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The Lowdown on Lopsided Testicles: What You Need to Know

It’s common for one testicle to be slightly larger than the other, and in many cases, this size difference is completely normal. However, in some instances, a variation in testicle size can be a sign of an underlying issue.

7 Possible Causes of Testicle Size Differences

From inflammation to cancer, there are several reasons why your testicles might not be identical twins. Here are seven possible causes:

1. Orchitis: Inflammation of the Testicles

Orchitis is a type of inflammation often caused by the mumps virus. If you experience pain, swelling, or tenderness in your testicles, it’s essential to see a doctor. Left untreated, orchitis can cause damage to the testicles.

2. Epididymitis: Inflammation of the Epididymis

Epididymitis is a condition that causes inflammation of the epididymis duct behind the testes. This can be a symptom of chlamydia, a sexually transmitted infection (STI). If you experience pain, swelling, or penile discharge, seek medical attention.

3. Hydrocele: A Fluid-Filled Sac

A hydrocele is a painless fluid-filled sac that forms around the testicles. While generally harmless, it’s essential to see a doctor to rule out other potential causes.

4. Epididymal Cyst: A Harmless Growth

An epididymal cyst is a harmless growth on the epididymis caused by excess fluid. These cysts are usually painless and don’t require treatment.

5. Testicular Torsion: A Twisted Testicle

Testicular torsion occurs when the testicle rotates, twisting the spermatic cord. This can cause severe pain and should be addressed by a doctor ASAP.

6. Varicocele: Enlarged Veins

Varicoceles are enlarged veins in the scrotum that can cause decreased sperm count and quality, leading to infertility. They can also shrink the testicles.

7. Testicular Cancer: A Rare but Treatable Condition

Testicular cancer is a rare condition that affects 1 in 250 males. If you notice any lumps or new growths around your testicles, see your doctor immediately.

When to Worry

If you experience any of the following symptoms along with an enlarged testicle, seek medical help ASAP:

• Redness
• Trouble urinating
• Swollen testicles
• Unusual discharge
• Lower back or abdominal pain
• Swollen or tender breasts

Performing a Testicular Exam

Get in the habit of checking the size and shape of your testicles on a monthly basis. Healthy testicles are smooth and should be more egg-shaped than spherical. If you notice any lumps or protrusions, get them checked out by a doctor.

The Outlook

While it’s essential to be vigilant about your testicular health, lopsided testicles are often totally normal. If you notice any changes or symptoms, don’t hesitate to see a doctor. Early detection and treatment can make all the difference.