OpenHealth Q&A

Get answered by medical professionals

Preventing Future Testicular Torsion: A Guide for 21-Year-Old Males

3/24/2025, 1:20:21 PMMale25-34

At 21 years old and weighing 130 pounds, I experienced torsion in my right testicle. Thankfully, the medical team managed to save it, although a 10mm section is now deprived of blood flow, which means I have around 80% functionality remaining in that testicle. They performed an orchioplexy to secure it in place. My left testicle remains in a position known as bell clapper deformity. I inquired about undergoing a similar orchioplexy on the left side, but the doctors advised against it, citing the risks of surgery and potential infection, concluding it was not essential at that moment. I aim to maintain a normal lifestyle and want to return to the gym; however, I can't shake the anxiety of experiencing another torsion. I’m curious if supportive underwear could play a role in preventing future torsions. I recall that the night I experienced torsion, I wore a pair of underwear that was smaller than usual, leading me to wonder if tighter underwear contributes to the risk. If tighter options could be a factor, is opting for supportive garments the best choice since they are also snug?

Internal MedicineRheumatology

Answers (1)

Cony

3/24/2025, 1:20:45 PM

OpenHealth AI

It's completely understandable to be concerned about preventing another episode of testicular torsion after your recent experience. While you're seeking to adapt your lifestyle and maintain physical activity, there's some guidance regarding underwear and overall precautions that may help alleviate your anxiety and enhance your well-being.

Main Points:

  1. Understand Testicular Torsion Risks: Factors like anatomical predisposition (like bell clapper deformity) can increase the risk of torsion.
  2. Supportive Underwear: Choosing the right type of underwear can help provide comfort and possibly decrease anxiety around the situation.
  3. Next Steps for Prevention: Maintain an active lifestyle, monitor symptoms, and make safe choices during workouts.

Explanation:

Testicular torsion often occurs when the testicle rotates and twists, cutting off its blood supply. Your situation, especially with the bell clapper deformity of the left testicle, means there may be a higher risk for torsion, although not every case leads to issues. Tight or restrictive underwear could hypothetically contribute to discomfort or feelings of increased risk, but they are not directly linked to causing torsion. Instead, supportive yet comfortable underwear can provide the support you need without excessive constriction.

Prioritized Next Steps:

  1. Select Supportive Underwear: Consider boxer briefs or athletic supporters that provide snug support without being overly tight. This can ensure stability while you're active.

  2. Gradual Return to Activity: Ease back into gym workouts, focusing on low-impact exercises initially. This makes it easier to gauge how your body feels without putting too much strain on yourself.

  3. Monitoring Symptoms: Pay attention to any unusual symptoms, such as sudden pain, swelling, or discomfort in the area, and respond quickly if they occur. Keeping a symptom diary can help you articulate any concerns to your healthcare provider if needed.

  4. Stay Educated and Reassured: Continue to learn about testicular health and torsion risks. Knowing the signs can help you feel more in control and less anxious.

  5. Discuss Concerns with Your Doctor: When possible, keep an open line of communication with your healthcare team regarding any changes or fears, particularly if you have ongoing concerns about the risk of torsion.

By taking these steps, you can help manage your anxiety and successfully transition back into a healthy and active lifestyle. If any concerns arise, don't hesitate to reach out for further information or clarification.

Related Questions

Assessing My Health Concerns: How Anxious Should I Be?

I’m a 32-year-old woman, weighing 124 pounds and standing at 5 feet 6 inches tall. For over a year, I have been experiencing bright red rectal bleeding. Initially, I attributed this issue to hemorrhoids that developed during my pregnancy two years ago. The bleeding occurs with most of my bowel movements, sometimes happens without one, and on a few occasions, has been enough to stain the toilet bowl significantly. The color of the blood is typically darker than what I observe during a hemorrhoid flare-up. There is a notable family history of bowel cancer on both sides; one family member was diagnosed at age 45, and another at 60. In the past six months, I have encountered several episodes of severe abdominal pain—3 to 4 instances—intense enough to consider a trip to the emergency room. However, the pain usually subsides within about an hour. It’s unusual for me to experience such acute pain, given my high tolerance for discomfort; for example, I once played rugby shortly after dislocating and fracturing my finger. Recently, I mustered the courage to consult with my doctor, who recommended a FIT test, which returned a positive result (30.1). Additionally, I underwent a complete blood test, and aside from having low ferritin levels (7 µg/L), all other results were normal. I have since been referred for a colonoscopy on a two-week waiting list to rule out any possible bowel cancer. Given these circumstances, how concerned should I be? Thank you for your input.

Crohn's DiseaseThyroid DisordersInternal Medicine
Male25-34
56 minutes ago

Persistent Pain in Right Shoulder and Arm After Lifting

Hello, everyone! I’m a 23-year-old male and have been engaged in weightlifting for several years now. Recently, I’ve been struggling with ongoing discomfort in my right shoulder and arm, which I haven’t been able to accurately identify. The pain manifests during particular movements, especially with lateral raises or when my arm is raised to shoulder level while rotating my wrist. Certain pressing and pulling activities can also provoke this discomfort. Rather than feeling sharp, it’s a deep, nagging sensation that sometimes seems localized in the front area of the shoulder or at the biceps tendon, and at other times it feels more like it’s situated between the shoulder and upper arm. Fortunately, there’s no numbness or tingling involved. This issue began while I was working out. I decided to take a break for around two months, but when I returned, the pain persisted. After consulting a physician, I was diagnosed with bicipital tendinitis. Since then, I’ve reduced my upper-body workouts, completely steering clear of shoulder exercises and heavy lifting, and have begun a gentle rehabilitation regimen focusing on external rotations, pendulum movements, and scapular exercises. Despite adhering to this routine for about a week, I haven’t experienced any noticeable improvement. Is it typical for this type of tendon injury to require an extended period for recovery? At what point should I consider diagnostic imaging, such as an ultrasound or MRI? Additionally, are there frequent rehabilitation errors that might impede the healing process? I appreciate your insights in advance!

ArthritisFibromyalgiaInternal Medicine
Male25-34
1 hour ago

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
2 hours ago

Understanding Atrial Fibrillation and Thyroid Issues: Variability in Cardioversion Decisions

Hello everyone, I’m reaching out for guidance regarding my mother’s current health situation, and I’d greatly appreciate any shared experiences or thoughts. **My mother's background:** - **Age**: 55 years - **Weight**: Recently dropped to 116 kg from 118 kg in just two days, likely due to diuretics. - **Health history**: Previously an underactive thyroid, undiagnosed and untreated, now presenting as overactive. - **Medications**: Currently taking thyroid medication and a beta-blocker (Rapiblock). **Current health status:** My mother has been hospitalized since Tuesday, experiencing **atrial fibrillation with heart rates exceeding 200** beats per minute due to her thyroid's hyperactivity. - The plan for cardioversion was initially settled on Tuesday. However, the following day, the medical team advised postponing it until her thyroid levels could be stabilized, believing that her heart rate would return to normal once her thyroid condition was managed. - Her **obesity** precludes her from undergoing a transthoracic echocardiogram, and due to her thyroid concerns, she cannot handle contrast dye (this has been a consistent issue for over four years). Therefore, the only feasible option was a **transesophageal echocardiogram (TEE)**, which has yet to be performed. - She has been prescribed various medications including beta-blockers and thyroid treatments in the past. - On Friday, a doctor proposed proceeding with cardioversion; however, the attending senior physician objected. - Today (Saturday), another clinician has expressed a desire to move forward with cardioversion, having initiated a new medication, as the senior physician is unavailable. - **Communication has been unclear**, as we were notified of developments by a nurse rather than the physician in charge, causing confusion and anxiety. - Currently, only a **chest X-ray** is scheduled, and the TEE remains unaddressed. **My inquiries are as follows:** 1. Is it common for medical professionals to have varying opinions and frequently revise medication or treatment plans like cardioversion? 2. Is it safe to conduct cardioversion in the absence of a TEE? I presumed that this was a standard procedure to exclude the presence of blood clots. 3. Is it usual practice to have only a chest X-ray prior to moving ahead with cardioversion? 4. How typical is it for patients or their families to not be directly informed about treatment changes and learn about them through nursing staff instead? I recognize that this cannot substitute for professional medical advice. I’m simply trying to discern whether these circumstances are typical or if we should express our concerns more assertively with the healthcare facility. Thank you for your insights!

Thyroid DisordersEndocrinologyRheumatology
Male25-34
3 hours ago

Concerns About My Toes

Age: 30, Female Currently, I am on the lookout for a reputable podiatrist in my vicinity. However, I've encountered a perplexing issue with my foot. Just last night, I noticed a growth on the side of my toe, something entirely new to me. I maintain a nutritious diet and have a demanding job that requires me to be on my feet quite often. My footwear includes brands such as Brooks Ghost Runners, Hoka Bondi 9’s, and Nike Motiva’s, and I don’t opt for restrictive socks. I also apply Vick’s Vaporub to my feet, a practice handed down from my family, and stick with simple, non-fragrant lotions like Vanicream and CeraVe SA Cream for my skin. In addition, I am curious about the my big toenail's change in color. What might be the underlying reasons for this? Also, I have these persistent dark spots on my toes that I've struggled with since my days on the runway. Despite my efforts, nothing has succeeded in lightening or diminishing their appearance. I'm just looking to determine if there might have been a factor from the past that could have contributed to these issues. I’m not sure what else to include, but I’m open to answering any questions you might have. Thank you for your attention! Best wishes from a worried soul!

ArthritisFibromyalgiaInternal Medicine
Male25-34
4 hours ago