Please remember, this column is designed to help the consumer seeking behavioral-health information, and not intended to be any form of psychotherapy or a replacement for professional, individualized services. Opinions expressed in the column are those of the columnist and do not represent the position of other SelfhelpMagazine.com staff.

Question

I worry that my testicles are too small. Will I be able to father babies? Should I get implants?

Answer

Among the things men worry about most is the size of their genitals -- a source of often unnecessary worry and frustration -- especially if the concern centers on fears of unmanliness, inability to satisfy a woman, or father children. However, in the case of testicle size there may be good reason to take a good look. The testicles in an adult male typically measure about an inch wide and one and a half inches long and one may be slightly larger. Typically, one hangs lower in the scrotum than the other -- Mother Nature's way of preventing an uncomfortable squeeze when a man's legs are close together.

If your testicles are significantly smaller or larger a visit to a urologist is called for. Your doctor can help reassure you by ruling out endocrine or other serious health problems such as infections or tumors. While you are at the urologist you might have him do a sperm count and discuss with you your concerns about fertility. And if your doctor doesn't suggest it, ask how to do a testicular exam. That way you can become familiar with your genitals in their normal state and be alert to even minor changes should they arise. We are unaware of any treatment or implant to increase testicle size and if such devices are available they may limit your ability to detect a serious problem if one should develop later.

03/18/98

Dr. Al Cooper, clinical director at the San Jose Marital and Sexuality Centre (408-248-9737), runs the training program for Counseling and Psychological Services at Stanford University. Dr. Cooper is internationally known for his work in sexuality and is freqently interviewed by the media. He currently writes a column in Men's Health Magazine.

Dr. Coralie Scherer coordinates online services for the Centre and specializes in sexual trauma, women's issues, and marital therapy.