Concerns About Enlarged Spermatic Cord on the Right Side
Hello, I hope you don't mind me apologizing for my English, as it's not my first language. I’m a 31-year-old man, standing at 6 feet tall and weighing 200 pounds. About a month and a half ago, I started experiencing a peculiar, unsettling sensation on the right side of my scrotum. Approximately a month back, I noticed that my ejaculation was unusually watery and transdermal for a week before returning to its typical state. It was challenging to pinpoint the exact source of this discomfort, which prompted me to investigate further by examining my testicles more closely. I discovered that the spermatic cord on the right side feels significantly thicker, about two to three times more substantial than that on the left. Although it doesn't cause pain, it is noticeably firm. I visited a doctor last week, and after a brief examination, he reassured me that everything seemed fine, attributing it to possible factors like vigorous activity or heat. Despite this, the sensation continues to irritate me and is quite bothersome. Furthermore, I underwent STD testing for chlamydia and gonorrhea, which returned negative results. Do you have any insights or suggestions regarding what might be causing this? Thank you! Best wishes,
Answers (1)
7/27/2025, 7:10:52 PM
OpenHealth AI
Thank you for sharing your concerns about the enlarged spermatic cord and the sensation you've been experiencing. It's important to address these feelings and provide some clarity on the matter.
Main Points:
- Possible Causes: The thickness in the spermatic cord could be due to various benign factors, but persistent changes warrant ongoing observation.
- Monitor Symptoms: Keeping track of any changes in symptoms is essential for understanding what may be affecting you.
- Self-Care Measures: Focus on comfort and self-assessment measures while continuing to observe any changes.
Explanation:
The spermatic cord contains blood vessels, nerves, and structures that support the testicles. A thickened spermatic cord can occasionally occur due to increased blood flow, inflammation, or benign conditions. Given that you're not experiencing pain and had negative STD tests, the immediate risk of a serious condition seems low. However, it’s understandable that the sensation is bothersome and could lead to anxiety.
Your doctor’s reassurance is a positive sign, but it's wise to stay informed and aware of your symptoms. Changes in semen consistency can occur for various reasons, including dehydration or temporary changes in hormone levels. These can be normal, especially if they revert to previous states, but it's good to monitor any patterns.
Next Steps:
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Keep a Symptom Diary: Document any changes in sensation, firmness, or any new symptoms on a daily or weekly basis. This will help you see if there are any patterns or triggers.
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Stay Hydrated: Drink plenty of water daily to support overall health and potentially improve any issues with semen consistency.
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Avoid Irritants: Stay cool and avoid tight clothing that can increase discomfort. Evaluate your activities to see if anything exacerbates the sensation.
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Reassess in a Few Weeks: If the thickening continues to concern you, or if you develop new symptoms such as pain, swelling, or changes in urination, consider revisiting your doctor or seeking a second opinion for further evaluation.
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Mindfulness Techniques: If the sensation becomes bothersome, consider relaxation exercises or mindfulness practices to reduce anxiety surrounding your concerns.
Feel free to ask for more information if you need it. Your health and comfort are important, and it's commendable that you’re staying proactive about your well-being. Best wishes!
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