Do Testicles Shrink During Erection? Size and Health Concerns - Urology

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Is it normal for the testicles to appear smaller during an erection? I often feel like my testicles look smaller when I am erect, and sometimes I think they seem a bit small in general.
Does masturbation cause the testicles to shrink? Is this normal? How can I make my testicles appear larger, or how can I tell if my testicles are unhealthy? Thank you.

Ke Ke, 10~19 year old female. Ask Date: 2005/04/15

Dr. Xu Weikai reply Urology


Cocoa: Hello, during an erection, the testicles do not shrink.
However, during an erection, the contraction of the cremaster muscle may cause the testicles to elevate slightly, which might make them appear smaller.
The size of the testicles is not actually important; what matters is that they function normally.
As long as you have no issues with erections and secondary sexual characteristics are developing normally, your testicles are likely fine.
If you are concerned, you can check your testosterone levels and undergo a semen analysis; if those are normal, then your testicles should be healthy.
I'm not sure why you want to increase the size of your testicles, as I don't know how to do that, and it may not be something that anyone does.
As mentioned earlier, there is no correlation between the size of the testicles and their function.
Therefore, unless atrophy leads to functional impairment, treatment is generally not necessary.
Urology Department Director Hsu Wei-Kai responds on behalf of the Taitung Hospital, Department of Health, Executive Yuan, and expresses concern for you.

Reply Date: 2005/04/15

More Info


When discussing the anatomy and physiology of the male reproductive system, particularly regarding the testicles and their behavior during an erection, it's important to clarify a few key points.
Firstly, during an erection, the penis becomes engorged with blood, which is a natural physiological response. This process is primarily controlled by the nervous system and involves the relaxation of blood vessels in the penis, allowing for increased blood flow. As the penis enlarges, the testicles may appear to retract slightly towards the body. This is a normal response and is due to the contraction of the cremaster muscle, which is responsible for raising and lowering the testicles to regulate their temperature.
The perception that the testicles shrink during an erection is common among many men. However, this is not an actual reduction in size; rather, it is a temporary repositioning of the testicles closer to the body. The testicles themselves do not physically shrink in size during an erection.
Regarding concerns about the size of the testicles, it's important to note that testicle size can vary significantly among individuals. Factors such as genetics, hormonal levels, and overall health can influence testicle size. If you feel that your testicles are smaller than average or if there are noticeable changes in size, it may be worth discussing with a healthcare provider.
Masturbation does not cause permanent changes in testicle size. It is a normal sexual activity and does not lead to any long-term effects on testicle size or health. However, excessive or aggressive masturbation can lead to temporary swelling or discomfort, but this is not indicative of any permanent change.

To assess whether your testicles are healthy, consider the following signs of normal testicular health:
1. Symmetry: Testicles are typically not perfectly symmetrical, but significant differences in size or shape can be a cause for concern.

2. Texture: Healthy testicles should feel smooth and firm. Any lumps, bumps, or irregularities should be evaluated by a healthcare professional.

3. Pain or Discomfort: Persistent pain or discomfort in the testicles is not normal and should be assessed by a doctor.

4. Changes in Size: Sudden changes in size, especially if accompanied by other symptoms like pain or swelling, warrant medical attention.

If you are looking for ways to promote testicular health, consider the following tips:
- Maintain a Healthy Lifestyle: Regular exercise, a balanced diet, and avoiding smoking and excessive alcohol can contribute to overall reproductive health.

- Manage Stress: High-stress levels can affect hormonal balance, which in turn can impact testicular health.

- Regular Check-ups: Routine medical check-ups can help monitor reproductive health and catch any potential issues early.

In conclusion, the perception that testicles shrink during an erection is a common experience due to their retraction towards the body. Testicle size varies among individuals, and masturbation does not affect their size. If you have concerns about the health or size of your testicles, it is advisable to consult with a healthcare professional for personalized advice and assessment.

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