Q. Is an ultrasound not essential to detect the cause of lump in testicle?

Answered by
Dr. Shahil Khant
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 31, 2018

Hello doctor,

My 24 year old son discovered a small lump in his testicle about a month ago. He saw a urologist immediately who did a physical exam, drew some blood and took a urine specimen. He said that the lump was located on the back of the testicle and most likely a benign cyst. We had a follow up today for the results of his blood work. He had a very low testosterone level and extremely low vitamin D and an elevated estrogen level. He was placed on a vitamin D supplement and 1 mg of Anastrozole per week to block the production of estrogen and raise his testosterone. He still maintains that these issues are the cause of the lump but we have had no ultrasound or anything that I would have expected to diagnose a problem. Should we push for a second opinion?



Welcome to

Relax and do not worry.

Testicular lumps are very common in young people.

As your urologist has examined you, there are high chances of it being a benign cyst arising from the epididymis.

But, I will suggest an ultrasound scrotum just to be sure and confirm it is a cyst only. So, insist for ultrasound scrotum.

Hormonal problem and lump of testicular cyst are two different things and as per me are not related together.

If it gets confirmed on USG that it is epididymis cyst, then nothing is to be done until there is pain or increase in size.

For more information consult a urologist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
How difficult is it to remove a cyst from a testicle?

I have had cyst in my testicle as long as I can remember ...  What is the procedure for removing a cyst from a testicle ...   Read full

My right testicle and spermatic cord area are enlarged.Please help.

.. to have developed funiculitis which is inflammation of the spermatic cord. You will need a course of antibiotics. Please revert back with more details for further guidance .. ...   Read full

I have enlarged right testicle. Please guide.

.. here to help you. This enlarged testicle can be because of hernia, hydrocele or any tumor of the testis. You definitely need to get an ultrasound Doppler of the scrotum following consultation with the surgeon. Please write back to me with the ultr...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.