Summer long balls? A health expert explains why hot weather can be tough on testicles

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The phrase “summer long balls” might sound like locker-room slang, but it’s increasingly being mentioned on social media and online forums as a seasonal curiosity. In hot weather, men’s scrotums which contain their testicles can appear looser or more pendulous – hence the name.

Male readers may have noticed how the testes sometimes seem to hang lower in the summer, yet retreat upwards with the slightest cooling breeze. (I’ll stick with the term testes for anatomical accuracy, although we all know the slang terms are many and varied.)

While you may think of rising and falling as the domain of soufflés, when it comes to testes, their ability to move up and down is a key part of an elegant, biological temperature-control system.

For some, low-hanging testes are simply a cosmetic issue affecting swimwear choices or confidence, but others can suffer discomfort. Supportive underwear may help, although finding the right fit might require more effort than your average trip to Calvin Klein.

To understand what’s going on in male bodies, we need to go back to the beginning. Both testes and ovaries start life in the abdomen and migrate downward. But whereas the journey for ovaries stops in the pelvis, testes go further, exiting the abdominal cavity entirely to reside in the scrotum – a move that’s crucial for sperm production.

The testes produce and mature sperm cells and generate androgens, such as testosterone, which govern sexual development and behaviour. These processes are temperature-sensitive. Inside the pelvis is too warm for optimal sperm production – hence the descent to the cooler scrotum, usually in teenage years when your “balls drop”.

But to reach the scrotum, testes must pass through layers of the abdominal wall. Sometimes this journey doesn’t go as planned, resulting in an undescended testis, where one (or both) remain stuck in the abdomen or groin. Surgery may be required to correct this.

Even when testes do land in the right place, they don’t stay still. The scrotum and surrounding tissues adjust their position in response to temperature. That’s where the cremasteric muscle comes in. Found within the spermatic cord, it can contract and pull the testes closer to the body when needed – for warmth and perhaps protection.

One strange but testable reflex? Try stroking the inner thigh. If functioning normally, the testis on that side will rise slightly. This reflex can also be affected by neurological disease or testicular torsion, a surgical emergency.

The dartos muscle, located in the scrotal wall, plays a similar role. When temperatures drop it contracts, drawing the testes up for warmth. In heat, it relaxes – lowering the testes and helping them cool off.

Fertility issues

This thermal sensitivity is critical for fertility. Sustained overheating can impair sperm quality, which is why an undescended testis stuck in the abdomen or groin requires an operation.

Similarly, men who are struggling to conceive may be advised to avoid tight underwear or cycling shorts, switch to looser boxers, and reduce time spent cycling because of saddle friction.

The heat, pressure and tight fit of padded cycling shorts have all been suggested as potential risks to sperm health – though the evidence remains inconclusive. It’s not necessarily the padding but rather the compression and sustained heat in the groin area that may affect testicular function.

Temperature regulation doesn’t stop there. The pampiniform plexus, a network of veins around the testicular artery, acts like a radiator. It draws heat from arterial blood to cool it before it reaches the testes, preventing overheating.

Sometimes, these veins swell into a varicocele — a condition often described as feeling like a “bag of worms”. It becomes more noticeable when standing and affects around 15% of men. While often harmless, this can also affect fertility through loss of heat regulation. Some patients may also notice a dull ache in the testes, particularly after exercise or at the end of the day.

So, “summer long balls” are rooted in real physiology. During hot weather, a relaxed dartos muscle and loose scrotal skin allow the testes to hang lower – sometimes enough to notice a visible difference. If that’s true for you, this isn’t a malfunction but your body doing exactly what it’s supposed to. While this condition might sound like something from a comedy sketch, it’s actually a sign your reproductive system is working as nature intended.

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This blog is written by Dr Dan Baumgardt, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, University of BristolThis article is republished from The Conversation under a Creative Commons license. Read the original article.

Horseflies and wasps and jellyfish – how to stay safe from stings and bites this summer

Tick on yellow flower
Tick on a yellow flower by Erik Karits (Pexels)

Despite the glorious arrival of summer, there’s definitely a sting in the season’s tail – quite literally. Even in the UK, it’s not just sunburn we need to watch out for. From nettles to jellyfish, summer brings a full cast of prickly, buzzing, biting villains.My own back patio is armed with an arsenal of citronella candles and incense sticks to fend them off – not just a lifestyle choice, but a survival strategy for someone as jumpy as me around insects.

Let’s break down the main culprits.

Plant-based stings: nettles

First up, the humble but mighty common nettle, which thrives in hedgerows and gardens, often reaching impressive heights of up to two metres by midsummer. Their sting comes from tiny hairs called trichomes, which inject histamine and other irritants into the skin as a form of defence.

Histamine causes the classic signs of inflammation: redness, swelling, heat and pain – all of which are evident in the raised, red rash known as urticaria (or hives). Unsurprisingly, the Latin name for the nettle family is urtica, meaning “to sting.”

And what about that old remedy of rubbing a dock leaf on the sting? Honestly, good luck identifying one among the 200-plus species. While the sap might offer a mild soothing effect, there’s no strong evidence of an active compound that reduces symptoms.

If it works for you, great, but calamine lotion or over-the-counter antihistamines are far more reliable. And use some form of protection in the first place – if you’re clearing them from your garden, or foraging to make nettle pesto, wear gloves and proceed carefully.

Insects: bees, wasps and horseflies

As temperatures rise, so do the number of stinging insects like bees and wasps, not to mention the dreaded horseflies. While most don’t sting unless provoked (a mantra I repeat to myself regularly), when they do, it can be unpleasant.

Most stings cause local irritation – simple pain relief and antihistamines usually do the trick here. But sometimes, either the original sting or subsequent scratching can cause infections.

Cellulitis is a deeper skin infection that can spread quickly if untreated. While milder cases may clear up with oral antibiotics, some infections can be serious – even life threatening – and require hospital care.

If a sting site or the surrounding skin becomes red, warm, painful or swollen, seek urgent medical advice. And if you feel unwell with symptoms like fevers, chills or a racing heart, treat it as an emergency.

Insect stings can also trigger anaphylaxis, a life-threatening allergic reaction. In the UK, stings account for around ten deaths per year: a small, but very sobering figure. Always take anaphylactic symptoms like facial swelling, difficulty breathing or dizziness seriously – and call 999 immediately.

Ticks: small bites, big risks

Tick bites are also more common in summer, thanks to more exposed skin and time spent in tall grass or woodlands. Ticks are tiny – often smaller than a poppy seed – and can be easily missed until they become engorged with blood.

They’re usually harmless, but some ticks carry diseases like Lyme disease, a bacterial infection that can cause fatigue, joint pain and, if untreated, serious complications affecting the nervous system or heart.

Ticks can also spread tick-borne encephalitis, a viral infection that can lead to inflammation of the brain, though it’s very rare in the UK. Watch out for the telltale bullseye rash and flu-like symptoms after a bite – and seek urgent medical advice if they appear.

To remove a tick, use fine-tipped tweezers, gripping as close to the skin as possible and pulling steadily. Don’t twist. You want the whole tick out, legs and all. And don’t squeeze its body, as this can force potentially infected fluids into your bloodstream, raising the risk of conditions like Lyme disease, among others.

Marine stings: jellyfish and friends

And finally, the unexpected seaside sting. Coastal waters can play host to a range of jellyfish, from the mildly irritating to the impressively painful.

Most UK species cause minor rashes, but be wary of the lion’s mane and the occasional (though rare) portuguese men o’war – not technically a jellyfish, but still best avoided.

Even jellyfish washed up on shore can sting, sometimes for days. If stung, rinse the area with seawater (not fresh water), or soak in warm water. Avoid rubbing or using urine – yes, that scene in Friends is not medically sound. Peeing on a jellyfish sting can make things worse by triggering more venom release from stuck tentacles.

If tentacles are still stuck to the skin, use tweezers or the edge of a credit card to remove them gently. Don’t use your bare hand – you could end up stinging that too.

And like insect stings, jellyfish can rarely trigger anaphylactic shock. If someone shows symptoms, don’t hesitate to seek emergency help.

From the garden to the seaside, summer has plenty of sting — but being prepared can make all the difference. Whether it’s nettles, bees or ticks, the best approach is prevention (think gloves, repellent and awareness), followed by prompt treatment if needed.

Use calamine or antihistamines for rashes, and tweezers for tick or jellyfish tentacle removal. Keep a close eye out for signs of infection or allergic reaction and always seek medical advice if something doesn’t feel right.The Conversation

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This blog is written by Dan Baumgardt, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, University of Bristol.

This article is republished from The Conversation under a Creative Commons license. Read the original article.