Doctor insights on:
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
Laboratory definition of low testosterone is a result below lower limit of normal reference range for that person's age & gender. Blood should be drawn in early morning (before 10am) w/2 abnormal results to support clinical definition of low t (hypogonadism) which may include low energy, loss of or inability to gain muscle, increase in abdominal fat, depression, cognitive ...Read more
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 moreSee 1 more doctor answer
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
Should a testicular biopsy be considered if I have low testosterone and bilateral 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?
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
If someone has testicular torsion and since it need to get taken care of immediately, wouldnt 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 moreSee 2 more doctor answers
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 ...Read more
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