Is it normal for one testicle to be larger than the other?

Patient's question:

Hello doctor, I want to know if it's normal for one testicle to be larger than the other. A few days ago, I accidentally noticed that my testicles are of different sizes. Is this abnormal development? Will it affect fertility?

Doctor's answer:

Hello, under normal circumstances, the size of the testicles on both sides is not the same, but they should be relatively similar. If one testicle is significantly larger than the other, it is not normal. There are two possible reasons: one is that the larger testicle has symptoms of hydrocele, in which case an ultrasound examination is needed for diagnosis. Surgical treatment may be necessary if necessary. The other possibility is that the smaller testicle has symptoms of atrophy, which requires an ultrasound examination to determine. Such conditions need to be treated promptly, and there will be no adverse effects after treatment.

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