Testicular Concerns: Is It Normal or a Sign of Issues?

Q: Testicular Concerns: Is It Normal or a Sign of Issues?

Hello： Generally, a physician's examination is required. <br>Varicose veins are simply a type of blood vessel, and it is common for them to appear sometimes and not at other times. <br>If you are concerned, please consult a urologist at the hospital. <br>Wishing you good health.

Continuation #199755 Testicular Issues

Hello, Doctor! At the second doctor's visit, I was told that my right side is more swollen than the left.
The first doctor mentioned mild venous dilation.
I would like to ask you, today when I examined my testicles, I felt that there is a lot of tissue in my scrotum, specifically above the testicles.
Sometimes the tissue on the right feels more swollen than the left, but at other times it doesn't.
I even pinched the skin of the scrotum and felt that the skin on the right side seems thicker than on the left, but this was when the scrotum was contracted, not when I was relaxed after a shower.
Is this normal, or could it be a sign of something growing or inflammation, or is it due to the venous dilation? Or is it just how my skin is? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2023/08/19

Dr. Du Shixi reply Urology

Hello: Generally, a physician's examination is required.
Varicose veins are simply a type of blood vessel, and it is common for them to appear sometimes and not at other times.
If you are concerned, please consult a urologist at the hospital.
Wishing you good health.

Reply Date: 2023/08/19

More Info

When it comes to concerns about testicular health, it's essential to understand the anatomy and physiology of the male reproductive system, as well as the potential variations that can occur. Based on your description, it seems you have some concerns regarding the asymmetry and texture of your scrotum and testicles.
Firstly, it is not uncommon for one testicle to hang lower than the other or to feel slightly different in size or texture. This asymmetry is a normal anatomical variation and can be influenced by several factors, including temperature, blood flow, and even the position of the body. The scrotum is designed to regulate the temperature of the testicles, which is crucial for sperm production. When the body is warm, the scrotum relaxes, allowing the testicles to hang lower; when cold, the scrotum contracts, pulling the testicles closer to the body.

Regarding your observation of the right side feeling "more swollen" or having a thicker skin compared to the left, this could be attributed to several factors:
1. Varicocele: This is a condition characterized by enlarged veins within the scrotum, similar to varicose veins in the legs. It often presents as a feeling of heaviness or swelling on one side, typically the left, but it can occur on the right side as well. Varicoceles can sometimes lead to discomfort and may affect fertility.

2. Hydrocele: This is a fluid-filled sac surrounding a testicle that can cause swelling in the scrotum. It is usually painless and can fluctuate in size.

3. Epididymitis: This is an inflammation of the epididymis, which can cause swelling and tenderness. It is often due to infection and may present with pain, redness, or warmth in the affected area.

4. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition is usually accompanied by severe pain and requires immediate medical attention.

5. Tumors or cysts: While less common, testicular tumors can present as lumps or changes in texture. Any new growth or significant change in the testicle should be evaluated by a healthcare provider.

Given that you have already seen two doctors and received differing opinions, it is essential to follow up with a urologist, who specializes in male reproductive health. They may recommend a physical examination and possibly an ultrasound to assess the blood flow and structure of the testicles and surrounding tissues.
In conclusion, while some variations in the size and texture of the testicles and scrotum can be normal, any significant changes, especially if accompanied by pain, discomfort, or other symptoms, should be evaluated by a healthcare professional. Early diagnosis and treatment are crucial for any underlying conditions that may need attention. Always trust your instincts; if something feels off, it’s worth getting a second opinion or further investigation.

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