Testicular Size and Position: When to Seek Medical Advice - Urology

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Hello Dr.
Du: Today, while I was taking a shower, I accidentally noticed that my right testicle is slightly larger than my left testicle, and the lowest point of my right scrotum is about 0.5 centimeters lower than that of my left scrotum.
I do not experience any discomfort or pain in my testicles, and there are no unusual lumps or protrusions upon examination.
I would like to ask Dr.
Du the following questions:
Q1.
Is it normal for my right testicle to be slightly larger than my left testicle?
Q2.
I found information online stating that the testicle on the dominant hand side tends to be positioned higher, and since most people are right-handed, the right testicle is usually higher than the left.
My dominant hand is also my right hand, but the lowest point of my right testicle is about 0.5 centimeters lower than that of my left testicle.
In your opinion, is it normal or abnormal for my right testicle to be positioned lower than my left testicle?
Q3.
Based on the situation I described, do you think I need to see a doctor for a testicular examination, or is this a normal condition that I can monitor on my own?
Thank you, Dr.
Du.

Kris, 40~49 year old female. Ask Date: 2023/09/25

Dr. Du Shixi reply Urology


Hello:
Q1.
I would like to ask, my right testicle is slightly larger than my left testicle, is this normal? --- It is advisable to see a doctor; it is mostly normal.
Q2.
According to information I found online, the testicle on the dominant hand side tends to be positioned higher.
Most people are right-handed, so generally, the right testicle is positioned higher than the left.
My dominant hand is also my right hand, but the lowest point of my right testicle is about 0.5 cm lower than the lowest point of my left testicle.
Dr.
Du, in your opinion, is it normal or abnormal for my right testicle to be positioned lower than my left testicle? --- It is mostly normal.
Q3.
Dr.
Du, based on the situation I described above, do you think I need to see a doctor for a testicular examination, or is this a normal situation that can be observed without medical attention? --- It is advisable to see a doctor.
Wishing you good health.

Reply Date: 2023/09/25

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the size and position of your testicles. It's understandable to have questions about changes in your body, and I appreciate your detailed description of your observations. Let’s address your questions one by one.

Q1: Is it normal for my right testicle to be larger than my left?
It is quite common for one testicle to be slightly larger than the other. In fact, many men experience asymmetry in testicular size, and this can be completely normal. The average testicle size can vary significantly among individuals, and minor differences in size are usually not a cause for concern. However, if the size difference is significant or if you notice any sudden changes, it would be prudent to consult a healthcare professional.

Q2: Is it normal for my right testicle to hang lower than my left?
It is also normal for one testicle to hang lower than the other. Typically, the left testicle hangs lower than the right in most men, but this is not a strict rule. The position of the testicles can be influenced by various factors, including temperature regulation and the anatomy of the scrotum. The fact that your right testicle is lower by about 0.5 cm is likely within the range of normal anatomical variation, especially if you are not experiencing any discomfort or pain.

Q3: Should I seek medical advice regarding my testicular condition?
Based on your description, it seems that there are no alarming symptoms such as pain, discomfort, or the presence of hard lumps. However, it is always wise to err on the side of caution. If you notice any changes in size, shape, or if you experience any pain or discomfort in the future, I would recommend scheduling an appointment with a healthcare provider. They can perform a physical examination and, if necessary, imaging studies to ensure everything is normal.

In summary, slight differences in size and position of the testicles are typically normal and can vary from person to person. However, it is essential to remain vigilant and consult a healthcare professional if you notice any significant changes or if you have any concerns. Regular self-examinations can also help you become more familiar with your anatomy, making it easier to detect any changes over time.

If you have any further questions or concerns, please do not hesitate to reach out. Your health and peace of mind are important, and I am here to help.

Best regards,
Dr. Du

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