Why are my testicles always cold?

Always cold testicles may be caused by abnormal scrotal temperature regulation, blood circulation disorders, chronic prostatitis, varicocele, hypothyroidism, etc., which can be improved through warming measures, drug treatment, surgical treatment, etc.

1. Abnormal scrotal temperature regulation

The scrotal skin has the function of regulating the temperature of the testicles. If you are exposed to a cold environment for a long time or wear tight underwear, it may cause excessive local heat dissipation. Avoid sitting on cold objects for long periods of time, choose breathable cotton underwear, and take a sitz bath with warm water to help restore body temperature if necessary.

2. Blood circulation disorder

Arteriosclerosis or abnormal vasoconstriction can affect the blood supply to the testicles, which may be accompanied by coldness of the lower limbs and intermittent claudication. Moderate exercise is recommended to improve circulation. Doctors may prescribe aspirin enteric-coated tablets, Xuesaitong soft capsules and other drugs to improve microcirculation.

3. Chronic prostatitis

Inflammatory reaction can lead to perineal blood flow stasis, often accompanied by frequent urination and lower abdominal distention. It is necessary to use Tamsulosin Hydrochloride Sustained-release Capsules and Qianlieshutong Capsules in conjunction with physical therapy as directed by your doctor to avoid irritation from spicy food.

4. Varicocele

Obstructed venous return will lower the temperature of the scrotum, which is often manifested as scrotal swelling when standing. Mild cases can be relieved by scrotal support, while severe cases require laparoscopic high spermatic vein ligation. The temperature can gradually recover 1-3 months after the operation.

5. Hypothyroidism

Insufficient thyroid hormone causes systemic metabolism to slow down, which may be accompanied by sensitivity to cold and fatigue. Thyroid function needs to be tested, levothyroxine sodium tablets should be taken orally as replacement therapy after diagnosis, and hormone levels should be reviewed regularly to adjust the dose.

Daily care should be taken to avoid local coldness of the scrotum, the temperature of bath water should not be too high, and habits such as smoking and drinking that may affect blood vessel function should be reduced. If the cold persists for more than 2 weeks or is accompanied by pain, induration and other symptoms, you need to see a urology department or endocrinology department in time to investigate the cause. Special thermal protective gear can be worn in winter, but attention must be paid to breathability to prevent eczema.