What is the reason for feeling that the testicles are slightly different in size?

Patient's question:

The testicles on both sides are different in size, and the penis is also different in thickness on both sides. It's like this now, and I don't know what to do. So far, no treatment has been administered. I'd like to ask for clarification first, and then seek treatment. What could cause the testicles to be somewhat different in size? Please clearly tell me what might have caused this and how it should be treated. Thank you.

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 required. The other possibility is that the smaller testicle has symptoms of atrophy, which also requires an ultrasound examination to identify. Such conditions need to be treated promptly, and there will be no adverse effects after treatment.

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