Testicular Discomfort: Causes and When to Seek Help

Q: Testicular Discomfort: Causes and When to Seek Help

Hello： If you experience pain, it's best to seek medical attention, especially when it occurs frequently. <br>If you've been feeling well recently, a visit might often result in normal findings, particularly if the issue is mild and resolves quickly. <br>It's advisable to monitor

Testicular issues

I'm not sure if it's due to the winter season, but my right testicle tends to elevate near the penis, and when I stand and walk, it feels uncomfortable as it gets stuck in that area.
I usually try to push it down a bit, but it doesn't help.
However, when I'm sitting, it doesn't elevate much.
I've heard that tightening the abdominal muscles can engage the cremaster muscle, causing the testicles to lift, and this is more noticeable on the right side; the left testicle is fine.
Is this normal? Can I just go to a clinic for a check-up instead of a large hospital? During my health check-up in freshman year, there were no issues.
How should I observe the firmness of my testicles? Thank you.

Xianxian, 10~19 year old female. Ask Date: 2022/11/20

Dr. Du Shixi reply Urology

Hello: If you experience pain, it's best to seek medical attention, especially when it occurs frequently.
If you've been feeling well recently, a visit might often result in normal findings, particularly if the issue is mild and resolves quickly.
It's advisable to monitor the situation.
Wishing you good health.

Reply Date: 2022/11/20

More Info

Testicular discomfort can be a concerning issue for many individuals, and understanding its causes and when to seek medical help is crucial for maintaining reproductive health. Based on your description, it seems that you are experiencing some unusual sensations and positioning of your right testicle, particularly during colder weather.
Firstly, it's important to note that the testicles are naturally mobile structures. They can move up and down in response to temperature changes, physical activity, and even emotional states. The cremaster muscle, which surrounds the testicles, contracts in response to cold temperatures, pulling the testicles closer to the body to maintain warmth. This is a normal physiological response. However, if you are experiencing persistent discomfort or unusual positioning that is not typical for you, it may warrant further investigation.

Common causes of testicular discomfort include:
1. Epididymitis: This is an inflammation of the epididymis, often caused by infection. Symptoms may include swelling, pain, and tenderness in the affected testicle.

2. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden severe pain, swelling, and nausea. This condition requires immediate medical attention.

3. Hernia: An inguinal hernia can cause discomfort in the groin area and may lead to testicular discomfort if the hernia sac descends into the scrotum.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort.

5. Hydrocele: This is a fluid-filled sac around a testicle that can cause swelling and discomfort.

6. Trauma or injury: Any recent injury to the groin area can lead to discomfort or changes in the position of the testicles.

Regarding your question about whether it is normal for one testicle to be positioned higher than the other, it is common for testicles to hang at different heights. However, if you notice significant changes in position, size, or if you experience pain, it is advisable to consult a healthcare professional.

As for whether you should visit a large hospital or a clinic, it often depends on the severity of your symptoms. If the discomfort is mild and not accompanied by other alarming symptoms (such as severe pain, swelling, or fever), a visit to a local clinic may suffice. However, if you experience any acute pain, swelling, or changes in the testicle's appearance, it is best to seek immediate medical attention, as these could be signs of a more serious condition.

In terms of observing testicular hardness, the testicles should feel firm but not hard or painful. Any changes in texture, such as lumps or areas that feel unusually hard, should be evaluated by a healthcare provider.

In summary, while some degree of mobility and positional change in the testicles is normal, persistent discomfort or significant changes should not be ignored. It is always better to err on the side of caution and consult with a healthcare professional to ensure that there are no underlying issues that need to be addressed. Regular self-examinations can also help you become more familiar with your anatomy and detect any changes early on.

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