Scrotal Changes and Lower Abdominal Discomfort: What to Know - Urology

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Genital issues


Hello, doctor.
I have two questions to ask you: 1.
In the past few days, I noticed some spots on the skin of my scrotum that look like moles, but they are not small dots; they appear as small patches.
I feel like I didn't have these before (though I might be mistaken).
Could this be due to melanin deposition in the scrotal skin, or could it indicate some pathological changes (such as testicular cancer)? 2.
On the same day, I also noticed a slight soreness in my lower left abdomen and near the groin area, but it doesn't quite hurt.
Could this be caused by masturbation, or could there be other reasons?

zero...zero, 20~29 year old female. Ask Date: 2009/12/15

Dr. Xu Weikai reply Urology


Hello,
1.
The symptoms described do not allow for a definitive diagnosis; it is recommended to seek medical attention as soon as possible to avoid delaying treatment.

2.
Left lower abdominal pain may be due to neuromuscular issues, infections, urethritis, or urinary tract stones, among other possibilities.
If there are any unclear points, feel free to ask again for further discussion and research.
Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology
Taitung Hospital, Ministry of Health and Welfare

Reply Date: 2009/12/15

More Info


Understanding scrotal changes and lower abdominal discomfort can be concerning, especially when new symptoms arise. Let's address your two questions in detail.

1. Scrotal Changes: The appearance of new spots or changes on the skin of the scrotum can be alarming. The lesions you describe as resembling "moles" could be due to several benign conditions, such as seborrheic keratosis, which is a common skin growth that can appear as a small, dark, raised area. Another possibility is a condition called "pilar cysts," which are benign cysts that can occur in hair follicles. However, it is also important to consider other dermatological conditions, such as skin tags or even benign tumors.

While it is possible for changes in the skin to be related to increased melanin deposition (hyperpigmentation), it is crucial to differentiate these benign changes from potentially serious conditions. For instance, while testicular cancer is a concern, it typically presents with a lump in the testicle itself rather than changes in the skin of the scrotum. If you notice any changes in the texture, color, or size of the lesions, or if they become painful, it is advisable to seek a professional evaluation from a dermatologist or urologist. They can perform a thorough examination and, if necessary, a biopsy to rule out malignancy.

2. Lower Abdominal Discomfort: The sensation of discomfort or a "sour" feeling in the lower abdomen, especially near the groin, can have various causes. It is possible that this discomfort is related to recent activities, including masturbation, which can sometimes lead to temporary muscle strain or irritation in the pelvic region. This is especially true if there has been vigorous activity or if you have been in positions that put strain on the abdominal muscles.

However, other potential causes should also be considered. For instance, inguinal hernias can present with discomfort in the lower abdomen or groin area, especially when straining or lifting. Additionally, conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can also cause discomfort in the scrotal area and lower abdomen. These conditions may be accompanied by other symptoms such as swelling, redness, or pain in the testicles.

If the discomfort persists, worsens, or is accompanied by other symptoms such as fever, swelling, or changes in urination, it is important to consult a healthcare professional. They may recommend a physical examination, ultrasound, or other diagnostic tests to determine the underlying cause of your symptoms.

In summary, while some changes in the scrotum and lower abdominal discomfort can be benign, it is essential to monitor these symptoms closely. If you have any doubts or if the symptoms persist, seeking medical advice is the best course of action. Early evaluation can provide peace of mind and ensure that any potential issues are addressed promptly. Remember, your health is paramount, and it is always better to err on the side of caution when it comes to changes in your body.

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