White Bumps on Testicles: Causes and Fertility Tips - Urology

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The white, hard bumps that appear on the scrotum, resembling acne, could be sebaceous cysts or pearly penile papules, which are generally benign. However, if there are concerns regarding sperm quality or other related issues, it is advisable to consult a healthcare professional for a thorough evaluation and appropriate testing?


I have a very itchy area under my testicles, and my girlfriend checked it for me.
She said it feels like pimples, with both large and small ones clustered together, but they can't be squeezed.
What could this be? It's very itchy, and I keep scratching it.
Also, I'm 33 years old and want to know if it will be difficult to have children.
The semen I ejaculate is light yellow; what can I do to increase the chances of getting pregnant?

Xiao Xiao, 30~39 year old female. Ask Date: 2013/05/08

Dr. Lin Hexing reply Urology


Hello: 1.
The main issue is with the scrotum; it is best to visit an outpatient clinic for a direct examination by a physician to determine the appropriate treatment.
2.
At 33 years old, having a child should not be too difficult.
3.
Deep yellow semen is not a problem.
4.
To increase the chances of conception, there are many factors to consider.
For men, it is essential to engage in regular exercise, maintain a balanced diet, have a regular sleep schedule, and keep a positive mindset.
For women, it is equally important to follow these guidelines and accurately track ovulation to optimize the chances of conception.
Wishing you peace and good health.

Reply Date: 2013/05/08

More Info


The presence of white bumps on the testicles can be concerning, especially when accompanied by itching and discomfort. These bumps may be caused by several factors, including folliculitis, sebaceous cysts, or pearly penile papules, which are generally harmless. However, if they are itchy and bothersome, it could indicate a skin condition or infection, such as a fungal infection or sexually transmitted infection (STI). It is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Folliculitis occurs when hair follicles become inflamed, often due to bacteria or irritation. It can present as small, red, or white bumps that may itch or be painful. Sebaceous cysts are non-cancerous lumps filled with oil and can appear on the scrotum. Pearly penile papules are small, harmless bumps that typically appear around the corona of the glans penis and are not a cause for concern.

If the itching and bumps persist, it is essential to avoid scratching, as this can lead to further irritation or infection. Over-the-counter antifungal creams may help if a fungal infection is suspected, but a healthcare provider should evaluate the condition to rule out STIs or other skin disorders.

Regarding fertility concerns, being 33 years old generally does not pose significant challenges to conception, as many individuals successfully conceive in their early to mid-30s. However, factors such as overall health, lifestyle, and any underlying medical conditions can influence fertility. It is advisable to maintain a healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking or excessive alcohol consumption, as these can enhance fertility.

The color of the semen can vary, and a pale yellow tint is often normal. However, if there are significant changes in color, consistency, or odor, it may warrant further investigation. To improve the chances of conception, it is beneficial to have regular intercourse during the fertile window, which is typically a few days before and the day of ovulation. Tracking ovulation through methods such as ovulation predictor kits or monitoring basal body temperature can help identify the optimal time for conception.

If you have concerns about fertility or the health of your reproductive system, consider consulting a fertility specialist or urologist. They can provide personalized advice and potential treatments to enhance your chances of conception. Additionally, if the bumps or itching persist, seeking medical attention is crucial to ensure proper care and treatment.

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