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Question:
I am a 20 year old male and after ejaculation I feel a small bump at the base of my penis on the left side. It is not painful or noticeable. My girl friend and I sort of have found it by accident. Also this is the side where my testicle hangs down lower than the other one, and remains this way unless I am erect or cold. I also notice that this left testicle does not "climb" towards my penis during orgasm like the right one does. Is it possible that I strain something during sex? Please respond if you can help. Thank you

Answer:
by Hussein Ghanem:
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Thank you for sending your question. A painless swelling at the base of the penis -around the age of 20- could be related to a variety of factors that can only be diagnosed by physical examination & certain lab works if needed. It would be safest to visit a Urologist / Andrologist, or a dermatologist if this is a skin mass (Bump). Genital warts are an obvious concern in genital skin growths as they might be sexually transmitted to your partner. Certain viral strains might be a precursor of tumors if left untreated. Deeper (bumps) could be sebaceous cysts or fibrous plaques. My advice to you is to visit a doctor to obtain a diagnosis and treatment if needed. The position of the testicles does vary with climate & sexual activity. Your e-mail doesn't suggest any particular disorder related to your testicles but you should have a complete genital examination including your testicles & the penile bump. Best wishes, Hussein Ghanem MD

Reviewed by: Patricia Fawver Ph.D. in Sexology

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