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Urology (Expert Forum)
Shrinking Scrotum
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Shrinking Scrotum
by abcguy, Nov 20, 2005 12:00AM
I am 25 years old and during the summer of 2004, I was under severe stress for 2-3 months over a relationship with girlfriend. Few weeks after this time frame, I started to notice that my penis, testicles, and my scrotum are shrinking. After going to the doctor few times end of last year and beginning of this year, I was diagnosed with low testosterone and my endocrinologist said I have primary hypogonadism. Since I am not taking any artificial testosterone (since my doctor said I will completely lose my ability to have children if I do), I understand and accept the loss of erection and loss of size and girth of the penis as well as the loss of size of the testicles, but I do not understand what is causing my scrotum to shrink. My endocrinologist as well as other patients suffering form primary testicular failure said scrotum does not shrink because of low testosterone. But mine is shrinking and they have shrunk 75-80%. Due to my small scrotum size, my testicles do not hang low like they used to and it barely changes size with temperature. Because of its size, it’s in the same retracted state whether I am taking a shower in hot or ice cold water. And it is shrinking every day by day. Please give me your advice about what is causing this. What can I do to stop the scrotum from shrinking and how much more will it shrink? Could the prolonged stress over my girlfriend cause my hormones to be imbalanced and result in the scrotum shrinkage? I am scared that within the next 2-3 weeks, I will have scrotum the size of a kid.
Doctor's Answer
by Kevin Pho, MD, Nov 21, 2005 12:00AM
, Nov 21, 2005 12:00AM
Difficult to say without evaluation.
You can consider a scrotal ultrasound to evaluate the anatomy. It may be possible that problems with blood flow can lead to changes in the scrotal size. The ultrasound will be able to rule out this possibility.
Another consideration would be a testicular biopsy. This can be done for a more definitive diagnosis of what may be causing the shrinking.
These options can be discussed with your personal physician or urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
You can consider a scrotal ultrasound to evaluate the anatomy. It may be possible that problems with blood flow can lead to changes in the scrotal size. The ultrasound will be able to rule out this possibility.
Another consideration would be a testicular biopsy. This can be done for a more definitive diagnosis of what may be causing the shrinking.
These options can be discussed with your personal physician or urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments (37)
by abcguy, Nov 20, 2005 12:00AM
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