What are the effects of different testicular sizes?

Patient's question:

My testicles have become different sizes overnight, and I'm asking my friends for guidance!
  I'm 29 years old, and my girlfriend is 21. Every time we have sex, there's some mild pain or a heavy, bloated sensation at the base of my penis. We usually do it about 2-3 times a night, but only on weekends (2-3 days a week). Basically, we have 4-6 sexual encounters every weekend. We work in different places during the week, and this has been going on for about half a year.
Tests at a regular hospital:
Urine test: The doctor said it was normal.
Prostate fluid test: The doctor said it was normal.
Ultrasound: The doctor said it was normal.

Doctor's answer:

Hello, under normal circumstances, the size of the testicles does not vary significantly. However, if one side is noticeably enlarged and accompanied by pain, it could be a case of orchitis or epididymitis. If one side is enlarged without pain, it could be a possibility of a tumor. Since the testicles are an important reproductive organ in males, responsible for producing sperm and secreting male hormones, problems with them, if not treated promptly, can affect semen quality and may lead to infertility in severe cases. It is recommended to go to the hospital for examination to identify the cause and receive targeted treatment to avoid missing the best opportunity for treatment and causing other complications.

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