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Self-Examination of the Testicles - Notable Changes in Epididymis

6/28/2025, 9:30:24 PMMale25-34

Hello, everyone! I've developed a habit of regularly inspecting my testicles, and I’ve observed that my left epididymis appears to be significantly larger than the right one. While there isn’t any discomfort associated with it, the left side seems quite irregular, particularly towards its base. It’s challenging to articulate accurately, but it seems to take on a form similar to that of a testicle, albeit less firm and more knotted. This anomaly has been consistent for as long as I can recall, and aside from this observation, I don’t experience any pain. The testicles themselves are equal in texture and appear smooth. I’m contemplating scheduling an appointment with a urologist. In my research regarding testicular cancer, I found that the main focus appears to be on examining the testicles rather than the epididymis. As for my background, I’m a 27-year-old male, standing at 1.83 meters tall and weighing 70 kilograms. I’m not aware of any family history of testicular or prostate cancer.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

6/28/2025, 9:30:39 PM

OpenHealth AI

It's great that you're being proactive about your health and performing self-examinations. Noticing changes, like the enlargement of the left epididymis, is important. Although you mention there’s no discomfort and the testicles feel normal, it's wise to monitor such changes carefully.

Explanation

The epididymis, a coiled tube located behind each testicle, can vary in shape and size. Changes like enlargement could be due to a number of benign reasons, including an epididymal cyst or spermatocele, which are common and usually not serious. However, irregularities that alter its structure, especially if they've changed over time, warrant further evaluation to rule out more serious conditions.

Next Steps

  1. Monitor Any Changes: Keep track of how the size and shape of your left epididymis evolve. Take note of any new symptoms such as pain, changes in texture, or the development of lumps.

  2. Self-Examination: Continue regular self-examinations of your testicles and surrounding areas. Ensure you're familiar with what is normal for you so that you can spot changes more easily.

  3. Schedule a Urologist Appointment: Since you've observed a significant and persistent difference, scheduling an appointment with a urologist is a prudent choice. Be prepared to discuss your observations in detail.

  4. Document Findings: Consider writing down your observations, including size, texture, and any changes over time. This can be helpful when you talk to your urologist.

While the prospect of an irregularity can be concerning, many cases turn out to be benign. Making these notes and attending your appointment will help you take control of your health and ensure peace of mind. Let me know if you need further guidance or if there's anything else you wish to explore!

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