What causes coldness in the scrotum?

Coolness in the scrotum may be caused by poor local blood circulation, moisture in the scrotum, varicocele, chronic prostatitis, hypothyroidism, etc. Coolness in the scrotum usually manifests as a decrease in scrotal skin temperature, which may be accompanied by symptoms such as scrotal moisture and pain. It is recommended to seek medical treatment promptly and follow the doctor's instructions for treatment after determining the cause.

1. Poor local blood circulation

Sitting for long periods of time or wearing tight underwear may lead to poor local blood circulation in the scrotum, causing the scrotum to feel cold. This condition usually does not require special treatment and can be improved by exercising appropriately and wearing loose underwear. Avoid sitting for long periods of time and get up and move every 1-2 hours to help promote blood circulation.

2. Moisture in the scrotum

Excessive secretion of scrotal sweat glands or a stuffy environment may cause the scrotum to be moist, and evaporative heat loss will lower the scrotal temperature. Keep the perineum clean and dry, choose breathable cotton underwear and avoid wearing tight pants. If there is itching, calamine lotion can be used for external application, but fungal infection needs to be ruled out.

3. Varicocele

Varicocele may block the return of blood to the scrotum, causing swelling and coldness in the scrotum. Mild cases can be alleviated by scrotal support, while high spermatic vein ligation should be considered for moderate to severe cases. The disease may affect the spermatogenic function of the testicles. Men of childbearing age who have persistent symptoms should seek medical attention as soon as possible.

4. Chronic prostatitis

Chronic prostatitis may cause abnormal sensation in the scrotal area through nerve reflexes, manifesting as coldness or discomfort. You can use Qianlieshutong capsules, tamsulosin hydrochloride sustained-release capsules and other drugs as directed by your doctor, along with warm water sitz baths. Avoid drinking alcohol and spicy food, and regular ejaculation can help improve symptoms.

5. Hypothyroidism

Hypothyroidism will lead to a decrease in basal metabolic rate, which is manifested as coldness throughout the body, including coldness in the scrotum. Thyroid function needs to be tested, and levothyroxine sodium tablets need to be taken long-term after diagnosis. Pay attention to keeping warm every day, ensure adequate caloric intake, and review and adjust the dosage regularly.

Patients with cold scrotum should pay attention to keeping the perineum clean and dry, choose pure cotton breathable underwear, and avoid prolonged sitting and tight clothing. Warming measures can be used appropriately in winter, but overheating is not advisable. Supplement appropriate amounts of high-quality protein and vitamins in your diet, and avoid raw and cold foods. If the symptoms persist or are accompanied by pain, swelling, etc., you should go to the urology department in time to complete scrotal ultrasound, hormone level and other tests to confirm the diagnosis. Avoid excessive anxiety on a daily basis and have a regular schedule to help improve symptoms.