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Anatomy
Scrotal anatomy
The scrotum is a pouch of skin and muscle that holds the testes outside the pelvis. The dartos and cremaster muscles help regulate testicular temperature. The epididymis lies along the back of each testis and stores and transports sperm. A slight size or height difference between testes is common.
Primary medical reference ↗Prevention
Know what is normal
Become familiar with the usual size, texture and feel of your testes. After a warm shower, gently examine one at a time, noting new lumps, swelling, firmness or changes. The soft tube at the back is the epididymis. Self-checks do not replace clinical evaluation.
Primary medical reference ↗Urgent
When pain is an emergency
Sudden severe testicular pain, particularly with nausea, vomiting or swelling, may be testicular torsion. Go to an emergency department immediately; do not wait for symptoms to improve or try to untwist a testis yourself.
Primary medical reference ↗Symptoms
Lumps and swelling
New lumps, enlargement, persistent aches, or a change in firmness should be assessed by a clinician. Common explanations include cysts, fluid collections and enlarged veins, but examination and sometimes ultrasound are needed to exclude serious conditions.
Primary medical reference ↗Conditions
Hydrocele
A hydrocele is fluid collected around a testis, which can cause painless swelling or a heavy feeling. Evaluation helps distinguish it from other causes of swelling. Management depends on symptoms, size and the underlying cause.
Primary medical reference ↗Conditions
Varicocele
A varicocele is enlargement of veins draining a testis, often described as a bag-of-worms feeling. It can be asymptomatic or associated with aching and fertility concerns. A clinician can assess whether treatment is appropriate.
Primary medical reference ↗Conditions
Epididymitis and inflammation
Inflammation of the epididymis can cause pain and swelling, sometimes with urinary symptoms or fever. Causes include infections; prompt clinical assessment is important because symptoms can overlap with torsion.
Primary medical reference ↗Care
Hygiene without irritation
Wash gently with water and a mild cleanser if tolerated, rinse and dry carefully. Change sweaty clothing, choose breathable fabrics and avoid fragranced products on irritated skin. Persistent itching, rash or sores merit assessment.
Primary medical reference ↗Care
Grooming and shaving
Trimming with a guarded trimmer may reduce nicks compared with close shaving. Avoid shaving inflamed or broken skin, never share blades, and stop if irritation develops. There is no medical need to remove pubic hair.
Primary medical reference ↗Science
Heat and fertility
Testes function at a temperature slightly below core body temperature. Prolonged high-heat exposure may affect sperm production; discuss fertility concerns with a clinician rather than relying on temperature hacks.
Primary medical reference ↗Prevention
Sports and injury prevention
Protective athletic cups can help during contact sports. After an injury, severe or persistent pain, swelling or nausea requires urgent evaluation.
Primary medical reference ↗Care
Tucking and comfort
Tucking should never require force or cause pain, numbness, discoloration or impaired circulation. Stop immediately if these occur. Avoid prolonged compression and seek individualized advice if you have a hernia, prior surgery or testicular symptoms.
Primary medical reference ↗Prevention
Questions for a clinician
For a new lump, ask whether ultrasound is appropriate and what follow-up is needed. For persistent discomfort, ask about infection testing, hernia evaluation, medication effects and when to seek urgent care.
Primary medical reference ↗