What's the matter with cold testicles?

Cold testicles may be caused by poor local blood circulation, abnormal scrotal temperature regulation, chronic prostatitis, varicocele, orchitis, etc. It can be alleviated by improving living habits, physical therapy, drug therapy, etc. It is recommended to seek medical treatment promptly to determine the cause.

1. Poor local blood circulation

Sitting for a long time or wearing tight underwear may cause local blood circulation in the scrotum to be blocked, which may lead to low testicular temperature. This kind of situation is usually accompanied by soreness and swelling in the perineum, which can be improved by adjusting the sitting posture and choosing loose cotton underwear. Daily warm water sitz bath for 10-15 minutes can help promote blood circulation.

2. Abnormal scrotal temperature regulation

The scrotal skin has the function of regulating the temperature of the testicles. Abnormalities may occur when the ambient temperature drops suddenly or the sweat gland function is disordered. It manifests as persistent clammy and cold scrotum, which may be accompanied by increased skin folds. Keeping the perineum dry and clean and avoiding prolonged exposure to low temperatures can help relieve symptoms.

3. Chronic prostatitis

Prostatic inflammation may affect testicular temperature perception through nerve reflexes and is common in adult men who sit for long periods of time. It is often accompanied by frequent urination and perineal swelling. You can use Qianlieshutong capsules, tamsulosin hydrochloride sustained-release capsules and other drugs as directed by your doctor, in conjunction with regular prostate massage.

4. Varicocele

Obstruction of spermatic vein return may lead to a decrease in local temperature of the testis, which is more common in the left testis. The typical manifestation is that the scrotal swelling feels aggravated when standing, and earthworm-shaped veins can be seen on the surface of the scrotum. For mild cases, special braces can be worn, but for severe cases, high spermatic vein ligation should be considered.

5. Orchitis

Testicular inflammation caused by bacterial or viral infection may cause local temperature abnormalities, often accompanied by severe pain and swelling. Antibiotics such as ceftriaxone sodium for injection and levofloxacin tablets need to be treated promptly. In the acute stage, bed rest and ice application are required to relieve swelling.

You should avoid riding or sitting for long periods of time every day, and get up and move around for 5 minutes every 1-2 hours. Pay attention to supplementing zinc in your diet, and eat oysters, pumpkin seeds and other foods in moderation. The scrotum can be appropriately elevated during sleep at night to improve venous return. If symptoms persist for more than 2 weeks or if pain or fever worsens, you must go to a urology department immediately.