Testicular Concerns: What You Need to Know - Urology

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Testicular issues


Hello Doctor: I would like to ask about my testicles.
They don't seem large when I look at or touch them.
When not erect, they don't hang down like usual; instead, they feel tightly connected to the genital area, lacking the typical appearance of hanging.
However, during an erection, my testicles do retract upwards, but it seems like they almost disappear! They seem to shrink or pull in, leaving only the penis, and when I touch the area where the testicles should be, it feels like just skin, without the usual presence of two testicles.
Is there a problem with this?

Shouhou, 30~39 year old female. Ask Date: 2015/08/09

Dr. Fu Shizhang reply Urology


If there are indeed issues with urination, it is advisable to consult a urologist.

Reply Date: 2015/08/09

More Info


When it comes to concerns regarding testicular size and appearance, it's important to understand that variations in anatomy are quite common and can be influenced by a variety of factors, including genetics, hormonal levels, and individual physiological differences.
From your description, it seems that you are experiencing a sensation where your testicles appear to retract or become less prominent, particularly during an erection. This phenomenon can be attributed to a few physiological responses. During sexual arousal, the body undergoes a series of changes, including the contraction of the cremaster muscle, which is responsible for raising and lowering the testicles. This muscle's contraction can cause the testicles to move closer to the body, which might give the impression that they are "disappearing" or becoming less visible.

It's also worth noting that the size and position of the testicles can vary significantly from person to person. Some individuals naturally have smaller testicles, and this does not necessarily indicate a health issue. However, if you are experiencing discomfort, pain, or any other unusual symptoms, it is crucial to consult a healthcare professional for a thorough examination.
In addition to physical changes, psychological factors can also play a role in how we perceive our bodies. Anxiety or concerns about sexual performance can heighten awareness of bodily sensations, leading to increased focus on areas that may not typically cause concern. If you find that your worries about your testicles are affecting your mental health or self-esteem, it may be beneficial to speak with a mental health professional who can help you address these feelings.

Furthermore, if you notice any significant changes in your testicles, such as lumps, swelling, or persistent pain, it is essential to seek medical advice promptly. Conditions such as testicular torsion, epididymitis, or tumors can present with symptoms that warrant immediate attention. Regular self-examinations can help you become more familiar with your anatomy and detect any changes early on.

In summary, while variations in testicular size and position are generally normal, it is essential to listen to your body and seek medical advice if you have concerns. Understanding your body and its responses can alleviate anxiety and help you maintain a healthy perspective on your sexual health. Remember, open communication with healthcare providers is key to addressing any concerns you may have.

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