Photo: Anna Shvets

Why my balls are big and small?

Is it normal to have differently sized testicles? It is entirely normal for one testicle to be bigger than the other. Many people find that the right testicle is slightly larger and the left hangs lower. A difference in size is usually nothing to worry about, though it can occasionally indicate a problem.

medicalnewstoday.com - One testicle bigger than the other: Causes, risks, and self-exams

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In this article, we look at reasons why one testicle may be bigger than the other. We discuss complications, treatments, and explain how to perform a testicular exam at home. A difference in size is usually nothing to worry about, though it can occasionally indicate a problem. If a testicle is painful or changes shape, a person should see their doctor as soon as possible. It is entirely normal for one testicle to be bigger than the other. Many people find that the right testicle is slightly larger and the left hangs lower.

There are several reasons why one testicle may be bigger. These include:

Epididymitis

The epididymis is a duct behind the testes. Epididymitis occurs when this duct becomes inflamed, usually as a result of infection. This condition can be a sign of the sexually transmitted infection (STI) chlamydia.

See a doctor if the following symptoms are present:

pain when urinating

discharge from the penis

inflammation in the testicle

Orchitis

Orchitis happens when an infection causes inflammation in the testicle. It may occur after a person catches the mumps virus. If an individual experiences testicular pain and suspects that orchitis is the cause, they should see a doctor. This condition can damage the testicles.

Epididymal cyst

A cyst is a thin sac filled with fluid. Epididymal cysts may occur when there is excess fluid in the duct. They may also form while the epididymis is developing. These cysts are harmless and usually painless. No treatment is necessary, and they will often go away on their own. If epididymal cysts cause discomfort, however, they can be surgically removed.

A hydrocele

A hydrocele refers to a sac that forms around the testicles and fills with fluid. While it usually does not require treatment, a hydrocele can indicate inflammation, in which case a person should see a doctor.

A varicocele

When the veins within the scrotum become enlarged, this is called a varicocele. It usually does not require treatment if there are no additional symptoms, but a varicocele can cause a low sperm count.

Testicular torsion

Testicular torsion occurs when the testicle rotates and the spermatic cord is twisted. This can cause testicular pain that is severe and lasting. If this pain follows an injury, it may subside then suddenly return. Testicular torsion is severe and should be treated as an emergency. The twisting of the cord can reduce or block blood flow to the testicle, and without treatment the testicle may need to be removed.

Testicular cancer

Cancerous cells can appear and multiply in the testicle. A doctor should investigate lumps or new growths in the area as soon as possible.

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