Left Testicular Swelling: Causes and Fertility Impact

Q: Left Testicular Swelling: Causes and Fertility Impact

Mr. <br>Li： Hello, based on your condition, it is best to seek medical attention as soon as possible. <br>Relevant examinations should be conducted, such as semen analysis and testicular ultrasound, to determine if there are any lesions, such as testicular tumors, or issues relat

Swelling of the left testicle?

Hello Doctor, this year I have noticed that my left testicle seems to be consistently larger than my right testicle.
It doesn't hurt, but it feels more swollen.
Additionally, the left testicle is connected by a cord-like structure, which I believe is the spermatic cord.
Over the past 1 to 2 years, I have felt a noticeable granular texture on the left side compared to the right, and it seems to be more enlarged.
Worse yet, I have experienced the left testicle twisting about 2 to 3 times a month.
I also noticed that this seems to be more pronounced during periods of more frequent sexual activity (is this just an illusion?).
To summarize: the left testicle is larger than the right (noticed for about a few months to a year), there have been several instances of the left testicle twisting (noticed for about a year), and the left spermatic cord appears more pronounced and enlarged compared to the right (noticed for about 1 to 2 years).
These symptoms seem to be more significant during periods of frequent sexual activity.
Doctor, could this be varicocele? Will it affect fertility? Thank you.

Mr. Li, 20~29 year old female. Ask Date: 2013/09/24

Dr. Xu Weikai reply Urology

Mr.
Li: Hello, based on your condition, it is best to seek medical attention as soon as possible.
Relevant examinations should be conducted, such as semen analysis and testicular ultrasound, to determine if there are any lesions, such as testicular tumors, or issues related to infertility.
This is important to avoid any delay in diagnosis.
If you have any further questions, feel free to ask, and we can discuss and research together.
Please note that online responses should only be used as a reference; it is essential to visit a medical facility for proper evaluation.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/09/24

More Info

Left testicular swelling can be concerning, especially when accompanied by sensations of heaviness or changes in size compared to the right testicle. Based on your description, there are several potential causes for the swelling and the associated symptoms, including varicocele, epididymitis, or even testicular torsion. Each of these conditions can have different implications for fertility.

Varicocele is a common condition characterized by enlarged veins within the scrotum, similar to varicose veins in the legs. It is often asymptomatic but can lead to a feeling of heaviness or swelling in the affected testicle. Varicoceles are known to affect sperm production and quality, potentially leading to fertility issues. Studies suggest that varicoceles are present in about 15% of the general male population but are found in up to 40% of men with infertility issues. The mechanism by which varicoceles affect fertility is thought to be related to increased temperature in the testicular area, which can impair spermatogenesis (the process of sperm production).

Epididymitis, on the other hand, is an inflammation of the epididymis, which can cause swelling and pain. It is often due to infections, including sexually transmitted infections (STIs). While epididymitis can lead to discomfort and swelling, it may also affect fertility if left untreated, as it can lead to scarring or blockage of the reproductive tract.

Testicular torsion is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition typically presents with sudden, severe pain and swelling. If torsion is suspected, immediate medical attention is crucial to save the testicle and preserve fertility.

Regarding your symptoms of the left testicle feeling larger and the "turning" sensation, it is essential to consult a healthcare provider for a thorough examination. The "turning" you mentioned could indicate a history of torsion or a related issue, which should be evaluated promptly.
In terms of fertility, if a varicocele is confirmed, treatment options are available, including surgical intervention, which can improve sperm quality and increase the chances of conception. If the swelling is due to epididymitis, appropriate antibiotic treatment may resolve the issue and restore fertility potential.

In conclusion, while left testicular swelling can be benign, it is crucial to seek medical evaluation to determine the underlying cause. Early diagnosis and treatment can significantly impact fertility outcomes. If you are experiencing these symptoms, I recommend scheduling an appointment with a urologist or a healthcare provider specializing in male reproductive health to discuss your concerns and undergo the necessary diagnostic tests.

Similar Q&A

Understanding Swelling and Pain in the Left Testicle: Causes and Concerns

Hello, doctor. At the end of April, I was playing basketball when a teammate accidentally fell and landed on my left testicle. A week later, I went to see a doctor. The doctor diagnosed me with epididymitis. At that time, my left testicle was swollen and had some bruising, but af...

Dr. Xu Wencang reply Urology
Visit the hospital for a physician evaluation, as it may be a case of varicocele. This condition can cause significant discomfort, increase scrotal temperature, and affect sperm quality. A semen analysis can be performed.

Understanding Left Testicular Pain and Swelling: Causes and Concerns

Hello, doctor. Normally, there are no issues with my left testicle, but since puberty, if I experience sexual arousal or masturbate for an extended period (over an hour), the blood vessels above my left testicle (the spermatic cord?) become engorged, which is visibly noticeable a...

Dr. Li Xinyi reply Urology
It sounds like there is an issue with a left-sided varicocele. If severe, it could affect testicular function, and surgery may be necessary for improvement. There is a small mass, about the size of a mung bean, located beneath the left testicle, which could be an epididymal cyst ...

Varicocele: Impact on Male Fertility and Treatment Options

If someone has been suffering from varicocele for two to three years, what should they do? Will this condition affect their fertility in the long term?

Dr. Liu Jianting reply Urology
Varicocele commonly occurs on the left side of the scrotum. If there is scrotal swelling and left inguinal pain after prolonged standing, consideration may be given to performing a varicocele ligation surgery. Regarding its impact on fertility, some scholars believe that the bloo...

Understanding Testicular Swelling in Infants: Causes and Concerns

My son is not yet 5 months old. A couple of days ago, I noticed that his left testicle was swollen. We took him to E-Da Hospital for examination. The doctor said that his white blood cell count exceeded 100, indicating inflammation. An ultrasound revealed that there was a lot of ...

Dr. Tu Xiuhong reply Urology
1. It may be caused by an infection; a small portion could be due to torsion or tumors. 2. A urinary tract infection is the most likely cause. 3. Regular follow-up and good hygiene practices are essential. 4. Acute epididymo-orchitis, once treated, does not affect fertility...