Is It Normal for Testicles to Move Up and Down on Their Own? - Urology

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The right testicle can be controlled to move up and down voluntarily?


I suddenly noticed today that I can control my testicles to move up and down.
They relax when I sit down, but when I stand up, they tend to get slightly stuck and need to be adjusted back down.
Is this normal?

Xianxian, 10~19 year old female. Ask Date: 2022/11/19

Dr. Fu Shizhang reply Urology


The testicles have the cremaster muscle, and their upward and downward movement may be caused by the cremasteric reflex.

Reply Date: 2022/11/19

More Info


It is quite normal for testicles to move up and down on their own, and this phenomenon is primarily controlled by the cremaster muscle. The cremaster muscle is a thin layer of muscle that surrounds the testicles and is responsible for raising and lowering them in response to various stimuli, including temperature changes and physical activity.

When the body is exposed to cold temperatures, the cremaster muscle contracts, pulling the testicles closer to the body to maintain warmth. Conversely, when the body is warm, the muscle relaxes, allowing the testicles to hang lower. This movement is a natural reflex and is part of the body's way of regulating the temperature of the testicles, which is crucial for sperm production. The optimal temperature for sperm production is slightly lower than the body's core temperature, which is why the testicles are located outside the body in the scrotum.

In addition to temperature regulation, the movement of the testicles can also be influenced by physical activity. For instance, when standing up or engaging in physical exercise, the testicles may move upward due to the contraction of the cremaster muscle as a protective mechanism. This is a normal response and should not be a cause for concern unless accompanied by pain, swelling, or other unusual symptoms.

If you notice that the movement of your testicles is accompanied by discomfort or if there are any significant changes in size, shape, or consistency, it would be advisable to consult a healthcare professional. Conditions such as testicular torsion, hernias, or infections can cause abnormal symptoms and require medical attention.

In summary, the movement of the testicles up and down is a normal physiological response controlled by the cremaster muscle. It helps regulate temperature and provides protection during physical activity. If you have any concerns about your testicular health or experience any unusual symptoms, seeking medical advice is always a good practice.

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