Should You Worry About Spots on the Testicles? Expert Advice - Urology

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Hello Doctor: Recently, my husband noticed some spots on the surface of his testicles, but he doesn't feel any discomfort, so he hasn't seen a doctor.
Should he seek medical attention for this condition? Thank you.

Danxin de ren, 40~49 year old female. Ask Date: 2011/03/31

Dr. Xu Weikai reply Urology


Concerned person: I don't know; after all, I haven't seen the lesion.
It could be a hemangioma or some other type of pigmentation.
If my husband is unable to visit a doctor, we could take a picture with a camera and show it to the physician at the hospital for diagnosis.

Reply Date: 2011/03/31

More Info


When it comes to noticing spots on the testicles, it is important to approach the situation with a balanced perspective. While it is understandable that your husband may not feel discomfort and might be inclined to dismiss the spots, it is crucial to recognize that any changes in the appearance of the testicles warrant attention. Here’s why seeking medical advice is advisable:
1. Potential Causes: The appearance of spots on the testicles can result from various conditions, some benign and others more serious. Common benign causes include:
- Pearly Penile Papules: These are small, harmless bumps that can appear around the head of the penis and may be mistaken for spots on the testicles.

- Sebaceous Cysts: These are small, non-cancerous lumps that can occur due to blocked sebaceous glands.

- Folliculitis: This is an inflammation of the hair follicles that can cause red or white spots.

However, there are also more serious conditions that could manifest as spots, such as:
- Infections: Sexually transmitted infections (STIs) like herpes or warts can present as spots or lesions.

- Skin Conditions: Conditions like eczema or psoriasis can also affect the genital area.

- Tumors: Although rare, testicular cancer can sometimes present with changes in the skin or lumps.

2. Importance of Early Detection: Many conditions, especially testicular cancer, are more treatable when caught early. The testicles are sensitive, and any changes should be evaluated by a healthcare professional. Early diagnosis can lead to better outcomes and peace of mind.

3. No Discomfort Does Not Equal No Problem: Just because your husband does not feel any pain or discomfort does not mean that there is no underlying issue. Some conditions can be asymptomatic in their early stages. It is always better to err on the side of caution.

4. Encouragement to Seek Medical Advice: Encourage your husband to see a healthcare provider for a thorough examination. A doctor can provide a proper diagnosis and recommend any necessary treatment. This could involve a physical examination and possibly some tests, such as an ultrasound, to determine the nature of the spots.

5. Addressing Anxiety and Concerns: It is common for individuals to feel anxious about potential health issues, especially concerning sensitive areas like the genitals. Reassure your husband that seeking medical advice is a proactive step towards maintaining his health. It is better to have clarity than to worry about what the spots could mean.

In conclusion, while the presence of spots on the testicles may not immediately indicate a serious problem, it is essential to seek medical evaluation to rule out any potential issues. Encourage your husband to schedule an appointment with a healthcare provider to ensure that he receives the appropriate care and peace of mind. Taking this step can help address any concerns and promote overall health and well-being.

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