What is the cause of cold testicles? Find out the answer

Cold testicles may be caused by poor blood circulation in the scrotum, local cold exposure, varicocele, chronic prostatitis, testicular hydrocele, etc. It can be alleviated by warming measures, physical therapy, drug therapy, surgery, etc.

1. Poor blood circulation in the scrotum

Sitting for long periods of time or wearing tight underwear may cause local blood circulation in the scrotum to be blocked, manifesting as a decrease in testicular temperature and numbness. It is recommended to get up and move every hour and choose loose and breathable cotton underwear to avoid compressing the perineum. You can try a warm sitz bath to promote blood circulation.

2. Local cold

Exposure to low temperature environments or cold water stimulation can constrict blood vessels in the scrotal skin, leading to abnormal testicular temperature regulation. It is common among outdoor workers in winter or after swimming, and may be accompanied by mild pain. You need to get out of the cold environment immediately and use a hot water bottle to apply heat, but the temperature should not exceed 40 degrees Celsius.

3. Varicocele

When the return of the spermatic vein is blocked, congestion will lead to disorder of scrotal temperature regulation, manifested as persistent coldness of the unilateral testis accompanied by a feeling of swelling. The diagnosis requires scrotal ultrasonography. For mild cases, special support pants can be worn. For severe cases, high spermatic vein ligation is required.

4. Chronic prostatitis

Pelvic congestion may affect the blood supply to the testicles. In addition to cold testicles, patients may also experience frequent urination and dull pain in the perineum. You can use tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules, Longgushu capsules and other drugs as directed by your doctor, along with warm water sitz baths to relieve symptoms.

5. Testicular hydrocele

Abnormal accumulation of fluid in the intrathecal cavity may alter local temperature conduction, and painless swelling of the scrotum may be found on palpation. A small amount of effusion can be observed, but a large amount of effusion requires testicular tunica inversion surgery. After surgery, the wound needs to be kept dry and strenuous exercise should be avoided.

Daily care should be taken to keep the perineum clean and dry, and avoid riding bicycles or sitting for long periods of time. Add an appropriate amount of zinc-containing foods such as pumpkin seeds and oysters to your diet, and avoid spicy and irritating foods. If the symptoms last for more than two weeks or are accompanied by testicular induration or severe pain, you need to see a urology department promptly for scrotal ultrasound, hormone level and other tests. The scrotum can be appropriately elevated during sleep at night to improve venous return, but it is prohibited to use an electric blanket to directly heat the testicular area.