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Testicular atrophy

Author : Doctor Ahmed Ragheb

Released at:May, 12 2023Views: 1774

Testicular atrophy
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Testicular atrophy, some men may suffer from testicular atrophy, which causes many sexual problems and hormone disorders.

Testicular atrophy is a term that refers to a real reduction in the size of the testicles. In cases of testicular shrinkage, a decrease in size occurs as a result of the loss of some sexual cells.

Various causes of testicular shrinkage and small size can lead to a decrease in sperm count or testosterone levels that the testicle can produce, or both in cases where an atrophy occurs in existing cells.


Testicular atrophy symptoms

The main symptom of testicular atrophy is the contraction of one or both testicles, but it can be accompanied by other symptoms.


Symptoms before puberty

For people who have not yet reached puberty, besides the additional symptoms of testicular atrophy which is the lack of development in other sexual characteristics, such as:

  • Facial hair
  • Penis size


Symptoms after puberty

 After a man goes through puberty, symptoms of testicular atrophy can include:

  • Decrease in sex drive
  • Infertility
  • Low muscle mass
  • Absence or decrease in facial hair growth
  • Absence or decrease in pubic hair growth
  • Softer testicle.


Testicular atrophy causes

There are many causes of testicular atrophy and testicular inflammation, which in turn is divided into viral inflammation and bacterial inflammation, can vary from other general causes.


Congenital causes

The undescended testicle, which has an effect on the non-secretion of sperm but the hormone masculinity is secreted naturally.


Non-congenital causes

Testicular inflammation: one of the most important conditions leading to testicular shrinkage, when inflammation of the testicles occurs, it causes pain and swelling in the testes area, can lead to vomiting and general high temperature, and can also lead to swelling of the testicles and their appearance in a relatively large size, but eventually leads to testicular atrophy, and testicular inflammation are two main types:


Viral testicular inflammation

This usually occurs as a result of mumps virus infection, as about one in three people develop mumps after puberty can develop testicular inflammation, usually within 4 to 7 days of contracting mumps.


Bacterial testicular inflammation

 Inflammation caused by sex-borne bacteria, such as Gonorrhea Bacteria or Chlamydia, can sometimes occur as a result of urinary tract problems or the placement of urinary catheters or other medical devices placed in the penis.


Other causes of testicular atrophy

These include what happens as a result of public health and actions that can affect testicular health, including, in general:



At a certain stage of life, a man goes through a decrease in testosterone responsible for the acetic ability, which can lead to testicular shrinkage.



Similar to varicose veins, but varicocele located near the testicles rather than the legs, usually affect the left testicle and can damage sperm-producing tubes inside them making the testicle look smaller.


Testicular sprain

Occurs when the testicle twists, causing a defect in the seminal cord, which carries blood to the scrotum, resulting in pain and swelling in the testicles, if not treated within a few hours, it may cause permanent testicular atrophy.


Excessive drinking

Drinking alcohol can reduce testosterone levels and damage testicular tissue in general, which is a cause of testicular atrophy and small size. There are also some cases of hormone disorder, which can be classified as causes of testicular atrophy and small size.


Testicular cancer

In rare cases, testicular cancer can cause testicular atrophy that affects younger men.


Testicular atrophy diagnosis

testicular atrophy diagnosis by ultrasound

The causes of testicular atrophy and small size vary, diagnosis plays an important role in the treatment of this problem, where the doctor usually begins to diagnose testicular atrophy by knowing the person's lifestyle, habits and pathological history, and the doctor asks the patient about the medications he is taking, and then the doctor usually performs a direct examination of the testicles in order to evaluate many of the characteristics related to them, such as size, shape and texture, in addition, the doctor may request some additional tests in order to help determine the identification of several characteristics related to them, such as size, shape and texture. Causes of testicular shrinkage and small size, including what comes

  • Clinical examination: The first and most important examination for diagnosis, where the testicle is often small or does not exist inside the scrotum as in the case of the suspended testicle.
  • Analysis of sperm to see sperm.
  • Blood analysis to determine the rate of masculinity
  • And sound waves on the abdomen and scrotum.
  • Ultrasound scans, sometimes if necessary, to look for abnormalities in the testicle.


Testicular atrophy treatment

In general, there are many tips that can be followed to maintain the health of the testicles such as maintaining personal hygiene, bathing frequently, using appropriate protections during intercourse, and wearing comfortable and wide clothes, but with regard to testicular shrinkage, the doctor's choice of treatment depends primarily on the treatment of the problem that caused it. It should be noted that some cases cannot be reversed and treated, while early treatment in others can increase the chance of successful treatment and recovery, so you should consult your doctor immediately in order to decide on the appropriate treatment plan, and here is the best treatment methods.


Use of appropriate antibiotics

If the cause is a sexually transmitted infection, or infections caused by a bacterial infection.


Lifestyle change

 such as quitting smoking, exercising regularly, eating a balanced healthy diet and others.


Hormone therapy

In the case of simple atrophy, the treatment is to activate the sperm cells and cells responsible for the male hormone.


Surgical treatment

Especially in the case of testicular sprain.

Treatment Plans
Gender Selection Treatment Plan


  • Preparing before the process
  • Ovum pick-up
  • ICSI process
  • Preparing before the transferring process
  • Gender selection up to 8 embryos
  • Embryo transferring


Does 24 years of waiting seem like a long time? Not so for this couple who have waited nearly 24 years to have children. He did not despair despite their previous attempts at ICSI and their failure, and finally, we were able to realize the dream at the hands of Bedaya Hospital doctors.

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