Testicular Atrophy: Symptoms, Self-Examination, and Specialist Guidance

Testis

Hello Doctor: My testicles are not large, and I am unsure if I have testicular atrophy.
Therefore, I would like to inquire about the symptoms of testicular atrophy, how to perform a self-examination, and which department I should visit if I go to the hospital.

rex, 20~29 year old female. Ask Date: 2002/03/02

Dr. Pan Zhenqin reply Urology

A 25-year-old male's testicles should be fully developed and meet the normal male standards, which is approximately 4x3x3 centimeters.
I'm not sure what you mean by "not big"; it may vary significantly.
If you truly feel that they are too small, I recommend visiting a urology clinic for an evaluation by a urologist.

Reply Date: 2002/03/02

More Info

Testicular atrophy refers to the shrinkage or reduction in size of the testicles, which can be a concerning condition for many men. Understanding the symptoms, how to self-examine, and knowing which specialist to consult can help in addressing any underlying issues effectively.

Symptoms of Testicular Atrophy
The symptoms of testicular atrophy can vary, but common signs include:
1. Reduced Testicular Size: The most obvious symptom is a noticeable decrease in the size of one or both testicles.

2. Changes in Texture: The testicles may feel softer or different in texture compared to their normal state.

3. Pain or Discomfort: Some men may experience pain or discomfort in the testicular area, although this is not always the case.

4. Hormonal Changes: Testicular atrophy can lead to hormonal imbalances, which may manifest as reduced libido, erectile dysfunction, or changes in mood.

5. Infertility: In some cases, atrophy can affect sperm production, leading to difficulties in conceiving.

Self-Examination
Self-examination of the testicles is a straightforward process and can be done in the following steps:
1. Choose the Right Time: It’s best to perform the examination after a warm shower or bath when the scrotum is relaxed.

2. Visual Inspection: Look for any swelling, lumps, or changes in color. The skin should appear smooth and without any unusual markings.

3. Palpation: Gently roll each testicle between your thumb and fingers. You should feel a firm, smooth surface. Note any lumps, bumps, or areas of hardness.

4. Check the Epididymis: This is the soft, tube-like structure located at the back of each testicle. It should feel soft and not painful.

5. Compare Both Testicles: It’s important to compare the size and feel of both testicles to identify any discrepancies.

If you notice any significant changes, such as a sudden decrease in size, pain, or lumps, it’s important to seek medical advice.

Consulting a Specialist
If you suspect you have testicular atrophy, the first step is to consult a healthcare professional. You should schedule an appointment with a urologist, a specialist who deals with male reproductive health and urinary tract issues. During your visit, the urologist may perform a physical examination and may order additional tests, such as:
- Ultrasound: To visualize the testicles and check for any abnormalities.

- Hormonal Testing: To assess levels of testosterone and other hormones that may be affecting testicular function.

- Semen Analysis: If fertility is a concern, this test can evaluate sperm count and quality.

Conclusion
Testicular atrophy can be a sign of various underlying health issues, including hormonal imbalances, genetic conditions, or previous trauma. Early detection and intervention are crucial for managing any potential complications, especially concerning fertility and overall hormonal health. If you have concerns about the size of your testicles or any associated symptoms, do not hesitate to reach out to a urologist for a thorough evaluation and appropriate guidance. Remember, taking proactive steps in your health can lead to better outcomes and peace of mind.

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