Is It Normal for One Testicle to Feel Different? Testicular Shape Variations - Urology

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Testicular issues


Doctor, my left testicle feels shaped like a gourd.
Is this a normal phenomenon? I didn't pay much attention to the shape before, but I recently noticed that it looks different from the right testicle, which is oval-shaped.
I'm a bit worried since the left testicle doesn't cause any discomfort, and the surrounding area feels fine.
I haven't had any serious injuries to the genital area in the past.
The sensation when pressing on the left testicle seems similar to the right one; both feel firm and full, and they appear to be about the same size, although the left one feels slightly larger than the right.

Niming, 20~29 year old female. Ask Date: 2022/03/21

Dr. Li Minghui reply Urology


Hello: If the deviation is too significant, it is advisable to consult a hospital for examination.
A slight deviation is considered normal.
Wishing you good health.

Reply Date: 2022/03/21

More Info


It's quite common for individuals to notice differences in the shape and size of their testicles, and many factors can contribute to these variations. In your case, the left testicle feeling more like a gourd shape compared to the oval shape of the right testicle may not necessarily indicate a problem, especially since you report no discomfort or pain in the area.
Testicular asymmetry is normal in many men, and slight differences in shape and size can be attributed to a variety of factors, including genetics, hormonal influences, and even the position of the testicles within the scrotum. The testicles are not perfectly symmetrical, and it is typical for one to be slightly larger or shaped differently than the other.
However, it is essential to consider a few key points regarding testicular health:
1. Normal Variations: As mentioned, it is normal for testicles to vary in size and shape. The left testicle is often positioned lower than the right, which can also affect how they feel.
2. Self-Examination: Regular self-examinations of the testicles are important for monitoring any changes. You should be familiar with the normal feel and appearance of your testicles so that you can detect any unusual changes, such as lumps, swelling, or significant changes in shape or size.

3. Potential Concerns: While variations in shape can be normal, certain conditions may cause changes in the testicles that warrant medical attention. For instance, conditions such as hydrocele (fluid accumulation), varicocele (enlarged veins), or testicular tumors can alter the shape or size of a testicle. If you notice any additional symptoms such as pain, swelling, or changes in the skin of the scrotum, it would be wise to consult a healthcare professional.

4. Consultation with a Specialist: If you remain concerned about the shape of your left testicle, or if you notice any changes over time, it is advisable to consult a urologist. They can perform a physical examination and, if necessary, imaging studies (like an ultrasound) to ensure everything is normal.

5. Hormonal Factors: Hormonal imbalances can sometimes affect testicular size and shape. If you have concerns about hormonal health, discussing this with your doctor may provide additional insights.

In summary, while it is generally normal for testicles to have slight variations in shape and size, it is always best to err on the side of caution. If you have any doubts or if any new symptoms arise, seeking medical advice is the best course of action. Regular check-ups and self-examinations can help ensure that your reproductive health remains in good condition.

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