Testicular Retraction: When to Seek Medical Advice

Testicles retracting into the abdomen?

Hello Dr.
Liu, since puberty, I have noticed that sometimes when my pants are too tight or during ejaculation, my testicles retract to the junction of my thigh and abdomen.
If I leave it alone for a while, they will slide back into the scrotum, but I can also push them back myself.
Should I seek medical attention for this? Additionally, recently I have experienced some discomfort on the left side at the junction of my thigh and abdomen after sexual intercourse, lasting for two to three days, but it is not painful.
I am unsure what this could be.
Thank you.

AARON, 30~39 year old female. Ask Date: 2014/11/11

Dr. Liu Jiaju reply Urology

If the testicles mostly descend into the scrotum, there is generally no need for concern.
However, if discomfort in the left scrotum persists, it may be necessary to seek medical attention to rule out the possibility of varicocele.
It is advisable to wear loose-fitting pants to avoid affecting blood circulation to the testicles.

Reply Date: 2014/11/11

More Info

Testicular retraction, also known as testicular ascent, is a phenomenon that occurs when the testicles move up into the groin or abdominal area, often in response to certain stimuli such as cold temperatures, tight clothing, or sexual arousal. This is a normal physiological response, particularly in younger males, and is primarily controlled by the cremaster muscle, which contracts to pull the testicles closer to the body for warmth and protection.
In your case, it seems that you have experienced this retraction intermittently since puberty, especially when wearing tight clothing or during ejaculation. The fact that the testicles return to their normal position in the scrotum after a short period is generally a reassuring sign. Additionally, being able to manually push them back into place further indicates that this is likely a benign condition.

However, there are a few considerations to keep in mind regarding when to seek medical advice:
1. Persistent Discomfort or Pain: While you mentioned that the discomfort after sexual activity is mild and not painful, any persistent discomfort that lasts for several days should be evaluated by a healthcare professional. This could indicate an underlying issue such as a minor injury, inflammation, or even a hernia.

2. Changes in Testicular Size or Shape: If you notice any significant changes in the size, shape, or consistency of the testicles, or if you feel any lumps or masses, it is essential to seek medical evaluation. These could be signs of conditions that require further investigation.

3. Accompanying Symptoms: If you experience any additional symptoms such as swelling, redness, fever, or severe pain, you should seek medical attention promptly. These could be signs of an infection or other serious conditions.

4. Frequency of Retraction: If the episodes of retraction become more frequent or if they start to interfere with your daily activities or sexual function, it would be wise to consult a healthcare provider.
5. Psychological Impact: If the retraction causes you anxiety or distress, discussing it with a healthcare professional can provide reassurance and help you understand the condition better.

In summary, while occasional testicular retraction is typically normal and not a cause for concern, any persistent discomfort, changes in the testicles, or accompanying symptoms warrant a visit to a healthcare provider. They can perform a physical examination, discuss your symptoms in detail, and determine if any further tests or treatments are necessary. It's always better to err on the side of caution when it comes to your health.

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