What is the reason for the asymmetry in size between the two testicles?

Patient's question:

I recently noticed that the size of my testicles is uneven on both sides. What could be the reason for this symptom? It started about a week ago, and I've been experiencing pain and some swelling in my testicles, which feel a bit hard. Sometimes it hurts a lot, especially when I touch it. My penis is small, and this has been the case for 7 years. Additionally, I have a habit of masturbation, about three to four times a week. What could be causing the uneven size of my testicles?

Doctor's answer:

Hello, under normal circumstances, the size of the testicles on both sides is not the same, but they should be roughly the same size with a slight difference. If one testicle is significantly larger than the other, that is not normal. There are two possible reasons: one is that the larger testicle may have symptoms of hydrocele, in which case an ultrasound examination is needed to diagnose it. Surgical treatment may be necessary if required. The other possibility is that the smaller testicle has atrophied, and an ultrasound examination is needed to determine this. This condition requires treatment, and after treatment, there will be no adverse effects.

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