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10 Possible Causes for Epididymal Tenderness, Spermatic Cord Tenderness, Testosterone Decreased

  • Testicular Torsion

    Adult Epididymis, onset over days Fever, dysuria Cremasteric reflex present Epididymal tenderness with or without testicular tenderness WBC, LE, nitrites Body of testis similar[cdemcurriculum.com] The prenatal diagnosis of spermatic cord torsion is often really difficult and the diagnosis is usually retrospective.[ncbi.nlm.nih.gov] You may also have a decrease in the amount of testosterone in your blood at an early age.[urologyhealth.org]

  • Orchitis and Epididymitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] The spermatic cord is usually tender and swollen.[cdc.gov] A lack of testosterone in men can cause problems like erectile dysfunction, reduced sex drive, infertility, osteoporosis, increased breast tissue, decreased body and beard[beaumont.org]

  • Testicular Injury

    Testicular torsion Within the scrotum, the testicles are secured at one end by a structure called the spermatic cord.[my.clevelandclinic.org] If both testicles are removed, the man’s body will no longer produce testosterone. This may result in decreased sex drive and problems with erections.[issm.info] testosterone level (mean, 5.0 ng/mL 2.5; range, 0.89–13.11 ng/mL), and 19 (24%) had an elevated luteinizing hormone level (mean, 6.4 mU/mL 6.7; range, 0.6–38.3 mU/mL).[pubs.rsna.org]

  • Orchitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] […] of epididymis, /- testicle tender and swollen spermatic cord exclusion of testicular torsion fever hydrocele signs of urethritis in sexually-acquired epididymo-orchitis.[sahealth.sa.gov.au] Adamopoulos et al. 6 found that corticosteroids may reduce pain and oedema, but it caused the testosterone levels to decrease and follicle stimulating hormone and leuteinizing[ncbi.nlm.nih.gov]

  • Torsion of the Appendices and Epididymis

    Adult Epididymis, onset over days Fever, dysuria Cremasteric reflex present Epididymal tenderness with or without testicular tenderness WBC, LE, nitrites Body of testis similar[cdemcurriculum.com] At operation, we found his left spermatic cord to be twisted 90 degrees counterclockwise and appendix epididymis 180 degrees counterclockwise.[ncbi.nlm.nih.gov] You may also have a decrease in the amount of testosterone in your blood at an early age.[urologyhealth.org]

  • Spermatic Cord Injury

    There is a swollen, tender testis retracted upwards. Lifting the testis up over the symphysis increases pain, whereas in epididymitis this usually relieves pain.[patient.info] Woodworth, who stated that appellant apparently suffered trauma to the spermatic cord structure, that he definitely had local pain and tenderness in the left epididymis at[dol.gov] If both testicles are removed, the man’s body will no longer produce testosterone. This may result in decreased sex drive and problems with erections.[issm.info]

  • Mumps Orchitis

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] Do not delay medical care as other emergency conditions, such as testicular torsion (twisting of the spermatic cord), are also characterized by testicular pain and tenderness[emedicinehealth.com] Serum gonadotropin concentrations were elevated in these men, probably because plasma testosterone production rates were decreased.[ncbi.nlm.nih.gov]

  • Torsion of the Hydatid of Morgagni

    Adult Epididymis, onset over days Fever, dysuria Cremasteric reflex present Epididymal tenderness with or without testicular tenderness WBC, LE, nitrites Body of testis similar[cdemcurriculum.com] cord veins Predominantly left sided Mass of varicose veins (“bag of worms”) above testicle Non tender More prominent with standing Refer to Paediatric Surgery OPC – consider[rch.org.au] You may also have a decrease in the amount of testosterone in your blood at an early age.[urologyhealth.org]

  • Testicular Abscess

    The scrotum should be examined for a tender spermatic cord, which is suggestive of epididymitis.[aafp.org] The spermatic cord is usually tender and swollen.[cdc.gov] A lack of testosterone in men can cause problems like erectile dysfunction, reduced sex drive, infertility, osteoporosis, increased breast tissue, decreased body and beard[beaumont.org]

  • Scrotal Abscess

    A thickened, tender spermatic cord suggests a testicular torsion (spermatic cord torsion) while tenderness alone may indicate epididymitis.[urologyweb.com] A lack of testosterone in men can cause problems like erectile dysfunction, reduced sex drive, infertility, osteoporosis, increased breast tissue, decreased body and beard[beaumont.org] What are the symptoms of epididymitis and orchitis?[my.clevelandclinic.org]

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