Balls on the Brain

Balls on the Brain: Should I be concerned my balls are different sizes?

Written by: Joshua Gonzalez

Popstar is back and ready to spill all the tea about your teabags! Today we are discussing ball size. The question at hand is: is it normal for one testicle to be larger than another?

Should I be worried my balls are different sizes?

Should you be worried your balls are different sizes? Although it's common to wonder about testicular asymmetry, the short answer is no; a slight uneven testicle size is typically normal. Not many things on the body are perfectly symmetrical, and your testicles are no exception. Think of them like eyebrows. They're not always twins; they're siblings, sometimes cousins even.


When it comes to what's between your legs, size can matter. However, when it comes to testicle size comparison , it usually isn't something to overthink. It's very common to have one testicle that's slightly larger than the other. So, in the category of things you should be concerned about, a slight normal testicle size difference shouldn't make the list. Global warming, perhaps, but uneven testicle size? Not usually.

When should I worry?

A small discrepancy in testicular size is almost always normal. The key is whether they've always been different or if the asymmetry is a new development. Testicles usually stop growing after puberty, so if there's a sudden change in size to one or both testicles, it's time to see a doctor.


It's important to be familiar with your jewels and check on them regularly. We recommend performing a monthly testicular self-exam . To learn more about conducting a self-examination, click here. If you're having a P!nk night and it's just you and your hand, take a moment when you're finished to give yourself a good feel. Look for any changes in size or texture. If you find a hard lump, that may be a concern. It could be the dreaded C-word. If you find a lump, it's always important to make an appointment with your doctor ASAP to rule out cancer.

Potential Causes for the Sudden Size Change

There is a menagerie of much less scary reasons of why you may notice a slight change in your ball size. One of which is epididymitis, inflammation or infection of a structure that sits right behind your testicles. This can cause soreness and swelling. Epididymitis can happen on its own or can be a side effect of a sexually transmitted infection, both of which can be cured relatively quickly with antibiotics. 


Another potential cause of a change in the size of your balls is torsion. Testicular torsion is caused by the spermatic cord being tangled or twisted. Usually torsion is associated with excruciating pain so we recommend seeing a doctor quickly if this occurs. A change in size could also be related to a benign cyst. When it comes to your family jewels, it is better to air on the side of caution and consult a physician.

Conclusion

In the wise words of Miley Cyrus (or the artist formerly known as Hannah Montana): nobody’s perfect. You have to work it, mismatched balls and all. Whether you have grapes, grapefruits, or one of each, all we ask is that you take care of your pair!

Dr. Joshua Gonzalez

Dr. Joshua Gonzalez

Dr. Joshua Gonzalez is a board-certified urologist who is fellowship-trained in Sexual Medicine and specializes in the management of male and female sexual dysfunctions. He completed his medical education at Columbia University and his urological residency at the Mount Sinai Medical Center. Throughout his career, Dr. Gonzalez has focused on advocating for sexual health and providing improved healthcare to the LGBTQ+ community.