How to prevent flaccid balls, according to a urologist

Much of the body’s madness has method. This includes (particularly) our sex organs. The mushroom-shaped penis is like that for a reason. Likewise, testicles — which dangle oddly beneath the body, always in the way and ripe for a painful bump — are designed by evolution with this precision. However, over time, your balls can start to sag, which is your body’s perfectly normal response to aging. But we don’t always like what our bodies have to offer. So is there anything you can do to prevent the balls from sagging?

why Do Balls dangling?

First, it’s important to understand the reason why your dangling parts are hanging low in the first place. Namely temperature regulation. While body temperature should be around 30°C most of the time, the ideal temperature for semen production is a few degrees lower, around 30°C. The testicles can actively hang farther from the body when it gets hot, and when it gets cooler they can shrink closer to the body and collect some of that heat.

“They like to be there. I think it has a lot to do with anatomical efficiency,” says Jamin Brahmbhatt, MD, executive director of the Personalized Urology and Robotics Clinic at South Lake Hospital and Orlando Health.

That’s why, in most cases, it’s perfectly normal to have testicles that hang low — and like penises, every scrotum hangs a little differently, says Brahmbhatt.

But over time, as you get older, the testicles can start to sink a little lower. That’s because as you age, your skin begins to lose some of its collagen — the molecule responsible for its elasticity — and muscles can shrink slightly, causing the testicles and scrotum to relax.

“Don’t panic. This naturally happens with age,” says Aleece Fosnight, medical consultant for Aeroflow Urology. Sagging doesn’t affect ejaculation or orgasm, bladder function, or the amount of semen released.

When this occurs varies from person to person but is usually around the age of 50 or 60. If you notice this happening earlier, say in your 30s, you should get it checked out.

Hanging testicles are rarely a sign of a condition such as an infection, cyst, hernia, or varicocele (when one of the veins in your scrotum enlarges). “You can always see a doctor if you have any concerns. However, unless there’s swelling or a mass or growth in the scrotum, or you feel pain in the scrotum and testicles, there’s usually nothing to worry about,” says Fosnight.

This is how you avoid limp balls

Since sagging comes with aging, there isn’t much you can do about it other than adopt a healthy lifestyle that will slow down your body’s overall aging process. This means, for example, avoiding alcohol and smoking, eating healthily, drinking water and exercising regularly. Some experts also suggest getting a good dose of vitamins C and D to boost your skin’s ability to produce collagen and slow down skin aging.

“There are ways to potentially slow it down proactively, but there’s no way to prevent it,” says Brahmbhatt.

Doing kegels or wearing tight, padded, and supportive underwear can help, Fosnight says. But Brahmbhatt disagrees: Pelvic floor exercises might strengthen your pelvic muscles, but they don’t do anything for the skin, which is the main culprit. And there’s no research showing whether tighty whiteies can retard ball sag.

So once you have saggy balls, there is nothing you can do to reverse the sagging. Don’t be fooled by rumors about masturbating less, or having less sex, or spending pills and potions on your nut sack. None of this will tighten it up again. The only ways to loosen the balls are more invasive.

“Of course, if it bothers and bothers you, you can definitely see a urologist who deals with aesthetics for a procedure that involves skin removal and tightening,” says Brahmbhatt. This procedure, called a scrotoplasty, takes up to an hour but is only recommended if your quality of life is severely affected by sagging of your testicles, so it’s fairly uncommon.

“There are a lot more things in the world that you need to be concerned about with your personal health that should be a priority,” says Brahmbhatt. “If you go to the doctor about sagging of your balls, hopefully that will lead to a conversation about other things that should be a priority.”

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