Testicular Size and Position: Common Concerns Explained - Urology

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Follow-up question #204662 regarding testicular concerns?


Hello Dr.
Du,
Thank you for your response and guidance regarding the article "#204662 Testicular Questions." I have a general understanding now.
Regarding the previous question Q3: It is generally stated that the right testicle is larger than the left.
You mentioned that it may depend on the original article.
Here is the link to the original article for your reference: https://ynews.page.link/k81Jb.
I would like to ask you the following questions:
Q1.
According to the content and illustrations in the article, it is generally stated that the size and weight of the right testicle are greater than those of the left testicle.
What is your opinion on this content? If the article is correct, why is the size and weight of the right testicle greater than that of the left?
Q2.
The article also indicates that the position of the right testicle is usually higher than that of the left, which makes the scrotum appear left lower and right higher.
However, my scrotum appears left higher and right lower (i.e., the right testicle is positioned lower).
This seems to contradict what the article states.
Dr.
Du, is my situation normal or abnormal?
Thank you, Dr.
Du.

Kris, 40~49 year old female. Ask Date: 2024/01/18

Dr. Du Shixi reply Urology


Hello: 1.
Without the original title, I cannot determine the number of studies and cannot discuss them.
2.
As long as the size is normal and there are no masses, it should be considered normal.
Wishing you good health.

Reply Date: 2024/01/18

More Info


Understanding testicular size and position is a common concern among many individuals, and it is important to clarify these aspects to alleviate any worries.

Q1: Size and Weight of Testes
It is often noted in medical literature that the right testis is typically larger than the left. This observation can be attributed to anatomical variations among individuals. However, it is crucial to recognize that while this may be a general trend, it does not apply universally. The size and weight of the testes can vary significantly from person to person due to genetic factors, hormonal influences, and even environmental conditions.
The reasons behind the right testis being larger could include differences in blood supply, developmental factors during puberty, or simply individual anatomical variations. In most cases, these differences are benign and do not indicate any underlying pathology. If the size discrepancy is significant or accompanied by other symptoms such as pain, swelling, or changes in texture, it is advisable to seek medical evaluation to rule out conditions such as testicular torsion or tumors.


Q2: Position of Testes
Regarding the position of the testes, it is generally accepted that the left testis hangs lower than the right. This asymmetry is thought to be a result of the anatomical positioning of the spermatic cord and the way the testes descend during development. However, variations do exist, and it is not uncommon for individuals to have a right testis that hangs lower than the left.

In your case, where the right testis appears lower than the left, this can still be considered within the range of normal anatomical variation. The position of the testes can be influenced by several factors, including temperature, muscle tone, and even the position of the body at any given time. The cremaster muscle, which controls the position of the testes, can contract or relax based on various stimuli, leading to temporary changes in position.


Conclusion
In summary, both the size and position of the testes can vary widely among individuals. While the right testis is often noted to be larger and positioned higher, these are general trends and not strict rules. Your observation of the right testis being lower than the left does not necessarily indicate a problem; it may simply be a normal variation in your anatomy.
If you have any concerns about your testicular health, such as changes in size, shape, or any discomfort, it is always best to consult with a healthcare professional. They can provide a thorough examination and reassurance, as well as address any specific concerns you may have. Regular self-examinations and awareness of your body are also important for maintaining testicular health.

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