious issue. If you have any doubts or experience discomfort, seeking medical advice is always a prudent choice. Regular check-ups with a healthcare provider can help ensure that your reproductive health is maintained and any potential issues are addressed early on.

Similar Q&A

Understanding Testicular Retraction: When to Seek Medical Advice

Hello Dr. Liu, since puberty, I have noticed that sometimes when my pants are too tight or during ejaculation, my testicles retract to the junction of my thigh and abdomen. If I leave it alone for a while, they will slide back into the scrotum, but I can also push them back mysel...

Dr. Liu Jiaju reply Urology
If the testicles mostly descend into the scrotum, there is generally no need for concern. However, if discomfort in the left scrotum persists, it may be necessary to seek medical attention to rule out the possibility of varicocele. It is advisable to wear loose-fitting pants to a...

Understanding Retractile Testes: When to Consult a Urologist

Hello Doctor: I am currently 18 years old and have always had a problem with retractile testicles. My urinary, ejaculation, and erectile functions are all normal, and I experience no pain or discomfort. However, sometimes after exercising or in other situations, my testicles tend...

Dr. Li Xinyi reply Urology
It sounds normal and there are no issues. However, if you have concerns, it is advisable to see a urologist for an examination and discuss it with the physician.

Understanding Testicular Retraction: When to Seek Medical Advice

One morning, when I woke up, I might have exerted too much effort, and during ejaculation, I felt my right testicle retracting into my body. After adjusting it myself, it returned to its normal position. I later researched online and found that this might be caused by the cremast...

Dr. Du Shixi reply Urology
Hello: This is a normal phenomenon that can occur sometimes. As long as there is no pain, there is no need to worry. Wishing you good health.

Understanding Asymmetrical Testicles: When to Seek Medical Advice

Hello, doctor. Thank you very much for your review. I recently noticed that my left testicle is significantly lower than the right, measuring approximately 2 centimeters at its highest point. The weather has been colder lately, causing my scrotum to contract, making this symptom ...

Dr. Li Xinyi reply Urology
The younger you are, the more you should pay attention to your health care; it cannot be considered a waste of health insurance. Especially whenever there are changes or if you feel something is wrong, you should not hesitate to return for a follow-up. Although the two sides of t...