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Doctor insights on: Can Testicular Torsion Lead To Low Testosterone

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Can testicular torsion lead to low testosterone?

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

Dr. Sam Brancato
137 Doctors shared insights

Testicular Torsion (Definition)

When a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. The reduced blood flow causes sudden and often ...Read more


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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?

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

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

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

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

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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Can someone tell me how people get testicular torsion?

Can someone tell me how people get testicular torsion?

Unclear, but...: Real reason is unclear, but fact/experience tells it occurs in men with inborn poor fixation to the sac so to form so-called bell-clapper deformity of testis. While its peak age around 15-19, it may occur at any age. Based the timing of its occurrence, it has been construed that hyperactivity of cremasteric muscles of spermatic cord may be prone to incite its twisting. ...Read more

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What are the most common symptoms of testicular torsion?

Pain: The most common symptoms are very severe testicular pain usually associated with nausea and vomiting. There can also be redness on the affected side. ...Read more

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Do lots of people get testicular torsion, or is it unusual?

Do lots of people get testicular torsion, or is it unusual?

Common: In a large pediatric hospital emergency room we see about 3-5 a month. ...Read more

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What do you suggest if I was wondering if it could be a minor type of testicular torsion?

What do you suggest if I was wondering if it could be a minor type of testicular torsion?

High alert /good Hx: The picture of acute one-way course of full-blown testicular torsion has been the most common description in textbook. But any man with intermittent testicular pain of acute onset with highly variable intensity, duration, ; interval for months to years (even up to 10-15 yrs) with nausea ; referring pain in the groin deserves an urgent assessment for intermittent torsion with spontaneous de. ...Read more

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If someone has testicular torsion and since it need to get taken care of immediately, wouldn't the person know?

If someone has testicular torsion and since it need to get taken care of immediately, wouldn't the person know?

None....: Very rarely and unlikely a male affected by testicular torsion will know he gets it. But professional alert to analyze hx detailing the features of onset, degree, duration, and interval of testicular pain is the surest way to make an accurate DX of testicular torsion, after supplementing clinical suspicion with ua, physicals, and us as needed. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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Can testicular torsion cause only mild pain?

Dr. James Lin Dr. Lin
1 doctor agreed:
Can testicular torsion cause only mild pain?

Yes, if. ..: If being mild and intermittent twisting, yes, its related pain can be mild. Again, remember: every life event always displays itself as a pattern of full spectrum, and we only assess the event at certain point or moment on that full spectrum, at which we have to make a good decision and take a good action so to expect a good outcome. That is our professional life. ...Read more

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What is the definition or description of: testicular torsion repair?

What is the definition or description of: testicular torsion repair?

Torsion: Torsion is a twist of the blood supply to the testes...A cord twist....It requires surgery to repair and untwist cord and then secure the testes to the side wall inside the scrotum so it does not twist again. Called an orichiopexy...If the testes is not untwisted within several hours the testes will die/infarct. ...Read more

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Is it possible testicular torsion occur unnoticed swelling (no color changing) and no pain?

Unlikely: Pain and swelling are the major symptoms with torsion. Rarely an appendage on the testicle can torse causing a blue dot on the scrotum, but again, usually associated with pain. ...Read more

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In testicular torsion what does it mean by loss of testicle?

In testicular torsion what does it mean by loss of testicle?

If necrosis occurs..: If the duration of one-way full-blown twist is longer than 6-8 hours and there is no change in the color of torsed testis after untwisting torsion, most likely, surgeon will need to painfully declare the loss of testis so to just remove it (orchiectomy). ...Read more

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Could someone get permanent testicle damage from testicular torsion?

Could someone get permanent testicle damage from testicular torsion?

Yest, it would. ..: Depriving circulation from testicular torsion leads to expected tissue damage with ischemia. Besides, for unclear reason, some damage to sperm producing ability may happen to the contralateral testis. So, professional awareness and timely action are the essence of caring for testicular torsion. ...Read more

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I think I had testicular torsion but the pain went, how do I know if my testicle is alive?

I think I had testicular torsion but the pain went, how do I know if my testicle is alive?

You need a scan: Which could only be ordered by a doctor at a hospital. This should be done as soon as possile, because a testicle could twist and untwist a few times before it finally twists so as to cut off the circulation and kill the testicle. It would not necessarily hurt while untwisted. ...Read more

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Cant feel testicle. Feel discomfort. I have never experienced testicular torsion symptoms. What is it?

Cant feel testicle. Feel discomfort. I have never experienced testicular torsion symptoms. What is it?

Can't feel testicle: Could mean several things. With torsion you would still find testicle to be painful and higher in scrotum. You may also not feel testis if it retracted into your groin, is surrounded by serum called a hydrocele, or if it suffered trauma or mumps or perhaps u had surgery that caused it to atrophy and shrink ...Read more

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How can I tell if I have testicular cancer or testicular torsion?

Testis cancer: Is usually painless and feels like a hard, non-tender lump. Testis torsion is associated with very severe pain of sudden onset & scrum will be swollen & tender. Torsion can be associated with nausea & vomiting. Scrotal ultrasound will demonstrate a tumor, if present. There will be absent testicular blood flow with torsion. ...Read more

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Is it safe to use regional anathesia for testicular torsion surgery?

Is it safe to use regional anathesia for testicular torsion surgery?

Very safe: But testicular torsion needs quick emergency surgery, time is essence, quick un-twisting is required, unless contra indicated, usual preferred method is general anesthesia, some times spinal. In presence of twisted cord and painful condition local field block is also difficult. Speak to your anesthesiologist and surgeon. ...Read more

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After testicular torsion surgery, how does the testical attach to the scotrum after the stitches are dissolved?

After testicular torsion surgery, how does the testical attach to the scotrum after the stitches are dissolved?

Normal: The normal vascular and neurological complexes are still there. The stitches probably helped the deep layers attach giving support also. ...Read more

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What to do if I felt pain in nerve my left testicles. Do I have testicular torsion?

Pain & swelling: Pain will be severe, testicle tends to be higher in scrotum due tio twisted, shortened cord, scrotal swelling & very tender to touch. ...Read more

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One of my testicles didn't drop down, could I have testicular torsion or is this something else?

Get seen: An undescended testicle is a serious problem, not the least because of the cancer risk. Your personal physician needs to examine you and if necessary send you to a good urologist. ...Read more

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My husband had testicular torsion when he was younger, could this be a reason why we are having trouble conceiving?

My husband had testicular torsion when he was younger, could this be a reason why we are having trouble conceiving?

Sometimes: It might be a contributing factor, or may not be important. He should be evaluated, and if you've been trying for a year you should too. ...Read more

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I jut had surgery for testicular torsion four days ago. How long will it take the stitches in my scrotum to heal?

I jut had surgery for testicular torsion four days ago. How long will it take the stitches in my scrotum to heal?

Torsion stitches: Usually both testicles are sutured to the muscle wall that separates the scrotal sac into a right and left side inside the scrotum. These stitches are often permanent and most often prevent both testicles from twisting again. On the outside skin of the scrotum, absorbable sutures are used. They disintegrate in 10-14 days. ...Read more

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Only a dull discomfort on left testicle, but no cremasteric reflex. I did it on the right, and it went up fine. Testicular torsion?

Seek care now...: You need to be examined to determine the cause of the testicular pain. Lack of cremasteric reflex is concerning. Please get evaluated at the ER now. Delay is treatment for some causes of testicular pain could result in the loss of a testicle. ...Read more

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What are the common causes of testicular torsion? Undergone orchipexy & orchiectomy. Lost the left bec. Of misdiagnosis. Phantom pain still occurs.

No common cause: Anatomy is important. You can be born with a predisposition to get torsion. Main symptoms are sudden severe testicular pain with nausea and vomiting. If not surgically repaired within a few hours of onset of pain, the testicle can die. ...Read more

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I got kicked in my scrotum two weeks ago. Today I am having on and off pain in my left testicle and it really hurts. Could it be testicular torsion?

I got kicked in my scrotum two weeks ago. Today I am having on and off pain in my left testicle and it really hurts. Could it be testicular torsion?

Get care NOW!: I don't know if trauma increases the risk of torsion. But you are right in the peak age group in whom torsion is the most common cause of unexplained testicular pain. Epididymitis due to gonorrhea or chlamydia could be a consideration, but only if at risk for STDs. See a doctor immediately; if it's torsion, you need surgery within a few hours in order to save the testicle. ...Read more

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What are the main symptoms of testicular torsion? Is the pain unbearable? Or it will be mild pain? Can it be detected by usg scrotum without doppler?

What are the main symptoms of testicular torsion? Is the pain unbearable? Or it will be mild pain? Can it be detected by usg scrotum without doppler?

Testis torsion: A twist of the spermatic cord which suspends the testis and contains the blood supply and nerves to testicles. It causes severe pain and if the twisting is not reduced within a few hours the testicle can actually die. An ultrasound exam of the testis with doppler flow documents intact blood flow. ...Read more

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How painful is testicular torsion? I've had some soreness in my testicles, more on the left one the pass couple of days I'm worried I may have torsion

How painful is testicular torsion? I've had some soreness in my testicles, more on the left one the pass couple of days I'm worried I may have torsion

Testicular pain: The pain of torsion is severe and life threatening. You should see a urologist. This may represent an infection as well (epididymo-orchitis). ...Read more

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How can someone tell if they have testicular torsion?

None....: Very rarely and unlikely a male affected by testicular torsion will know he gets it. But professional alert to analyze hx detailing the features of onset, degree, duration, and interval of testicular pain is the surest way to make an accurate DX of testicular torsion, after supplementing clinical suspicion with ua, physicals, and us as needed. ...Read more

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How common is it for somebody to get testicular torsion?

Not uncommon: Peak incidence is in early puberty. Can also occur in newborns immediately before, during or shortly after delivery. In fact can occur at any age but uncommon after 30-40 years of age. I have personally seen it in newborns and the oldest was 45-years-old. Important thing:- is for public and drs is to assume that acute onset testicular pain is torsion until proven otherwise. Time is of the essence. ...Read more

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Why doesn't testicular torsion occur as often after the age of 18 - 19?

Why doesn't testicular torsion occur as often after the age of 18 - 19?

It occurs at any age: Testicular torsion is an extremely painful emergency condition in which the testicle is not anchored properly in the scrotum. The testicle can twist so that the blood supply is cut off or reduced causing sudden severe pain and swelling. It can occur at any age but is most common in young children and teenagers. ...Read more

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Can you tell me if I had a testicular torsion, would it be painful right away?

Yes it would: One of main chacteristics is sudden onset of severe pain. Cremaster reflex usually absent ; testis higher than usual in scrotum due to twisted cord. Go to er immediately if there is any suspicion of torsion, time is of an essence for testicular presevation. ...Read more

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