It is normal for males to have different testicles in size. In normal individuals, the testicles on both sides are not exactly the same. Generally, the testicles on the right side are slightly larger and the testicles on the left side are slightly smaller. This is not a pathological condition and will not affect married life and fertility. Moreover, the difference in testicular size, as long as it is within the normal range, cannot represent the strength or weakness of sexual function.
However, if the size of the testis is too small (less than 12ml), it belongs to testicular dysplasia or testicular atrophy, which is generally caused by cryptorchidism, varicocele or orchitis. Testicular dysplasia is a pathological condition, and spermatid cells may be affected, which may affect the reproductive function. You can go to the hospital to check the number and vitality of sperm through semen tests, And testing the level of testosterone in the blood for doctors to diagnose whether testicular function is normal.
Some people have congenital unilateral testicular dysplasia, which manifests as one testicle being very small, like a toddler's testicle, while the opposite testicle is slightly larger than the normal person, but this situation is generally rare. In addition, trauma can easily cause testicular blood supply disorders and lead to testicular atrophy, resulting in differences in testicular size on both sides; Mumps virus can destroy the epithelial cells of seminiferous tubules of testis, causing atrophy of one side of testis, etc. It should be said that there are many reasons for significant differences in testicular size on both sides, but it is important to be careful not to consider other diseases in the scrotum as the cause of testicular size. The cause should be distinguished to avoid misdiagnosis.
Varicocele of testicle size and spermatic cord leads to blood reflux in the scrotum, resulting in testicular nerve dysfunction. Normal sperm of men is tadpole shaped, while the patient's sperm becomes less and deformed, such as double headed sperm, big headed sperm, small headed sperm, morphological degeneration, and the function of sperm also decreases. Even if it hits an egg, the deformed sperm cannot break through the egg wall to form a zygote.
Varicocele is a temperamental disease. From a physiological and anatomical perspective, patients are born with or have the potential to develop this condition, which worsens year by year and generally does not show obvious symptoms. Many people often seek medical attention after marriage without childbearing.
The drug treatment effect of severe varicocele is not good. Doctors will generally mobilize for surgery and "varicocele ligation". After surgery, there is no venous blood reflux, testicular function can be improved by 60% to 70%, sperm quality can be improved, and fertility can be achieved.
It is better to find and treat varicocele as early as possible. If there is asymmetry on both sides of the testis or soft mass in the scrotum, you must go to the urology department for examination.
How to treat - Through special examination methods such as ultrasound diagnosis and infrared contact scrotal temperature measurement, varicocele can be detected, and the doctor will determine whether your symptoms require treatment. At this point, either by injecting medication to close it or tying it up to block and seal the blood vessels, this is a small surgery that requires anesthesia and takes about 30 minutes.