Testicular Symptoms: When to Seek Medical Advice - Urology

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How to determine testicular symptoms?


I would like to ask about testicular cancer prevention methods regarding testicular swelling.
I still do not know the correct definition.
Generally, normal testicles are described as firm, but I am afraid I might confuse that with swelling.
When I palpate my testicles, I can see their oval shape.
Now, when I feel the area at the back of the testicle, close to the middle, I notice a granular sensation.
Is that normal tissue or blood vessels? I initially thought it was due to excessive masturbation, but after reading several articles, I think I can relax a bit.
I am very anxious; I have not paid much attention to the shape and condition of my testicles before.
My family does not have much money, and I worry that the longer I wait to see a doctor, the more it will cost.
Early detection and treatment are important.
Additionally, is it normal for the glans to appear slightly whitish? Thank you, doctor, for taking the time to respond.

Yikai, 20~29 year old female. Ask Date: 2013/02/17

Dr. Li Yilun reply Urology


The condition of different patients may vary, and it is important to note that a simple description cannot determine the diagnosis.
If there are abnormalities in the genital area, the physician must conduct a thorough medical history inquiry, physical examination, palpation, and necessary tests to confirm the diagnosis.

Reply Date: 2013/02/17

More Info


When it comes to testicular health, it is crucial to understand the signs and symptoms that may indicate a problem, such as testicular cancer or other conditions. Your concerns about testicular swelling, the texture of the testicles, and other symptoms are valid and warrant careful consideration.

Firstly, it is important to define what is considered "normal" for testicular anatomy. Typically, normal testicles are oval-shaped and firm to the touch. They should not feel hard or have any unusual lumps or bumps. The presence of a lump or a change in texture can be a cause for concern. The "granular" feeling you describe in the area behind the testicle could potentially be the epididymis, which is a normal structure that stores and matures sperm. However, if you are unsure or if the texture feels different than usual, it is advisable to seek medical advice.

Regarding your concern about testicular swelling, it is essential to differentiate between normal variations and potential pathological conditions. Swelling can occur due to various reasons, including infections (like epididymitis), trauma, or even tumors. If you notice persistent swelling, pain, or any changes in the size or shape of your testicles, it is important to consult a healthcare provider. Early detection of any abnormalities can lead to more effective treatment and better outcomes.

You mentioned feeling anxious about the possibility of testicular cancer, especially given your family’s financial situation. It is understandable to feel this way, but it is crucial to prioritize your health. Testicular cancer is most treatable when caught early, and many healthcare facilities offer financial assistance or sliding scale fees based on income. Do not let financial concerns prevent you from seeking medical attention.

As for the whiteness you observe on the glans (the head of the penis), this can be due to several factors, including irritation, infection, or a normal variant. If it is accompanied by other symptoms such as pain, itching, or discharge, it would be wise to consult a healthcare professional for an accurate diagnosis.

In summary, if you have any concerns about your testicular health, including swelling, unusual textures, or changes in color, it is essential to seek medical advice. Early intervention can make a significant difference in treatment outcomes. Remember, your health is a priority, and there are resources available to help you access the care you need.

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