Concerns About Testicular Drooping: What You Need to Know - Urology

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Testicular issues~~>_<


I'm really scared...
I noticed that my left testicle is drooping.
When the left testicle hangs down, it's not straight, but rather horizontally inward (like it's fallen over).
When I touch the left testicle, it feels like there are some irregular structures, but the right testicle seems normal (I think).
The left spermatic cord seems weak, as if it can't support the testicle properly...
it's very noticeable when I touch it.
Do I have a problem????

Li, 10~19 year old female. Ask Date: 2005/09/23

Dr. Lin Hexing reply Urology


Hello, based on the symptoms you described, it appears to be normal.
During the summer (when temperatures are high), the scrotum tends to relax more to allow the testicles to hang further away from the body, which helps lower their temperature and protect sperm development.
This condition typically resolves in the winter and is a natural physiological response.
If you still have concerns, please consult a urologist for an examination.

Reply Date: 2005/09/23

More Info


It's understandable to feel concerned about changes in your body, especially when it comes to sensitive areas like the testicles. Testicular drooping or changes in the position of the testicles can be alarming, but it's important to approach this situation with a clear understanding of what might be happening.

Firstly, it's essential to recognize that the position of the testicles can vary from person to person. The testicles are housed in the scrotum, which is designed to keep them at a temperature slightly lower than the body's core temperature for optimal sperm production. This means that the testicles can move up and down in response to temperature changes, physical activity, and other factors. However, if you notice a significant change in the position or shape of one testicle, it could indicate an underlying issue that may need medical attention.

In your case, you mentioned that your left testicle appears to be drooping and is positioned differently than the right one. This could be due to several reasons:
1. Anatomical Variations: It's not uncommon for one testicle to hang lower than the other. This is a normal anatomical variation and may not necessarily indicate a problem.

2. Hydrocele: This is a condition where fluid accumulates around the testicle, which can cause it to appear larger or droop. Hydroceles are usually painless and may resolve on their own, but if they persist or cause discomfort, medical evaluation is recommended.

3. Varicocele: This condition involves enlarged veins within the scrotum, which can lead to a feeling of heaviness or discomfort. Varicoceles are more common on the left side and can sometimes affect the position of the testicle.

4. Inguinal Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can sometimes cause changes in the position of the testicles and may be accompanied by discomfort or a noticeable bulge in the groin area.

5. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include severe pain, swelling, and changes in position. If you experience sudden, severe pain or swelling, seek immediate medical attention.

6. Infection or Inflammation: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can cause swelling and changes in the position of the testicle. These conditions are often accompanied by pain and discomfort.

Given your description of the left testicle's position and the feeling of "messy roots," it would be prudent to consult a healthcare professional. A doctor can perform a physical examination and may recommend an ultrasound to assess the situation further. This will help determine if there is an underlying condition that requires treatment.

In summary, while variations in testicular position can be normal, significant changes, especially if accompanied by discomfort or other symptoms, should be evaluated by a healthcare provider. It's always better to err on the side of caution when it comes to your health. Don't hesitate to reach out to a doctor for peace of mind and appropriate care.

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