Testicular Hardness: Causes and Concerns Explained - Urology

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The testicles are very firm?


I have recently been experiencing a dull sensation in my testicles, and I'm not sure if it's related to the hot weather.
Occasionally, I feel a bit of pain, but when I actually touch them, it seems like it's not the testicles that are hurting, but rather a soreness in my lower back and pelvis, likely due to prolonged sitting.
Out of concern, I researched some related information and examined my testicles.
I found that they feel quite firm and have almost no elasticity, but the firmness is consistent on both sides, and there are no signs of swelling.
I also engage in masturbation quite frequently, about 2 to 3 times a day.

(1) Is there a correlation between the firmness of the testicles and the frequency of masturbation?
(2) Should I be concerned about testicular cancer? I read online that one should check for abnormal lumps in the testicles, but the firmness seems to be similar throughout, and I can't feel any lumps in the scrotum.

133, 20~29 year old female. Ask Date: 2023/05/25

Dr. Du Shixi reply Urology


Hello: 1) Is there a correlation between the hardness of the testicles and the frequency of masturbation? --> There should be no correlation.
(2) Is there a concern about testicular cancer? I read online that it is important to check for any abnormal lumps in the testicles, but the hardness of my testicles seems to be consistent, and I cannot feel any lumps in the scrotum.
--> If you feel there is something abnormal, it is advisable to consult a urologist at a major hospital.
Wishing you good health.

Reply Date: 2023/05/25

More Info


Understanding testicular hardness and its implications is crucial for maintaining reproductive health. Your concerns about testicular hardness, discomfort, and potential links to activities such as masturbation are valid and warrant a thorough exploration.

Firstly, it’s important to clarify that the hardness of the testicles can be influenced by several factors, including temperature, hormonal levels, and overall health. The testicles are typically soft and elastic, and any significant change in their consistency can be a cause for concern. In your case, you mentioned that your testicles feel hard but symmetrical and without any noticeable lumps. This is a positive sign, as asymmetry or the presence of lumps can be indicative of conditions such as testicular cancer or other pathologies.

1. Masturbation and Testicular Hardness: There is no direct correlation between the frequency of masturbation and the hardness of the testicles. Masturbation is a normal sexual activity and does not typically cause changes in testicular hardness. However, excessive or aggressive masturbation can lead to temporary discomfort or soreness, which might be perceived as a change in hardness. If you are experiencing discomfort, it may be beneficial to moderate the frequency or intensity of your activities.

2. Concerns About Testicular Cancer: Testicular cancer often presents with specific symptoms, including a lump or swelling in one testicle, a feeling of heaviness in the scrotum, or a dull ache in the lower abdomen or groin. The fact that you do not feel any lumps and that both testicles are equally hard is reassuring. However, it is essential to remain vigilant and perform regular self-examinations. If you notice any changes in size, shape, or consistency, or if you experience persistent pain, it is crucial to consult a healthcare professional.

The discomfort you are experiencing could also be attributed to other factors, such as muscle tension in the pelvic area, especially if you spend long periods sitting. The pelvis and lower back are interconnected, and tension in these areas can sometimes manifest as testicular discomfort. Engaging in regular physical activity, stretching, and ensuring proper posture while sitting can help alleviate this discomfort.

In summary, while the hardness of your testicles may be concerning, the absence of lumps and symmetry is a positive indicator. It is unlikely that your masturbation habits are contributing to this hardness. However, if the discomfort persists or worsens, or if you develop any new symptoms, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound, to rule out any underlying conditions. Regular check-ups and self-examinations are key components of maintaining testicular health and addressing any concerns promptly.

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