Testicular Appearance: When to Seek Medical Advice

Q: Testicular Appearance: When to Seek Medical Advice

Anonymous： Hello, it's difficult to make a judgment. <br>However, individuals who are thinner naturally have less body fat, which can make them appear more slender. <br>If there are any unclear points, feel free to ask again, and we can discuss and research further. <br>Answers f

Strange testicles?

I noticed that other people's scrotums have a pouch-like appearance, but mine only has two testicles and doesn't look like a pouch at all; they just hang there.
The skin on my scrotum is also wrinkled.
Should I get this checked? Also, my testicles are positioned with the left one higher and the right one lower; is this normal?

Niming, 10~19 year old female. Ask Date: 2015/09/09

Dr. Xu Weikai reply Urology

Anonymous: Hello, it's difficult to make a judgment.
However, individuals who are thinner naturally have less body fat, which can make them appear more slender.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/09/09

More Info

When it comes to the appearance of the scrotum and testicles, it's important to understand that variations in anatomy can be quite normal. The scrotum is designed to house the testicles and regulate their temperature, which is crucial for sperm production. The typical appearance of the scrotum can vary widely among individuals, and what you are observing in others may not necessarily indicate a problem.

1. Normal Anatomy: The scrotum typically contains two testicles, which may or may not appear to be "packaged" or clustered together. The wrinkled appearance of the scrotal skin is also normal and is due to the contraction of the dartos muscle, which helps to regulate temperature. The left testicle is often positioned slightly higher than the right, which is also a common anatomical variation.
2. When to Seek Medical Advice: While variations in appearance are usually normal, there are certain signs and symptoms that should prompt you to seek medical advice. These include:
- Pain or Discomfort: If you experience significant pain or discomfort in the scrotal area, it could indicate an underlying issue that needs to be evaluated.

- Swelling or Lumps: Any noticeable swelling, lumps, or changes in the size of the testicles should be assessed by a healthcare professional.
- Changes in Color: If the skin of the scrotum changes color or if you notice any unusual rashes or lesions, it is advisable to consult a doctor.

- Changes in Testicular Position: While it is normal for one testicle to hang lower than the other, if you notice a significant change in position or if one testicle becomes retracted, this could be a cause for concern.

3. Self-Examination: Regular self-examination of the testicles can help you become familiar with your normal anatomy. This can help you identify any changes that may occur over time. When performing a self-exam, you should feel for any lumps, swelling, or changes in texture. It is best to do this after a warm shower when the scrotum is relaxed.

4. Consulting a Specialist: If you have concerns about your testicular appearance or any associated symptoms, it is always best to consult a urologist. They can provide a thorough examination and may recommend an ultrasound or other imaging studies if necessary.
In summary, while your description of the scrotum and testicles sounds within the range of normal anatomical variation, it is important to pay attention to any changes or symptoms that may arise. Regular self-exams and open communication with your healthcare provider can help ensure your reproductive health is monitored effectively. If you have any ongoing concerns or questions, do not hesitate to seek professional medical advice.

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