Asymmetrical Scrotum: Is It Normal or a Concern? - Urology

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Scrotal issues???


I would like to ask the doctor...
my scrotum is not very symmetrical (it looks like one side is larger than the other).
Is this a sign of illness? Am I abnormal in this regard? I am very concerned about this issue, and I would appreciate the doctor's explanation.
Thank you.

Xiao Ming, 10~19 year old female. Ask Date: 2005/04/02

Dr. Lai Ronghao reply Urology


Hello: The asymmetry of the scrotum is related to the position of the testicles on both sides.
As long as there is no significant size difference or the presence of hard lumps, it is generally not a concern.
If you still have issues, please visit a hospital for an examination.
Sincerely, Dr.
Lai Rong-Hao, Director of Urology, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/04/02

More Info


It’s completely understandable to be concerned about changes in your body, especially when it comes to something as sensitive as the scrotum. First and foremost, it’s important to note that asymmetry in the scrotum is quite common and often considered normal. In fact, many men have one testicle that hangs lower or appears larger than the other. This can be due to a variety of factors, including anatomical differences, the position of the testicles, and even temperature regulation.

The scrotum is designed to keep the testicles at a temperature slightly lower than the body’s core temperature, which is essential for sperm production. The left testicle typically hangs lower than the right in most men, which is a normal anatomical variation. This asymmetry can be influenced by factors such as the size of the testicles, the length of the spermatic cords, and the position of the scrotum itself.

However, while asymmetry is often normal, there are certain situations where it could indicate a potential health issue. For instance, if you notice a sudden change in size, shape, or position of one of your testicles, or if you experience pain, swelling, or discomfort, it’s important to consult a healthcare professional. Conditions such as testicular torsion, hydrocele, varicocele, or even tumors can lead to changes in the appearance of the scrotum and should be evaluated by a doctor.

In addition, if you have any other symptoms accompanying the asymmetry, such as a lump, pain, or changes in urination, these could be signs of an underlying condition that requires medical attention. Regular self-examinations of the testicles can help you become familiar with what is normal for you, making it easier to notice any changes.

If you’re feeling anxious about this issue, it might be helpful to speak with a healthcare provider. They can perform a physical examination and provide reassurance or treatment if necessary. Remember, it’s always better to err on the side of caution when it comes to your health.

In summary, asymmetrical scrotum is often normal and can be attributed to various benign anatomical factors. However, if you have concerns about changes in your body or experience any unusual symptoms, it’s advisable to seek medical advice for peace of mind and appropriate care. Your health and well-being are paramount, and a healthcare professional can provide the guidance you need.

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