Does testicular asymmetry affect fertility?

Patient's question:

I am 22 years old. My left testicle hangs somewhat lower and is more inward, and the outer skin on the left is thicker. The right testicle is normal, with a size similar to the left. Is it related to fertility?

Doctor's answer:

Hello, does testicular asymmetry affect fertility?
Based on the information you provided, it is difficult to determine if it is related to fertility. A semen analysis can help with diagnosis.
In normal males, the size of both testicles is not exactly the same. Statistics show that the right testicle is slightly larger than the left. When calculated by length, width, and thickness, the right testicle averages 3.38cm × 2.37cm × 1.78cm, while the left averages 3.30cm × 2.27cm × 1.71cm. Even among individuals of the same age group, there is a significant difference in testicular size. However, in adult males, if the testicular volume is greater than 15ml, their function is considered normal.

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