Testicular Redness and Penis Size Variations: Common Concerns - Urology

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Hello, doctor.
I am your patient and I have some concerns I would like to ask you about.

1.
Yesterday, I noticed that the skin on my testicles was red and itchy, but there were no bumps.
What could this symptom indicate? Today, however, there is no itching and the redness has disappeared.
Why is that?
2.
I sometimes notice that my penis appears longer at times and shorter at others, but this only occurs when I am not erect.
What could be the reason for this?

Xiao Jie, 20~29 year old female. Ask Date: 2001/07/08

Dr. Liu Jianting reply Urology


(Sorry! Due to recent connectivity issues at the hospital, I am only now able to respond to your question! Thank you for your understanding!) You have observed carefully; the redness and itching of the scrotum may be due to eczema or a fungal infection.
Please consult a urologist for an examination.
The penis is composed of erectile tissue, a remarkable creation, which can respond in size and firmness due to changes in the environment (including mood, desire, temperature, etc.).
Isn't it fascinating? Take good care to avoid injury, and I recommend reading two books: "About Sex" and "The Love of the Little Brother."

Reply Date: 2001/07/08

More Info


When it comes to concerns regarding testicular redness and variations in penis size, it's important to approach these topics with a clear understanding of the anatomy and physiology involved, as well as potential underlying conditions.


Testicular Redness and Itching
The redness and itching you experienced in your testicles could be attributed to several factors. Common causes include:
1. Irritation or Allergic Reaction: This could be due to soaps, detergents, or personal care products that come into contact with the skin. If you recently changed any products, this might explain the symptoms.

2. Infection: Conditions such as fungal infections (like jock itch) or bacterial infections can cause redness and itching. These infections can sometimes resolve on their own, which might explain why the symptoms disappeared the next day.

3. Dermatitis: Contact dermatitis or eczema can lead to redness and itching in the genital area. This condition can fluctuate based on exposure to irritants or allergens.

4. Other Skin Conditions: Conditions like psoriasis or folliculitis can also cause similar symptoms.

If the redness and itching return or persist, it would be advisable to consult a healthcare professional for a thorough examination and appropriate treatment.


Variations in Penis Size
Regarding the variations in penis size that you notice, especially when flaccid, this is quite normal. Several factors can contribute to this phenomenon:
1. Temperature: The penis can shrink or expand based on temperature. Cold temperatures can cause the penis to retract, while warmth can lead to an increase in size.

2. Blood Flow: The amount of blood flow to the penis can vary due to factors such as arousal, anxiety, or even physical activity. When relaxed, the penis may appear smaller compared to when it is engorged with blood during an erection.

3. Hydration and Body Fat: Your overall hydration levels and body fat percentage can also affect how the penis appears. Dehydration can lead to a temporary reduction in size, while increased body fat can make the penis appear smaller due to the fat pad around the pubic area.

4. Genetics: Just like any other physical trait, penis size can vary significantly from person to person and can be influenced by genetic factors.


Conclusion
In summary, the redness and itching of the testicles could be due to irritation, infection, or dermatitis, and it’s important to monitor these symptoms. If they recur, a visit to a healthcare provider is warranted. As for the variations in penis size, they are typically normal and can be influenced by several physiological factors. If you have ongoing concerns about either issue, it is always best to seek advice from a qualified healthcare professional who can provide personalized guidance based on a thorough examination. Remember, open communication with your doctor about any concerns is crucial for maintaining your health and peace of mind.

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