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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Testicles imbalanced, testis small. Does wearing tight pants cause this? Serious?

Hi...Doctor, I am 25 years old and observed that my testicles as imbalanced as one is bit larger in size than the other and my testis is also small in size...I feel than the average when I inquired online. In the past I used wear tight pants, many friends raised doubts that wearing tight pants will cause imbalance. Tell me do I have any serious problem ? Whom to consult for check up ?
Tue, 23 Apr 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

Testicles does not have to be equal in size. Its because testicles are not made in some kind of factory where everything is exactly the same. Testicles are made by nature so one can be larger than the other one and there is nothing wrong in it. Also as testicles are not attached to anything in the scrotum (except the spermatic cord), they are movable and as long as all the time are present in the scrotum (not moving to inguinal canal) it is also very normal situation.
If no pain, no lump, no swelling of your testicle, you should not worry about it.

Hope this will help.
Regards.
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General & Family Physician Dr. Polash Sannigrahi's  Response
Hello Sasha,

The causes of imbalanced testes can be:

1. Anatomical variation- there is normally a difference in the position of both the testicles, due to difference in the anatomy.
2. Varicocele- dilation of plexus of veins in the testis
3. Hydrocele- fluid accumulation in the testicular sac

In your post you have not mentioned about any history of trauma.
Under such condition, investigation like Ultra Sound Scan of the scrotum will be helpful in detecting any problem in the structures present in that area, including any abnormality in the blood vessels (varicocele) or fluid accumulation (hydrocele)

So, kindly meet an Urologist & get a proper physical examination done.

Wishing a Good Health.
Thanks & take care.
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