Testicular Issues: When to Seek Medical Advice - Urology

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Hello! Thank you for your questions regarding testicular issues. It's great that you are proactive about your health and self-examination. Let's break down your concerns and discuss when it might be appropriate to seek medical advice.

1. Finding a Lump or Cyst: You mentioned discovering a small lump that resembles a spermatocele (a cyst that can occur in the epididymis, which is the coiled tube at the back of the testicle). The fact that it is small (about 0.2 cm) and painless is somewhat reassuring, as many benign conditions can present this way. However, the location and your description of needing to feel for it only when the scrotum is relaxed are important details. While many testicular lumps are benign, any new lump or change in the testicular area should be evaluated by a healthcare professional, especially since it is near the epididymis.
It's also worth noting that discomfort in the testicles can arise from various causes, including prolonged sitting, which can lead to discomfort due to pressure or strain. However, if the discomfort persists or worsens, it would be wise to consult a doctor. A physical examination and possibly an ultrasound can help clarify the nature of the lump and rule out any serious conditions.

2. Blood in Semen (Hematospermia): You mentioned experiencing blood in your semen on several occasions since you were 22. While hematospermia can often be benign, especially in younger individuals, it is still a symptom that warrants attention. The fact that you have experienced this symptom intermittently and that it typically occurs in the later part of ejaculation is notable. Common causes of blood in semen can include infections, inflammation, or even trauma to the reproductive organs.
Given that you have had this symptom multiple times over the past two years, it would be prudent to seek medical advice. A healthcare provider can perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies or further tests to determine the underlying cause.
In summary, while both findings may not immediately indicate a serious condition, they do warrant further investigation to ensure that there are no underlying issues that need to be addressed. It is always better to err on the side of caution when it comes to health concerns, especially those involving the reproductive system.
I recommend scheduling an appointment with a urologist, who specializes in male reproductive health. They can provide a comprehensive evaluation and guide you on the next steps based on their findings. Remember, early detection and intervention can be key in managing any potential health issues effectively. Thank you for reaching out, and I wish you the best in your health journey!