Why does testicular atrophy occur in men?


Table of contents

  • Why is this happening?
  • How does the disease manifest itself?
  • Elimination of atrophic phenomena

Atrophy of the testicles is a pathological process in which the external genital organs decrease. Violation, in turn, leads to malfunctions in the process of spermatogenesis, thereby negatively affecting the reproductive function in men.

In reality, testicular atrophy is rare, but nevertheless, there are a number of prerequisites for the occurrence of a similar problem in men of different ages. In addition, men retain the ability to intercourse, although the chances of conception are minimal.This leads to the fact that most patients refuse to visit a doctor or are unaware of the presence of pathology in themselves.


Why is this happening?

Atrophy of the testicle both left and right can occur due to various factors. There are various reasons. The first of these is the violation of normal testicle blood flow. This is due to vascular damage, resulting in a long ischemia of the tissues, which are not fully provided with oxygen and necessary substances.

The causes of the development of pathology can be covered in the transferred diseases. Especially it concerns those men who have suffered a trauma in the inguinal region or operation. In this case, testicular atrophy may appear after a long period of time, signs of tissue damage have long disappeared.

Among the diseases that provoke testicular atrophy in men, varicocele and hydrocele. In the first case, the disease is not a complication of varicocele, but is a pathology and develops against the background of existing problems with the vascular system. With hydrocele, surgeon intervention is necessary. In addition, atrophy of the testicle can be a consequence of an inflammatory disease that occurs in the groin. Inflammatory processes lead to a violation of nerve conduction, which, in turn, disturbs capillary blood flow.


Quite often, atrophy occurs in children and is a consequence of cryptorchidism. If there is no correct and timely treatment, there is a violation of blood circulation, there are various adverse factors.

The appearance of a problem can lead to a failure of the hormonal background. This occurs with severe obesity, and in violation of the regulation of sex hormones. Atrophy can appear and after the twisting of the spermatic cord, often the problem occurs in men who have had an infectious disease.

It should be noted that there is a difference between atrophy and hyperplasia. In the case of atrophy, the patient has a decrease in the size of a healthy organ, which after a while begins to die off. With hyperplasia, the testicle initially develops poorly or does not develop completely. As a result, it does not grow to the right size, and the patient loses its reproductive function.

How does the disease manifest itself?

Most often, negative changes in the testicles do not lead to the manifestation of the general symptoms of the disease. Some patients may experience weakness, decreased sexual desire, apathy. In men, there is often a change in the figure, which acquires feminine features. Nevertheless, there is an external change in the testicle, the symptoms of this are immediately apparent. This is clearly seen in both physical examination and palpation of both testicles. Sexual function in some cases is preserved, but the genitals look flabby, there is a further reduction in size.

To identify laboratory symptoms of the disorder, it is necessary to pass tests for the spermogram. This method will clearly show the presence of a problem, since atrophy leads to a reduction in the number of spermatozoa and sperm in general. Even the atrophy of one of the testicles is accompanied by a similar phenomenon.

It should be noted that there is a connection between both testicles, which is represented by a neuro-humoral regulation. Therefore, when there are any changes in one testicle, one should expect the appearance of similar signs in the other.

The patient is observed a change in the psyche, characterized by its frustration. For men, the sexual function is extremely important, because it makes them men. Any failure in its work in any case leads to a depressed state, so the patient needs the help of a psychologist.

Elimination of atrophic phenomena

When setting such a diagnosis, there can be no question of any treatment.


To cure a sick egg is impossible, therefore it is removed, as it leads to changes in a healthy testicle, as was mentioned earlier.

In this regard, you can use only preventive measures aimed at preventing the development of pathology.

To avoid such phenomena, it is necessary to treat diseases that can cause atrophy. It is necessary timely and correct treatment for torsion, genital injuries, correct treatment of infectious diseases.

At the moment there are no effective methods of treatment. Nevertheless, etiotropic therapy may have a somewhat positive effect, but only if the factor, such as the presence of a provoking factor, has been taken into account. If a man has a problem with the vascular system, he is prescribed pentoxifylline, trental and actovegin. Admission of these drugs leads to improved blood supply, helps to provide tissues with the necessary amount of oxygen and nutrients.

With the goal of normalizing the neuroregulatory function, galantamine is used. In Russia, the most accessible means of this group is Nivalin. Before using it, you should consult with your doctor and use cautiously, since the use of this medicine may lead to an allergic reaction.



It should be remembered that it is necessary to monitor the patient and his condition, especially when carrying out hormonal therapy. If signs of atrophy appear further, then further use of medications should be ruled out. Only in those situations where the benefits of the steroid used are greater than the harm, it is possible to use such drugs to treat the disease.

Thus, the description of atrophy involves changing the appearance of the organs, the appearance of painful sensations and, in some cases, general weakness. The first need is to consult a specialist who determines the further treatment of the patient.