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Doctor insights on: Can Testicular Torsion Lead To Low Testosterone

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Dr. Alvin Lin
Board Certified, Geriatrics
25 years in practice
72M people helped
1

1
Can testicular torsion lead to low testosterone?

Dr. Alvin Lin
Board Certified, Geriatrics
25 years in practice
72M people helped
Can testicular torsion lead to low testosterone?

Maybe: It all depends upon how badly your testis was harmed. Realistically, you actually only need one testis to supply enough testosterone & sperm. And since only one testis typically undergoes torsion, even if that one is damaged enough to require removal, you should still have enough from the other. You're hosed only if both testes twist at same time w/o getting treatment soon enough. ...Read more

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Dr. Crystal Twynham
Board Certified
28 years in practice
931K people helped
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Dr. Crystal Twynham
Board Certified
28 years in practice
931K people helped
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Dr. Alvin Lin
1,679 doctors shared insights

Testosterone (Definition)

Testosterone is a hormone/androgen which is a kind of ...Read more


Dr. Alvin Lin
Board Certified, Geriatrics
25 years in practice
72M people helped
2

2
What do you suggest if my low testosterone (280ng/dl) and testicular pain?

Dr. Alvin Lin
Board Certified, Geriatrics
25 years in practice
72M people helped
What do you suggest if my low testosterone (280ng/dl) and testicular pain?

Go see your doctor: Theoretically, most labs use 250ng/dL as the lower limit of normal such that 280ng/dL result is "normal". However, some of us feel that "low normal" is worth treating assuming one has symptoms. Testicular pain, OTOH, is totally different and needs to be evaluated by your doc, separate from hypogonadism. Infections, trauma, torsion & even cancer (in those under 40yo) are possible diagnoses ...Read more

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Dr. Crystal Twynham
Board Certified
28 years in practice
931K people helped
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Dr. Crystal Twynham
Board Certified
28 years in practice
931K people helped
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Dr. Lane Childs
Board Certified, Urology
29 years in practice
814K people helped
3

3
I lost a testicle due to torsion... Am i in fertile or also have low testosterone... Two urologist say it's nothing to worry about?

Dr. Lane Childs
Board Certified, Urology
29 years in practice
814K people helped
I lost a testicle due to torsion... Am i in fertile or also have low testosterone... Two urologist say it's nothing to worry about?

Monitoring advised.: The majority of young men losing a testis to torsion suffer no significant problems of fertility or testosterone levels. Like any medical condition however, there is a wide spectrum of results different patients may experience. If concerned, you may monitor your levels and measure blood tests in the future to check your status as indicated. ...Read more

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Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
4

4
Should a testicular biopsy be considered if I have low testosterone and bilateral testicular atrophy?

Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
Should a testicular biopsy be considered if I have low testosterone and bilateral testicular atrophy?

Doubtful: Some other cause? Pituitary, medications, trauma? Prior surgery? Internist or endocrinologist need to help sort out. More likely to do biopsy for mass or enlarging testicle. ...Read more

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Dr. Crystal Twynham
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28 years in practice
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Dr. Raul Hernandez
Board Certified, Urology
33 years in practice
56K people helped
5

5
I have low testosterone: 380 ng/dl for my age of 25 years. I plan to take dhea supplements. Will this cause testicular atrophy?

Dr. Raul Hernandez
Board Certified, Urology
33 years in practice
56K people helped
I have low testosterone: 380 ng/dl for my age of 25 years. I plan to take dhea supplements. Will this cause testicular atrophy?

Not usually: Dhea is a precursor and the elevation of testosterone it causes is not substantial. On the other hand, you should measure your testosterone again and make sure it truly is abnormal. 380 could be physiologically adequate for you. ...Read more

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Dr. Alvin Lin
Board Certified, Geriatrics
25 years in practice
72M people helped
6

6
17yeards old. Hard to gain weight. No beard/no body hair. Had prevention surgery because i tended to have testicular torsion. Do I have low testoster?

Dr. Alvin Lin
Board Certified, Geriatrics
25 years in practice
72M people helped
17yeards old. Hard to gain weight. No beard/no body hair. Had prevention surgery because i tended to have testicular torsion. Do I have low testoster?

Puberty: Boys (and girls) go thru puberty w/specific stages as popularized by tanner (http://www.Fpnotebook.Com/endo/exam/mltnrstg.Htm). Development depends upon hormones like testosterone as well as genetics. Not every boy/man will have lots of facial or body hair. But all boys/men should have some pubic hair as early as 10yo & late as 15yo w/axillary hair by 14yo. So if none of that by 17yo, go see doc. ...Read more

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Dr. Michael Kleerekoper
Board Certified, Endocrinology
46 years in practice
5M people helped
7

7
Why is my testosterone low (280ng/dl)? I also have testicular pain?

Dr. Michael Kleerekoper
Board Certified, Endocrinology
46 years in practice
5M people helped
Why is my testosterone low (280ng/dl)? I also have testicular pain?

Testosterone: 280 is just below the lower limit in men and you could well have a problem. However you will need a full examination and lab studies before the reason for low testosterone is decided and your doctor has options for care or referral to a colleague more used to managing low testosterone and testicular pain. A urologist would be helpful but you will probably need a referral from your doctor. ...Read more

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Dr. Harold Tsai
Board Certified, Urology
25 years in practice
489K people helped
8

8
Had a testicular torsion in my teens. After that doc said I have low sperm count. Wife and I are trying to get pregnant what can I do to help? It's been over a year. Only one pregnancy.

Dr. Harold Tsai
Board Certified, Urology
25 years in practice
489K people helped

Testicular torsion: If you had one child previously you have secondary iinfertility. Both you and your wife need evaluation. A more extensive semen analysis need to be done ...Read more

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Dr. Michael Michaels
Board Certified, Urology
48 years in practice
1M people helped
9

9
How to recognize a Testicular Torsion condition and treat it ?

Dr. Michael Michaels
Board Certified, Urology
48 years in practice
1M people helped

Emergency: Testicular torsion gives sudden severe testicular pain.If this is what you have now go to the ER NOW. The doctor will diagnose it by physical exam(absent cremasteric reflex,Doppler ultrasound almost +- very accurate,nuclear scan most accurate but not available 24-7).Delaying diagnosis will result in gangrene and loss of testicle,so get help now.Good luck ...Read more

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Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
10

10
I'm having testicular torsion please help?

Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
I'm having testicular torsion please help?

When to go to E.R.: If a guy has no other reason for symptoms, and he has sudden or severe pain in the scrotum (the sack that contains the testicles), swelling of the scrotum, abdominal pain, nausea, or a testicle that is hanging higher than normal or at an unusual angle... He could have testicular torsion and needs to get to the emergency room now. If symptoms are quite mild, a primary doctor may examine him first. ...Read more

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Dr. Alvin Lin
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