What causes the testicles to become loose and pendulous?

In daily life, many men experience symptoms of relaxed or sagging testicles, and numerous individuals are unaware of the underlying causes. So, what causes testicular sagging?

What Causes Testicular Sagging?

Testicular sagging is generally not a serious issue and does not necessarily indicate disease. A precise assessment should be based on individual circumstances. Whether the testicles appear to sag primarily depends on the degree of scrotal laxity. Typically, the scrotum contracts and becomes smaller when exposed to cold temperatures, whereas it relaxes and enlarges when warmed—potentially causing the testicles to appear more sagging. Testicular sagging may also correlate with body type: slender men tend to experience more noticeable sagging, while obese men usually have smaller, tighter scrotums and are less prone to this phenomenon.

Certain medical conditions may also contribute to testicular sagging—for example, varicocele. In such cases, scrotal sagging is common, especially after prolonged standing, as blood tends to pool within the scrotum, leading to visible drooping. Generally, testicular position correlates closely with scrotal temperature: warmth induces sagging, while cold triggers contraction.

Patients are advised to engage in regular physical exercise to improve overall health and may consider gentle testicular massage to support testicular function. If testicular prolapse (i.e., protrusion beyond the scrotum) occurs, prompt medical evaluation is essential to determine the cause and initiate appropriate treatment. Additionally, maintaining good personal hygiene and avoiding prolonged sitting are recommended. We hope this information proves helpful!