Testicular Position: Is Your Testicle 'Lying Down' Normal?

The testicles are not upright?

Hello, doctor! According to the textbook images, the testicles should normally appear as two upright oval shapes.
However, one of my testicles seems to be "lying down" in an oval shape.
This situation occurs when the skin outside the testicle is longer.
When the skin contracts, it becomes less noticeable.
Is this a medical condition? Thank you for your response, doctor.

Guangguang, 10~19 year old female. Ask Date: 2006/06/14

Dr. Xu Weikai reply Urology

Hello, it seems there shouldn't be any issues.
However, if you're uncertain, it's best to schedule a time to see a doctor for peace of mind.
This is a response from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2006/06/14

More Info

When it comes to the position of the testicles, it is important to understand that variations in their positioning can be quite normal. The testicles are housed in the scrotum, which is designed to keep them at a temperature slightly lower than the body's core temperature, essential for sperm production. The scrotum can contract or relax based on temperature and other factors, which can influence the position of the testicles.

In your case, you mentioned that one of your testicles appears to be "lying down" or positioned differently than the other. This can happen for several reasons, and it is not necessarily indicative of a medical problem. Here are some points to consider:
1. Anatomical Variations: Just like other parts of the body, the testicles can have natural variations in size, shape, and position. It is not uncommon for one testicle to hang lower or to appear more horizontal than the other. This asymmetry is usually normal and not a cause for concern.

2. Scrotal Skin Elasticity: The skin of the scrotum is elastic and can stretch or contract. If the skin is more relaxed, it may allow the testicle to hang lower or appear more "lying down." Conversely, if the skin is contracted, the testicle may appear more upright. This is a normal physiological response and can change with temperature, arousal, or even anxiety.

3. Testicular Torsion: While it is rare, one condition to be aware of is testicular torsion, where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This is a medical emergency and typically presents with severe pain, swelling, and sometimes nausea. If you experience sudden, severe pain or swelling in the scrotum, you should seek immediate medical attention.

4. Hydrocele or Varicocele: Conditions such as a hydrocele (fluid accumulation around the testicle) or varicocele (enlarged veins within the scrotum) can also affect the positioning of the testicles. These conditions are usually not serious but may require evaluation by a healthcare provider if they cause discomfort or other symptoms.

5. Self-Examination: It is a good practice to perform regular self-examinations of your testicles. This can help you become familiar with their normal appearance and feel. If you notice any changes, such as lumps, swelling, or persistent pain, it is advisable to consult a healthcare professional.

In summary, the position of your testicle being "lying down" is likely a normal anatomical variation, especially if there are no accompanying symptoms such as pain or swelling. However, if you have concerns or if there are any changes in your testicular health, it is always best to consult with a healthcare provider for a thorough evaluation. They can provide reassurance and ensure that everything is functioning as it should be. Regular check-ups and open communication with your doctor are key to maintaining reproductive health.

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