It is well known that the egg is a symbol of the origin of life and has the power of rebirth and renewal.

In dreams, this symbol can have several meanings and interpretations. According to ancient legends, sorcerers and magicians whose actions were associated with evil spirits They ate an egg in the shell to double their strength.

You probably remember that the fairy-tale villain Koschey the Immortal kept his life in an egg. In some cases, the egg symbolizes immortality, longevity, and infinity. The custom of painting and eating eggs is still very popular.

Folk wisdom contains many sayings and proverbs related to this symbol. They said about an empty and insignificant matter: “Not worth a damn.” In another case, the egg was considered a symbol of infancy.

They said about a caressed and spoiled child: “A hatched egg is always a chatterbox.” It was believed that no serious actions should be expected from such a person.

If in a dream you eat an egg, this means that in reality you are paying too much attention to an empty and unnecessary matter.

A dream in which you dropped and broke an egg means that with your careless actions you can destroy your own happiness.

Seeing broken eggshells in a dream is a sign that you need to take care of your health.

To dream about how you collect eggs in nests means that significant changes for the better will come in your life.

If you saw in a dream how you hatched eggs yourself, it means someone close to you will need your attention and help.

A dream in which you treat someone to an egg dish indicates that a person will appear in your life who will change your whole life.

Seeing rotten eggs in a dream is a bad sign.

Seeing a two-yolk egg in a dream means an ambivalent situation.

If in a dream you are trying to cook scrambled eggs, and a living chicken comes out of a broken egg, this is a sign that you are using your chance unwisely.

Seeing a huge mountain of eggs in a dream means prosperity.

A dream in which you saw a snake devouring an egg means evil and illness.

To see a pike hatching eggs in a dream is a sign that you are overly carried away by your fantasies, which are replacing your real life.

A dream in which you are waiting for a chicken to finally hatch from an egg means that you are too passionate about something that has long been in the past. They say about this: “These are hatched eggs.”

If in a dream you are trying to break and peel the shell of an egg, in reality you will have to be more careful. They will try to deceive you and involve you in significant financial expenses. People say: “They peeled off like an egg.”

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Urological and andrological problems require palpation (physical) examination of the scrotal organs. The time for palpation comes immediately after collecting a life history and oral questioning of the patient. By that time, the specialist has time to put together an approximate clinical picture in his head. The physical study aims to address several important tasks:

• Assess the size of anatomical structures (primarily the testicles).
• Determine testicular density.
• Assess the structure of the testicles.

The degree of information content of the study directly depends on the professionalism of the doctor. As a rule, the event makes it possible to make a primary diagnosis.

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The main indication for carrying out the study is the presence of any intensity. In general, manipulation is carried out during any visit to an andrologist or urologist. There is no clear list of indications. This method is perhaps the main one, along with visual assessment, for making a primary diagnosis.

Physical examination does not give 100% results. However, it provides the doctor with the opportunity to decide on the tactics of further examination. First of all, it is possible to identify the following pathological conditions:

Orchitis - inflammation of testicular tissue

Palpation is the primary and most accessible examination used by doctors.

Criteria for evaluation

When conducting this examination, the doctor pays attention to the following: testicular characteristics:

• Dimensions. Normally, the testicles should be almost the same size. A significant difference between the testicles is a reason to be wary. We can talk about orchitis and other inflammatory pathologies (see).
• Consistency. The testicles are moderately dense and elastic. Too hard testicles indicate the same orchitis. If the scrotum is too soft, there is reason to suspect dropsy.
• Location. Located on the same level. Spontaneous rise, as well as descent of the testicle, can be the result of torsion, epididymitis. We may also be talking about false cryptorchidism (an excessively mobile structure).
• Presence/absence of nodules. The presence of tumor-like neoplasms in the structure of the scrotum is an absolute indication for urgent instrumental examination.
• The first thing the doctor should pay attention to, paradoxically, is whether both testicles are in the scrotum. If one of the testicles is missing, light pressure is applied to the abdominal cavity (lower abdomen) to return the testicle to its place. At false cryptorchidism the technique works. Otherwise, if surgery to remove the testicle has not been performed, there is every reason to suspect true cryptorchidism.

All specified characteristics in mandatory are fixed. They have great diagnostic value.

Methodology

No special preparation is required on the part of the patient. Standard hygiene measures are sufficient. Palpation is carried out in several stages:

The entire study takes, on average, about 3-5 minutes

1. The doctor performs hand hygiene or puts on gloves.
2. The patient assumes a standing position.
3. The doctor approaches the patient. A frontal position (in front of the patient) is acceptable. However, it is much more convenient to be on the side of the person being examined. For convenience, the doctor can kneel.
4. First carried out visual assessment anatomical structures of the reproductive system.
5. The penis is retracted to the side (you can ask the patient to do this).
6. Now you need to palpate each testicle individually. The doctor holds the scrotum with one hand. Using the index finger and thumb of the other hand, the testicle is palpated throughout its entire volume. Then you should go higher and evaluate the condition of the appendage, the spermatic cord.
7. When tumors are detected, a detailed assessment of the tumor is mandatory.

Self-examination options

Knowing the technique of palpation, a man can resort to manipulation independently. A physical examination is carried out in the same way. However, due to the lack of special knowledge, it will be difficult to decipher the results. It is enough to keep two points in mind:

• Any nodular inclusions in the scrotal structure are abnormal. If they are present or if there is any doubt, you should immediately consult a doctor.
• Normally, there should be no pain upon palpation. Pain syndrome indicates the course of some pathological process. If you have pain, you should also go to the doctor.

In order to recognize deviations from the norm in time, it is necessary to examine the testicles once a month. Set yourself the same date for this, for example the first of the month.

When to test

It is best to do this during or after a hot bath or shower. The heat will cause the testicles to lower and the scrotum to relax. Then it will be easier to detect anomalies.

First examine the scrotum. With one hand, lift the penis and feel the scrotum (the leathery sac containing the testicles and part of the sperm cord). Look for changes in shape or size, dilated or reddened veins. Make sure that left side the scrotum hangs slightly lower than the right one.

Feel each testicle. Place your left thumb in front of your left testicle and your other fingers behind it. Gently but firmly pressing the testicle, roll it between your fingers. Then feel the same way right hand right testicle.

Normal testicles are smooth, firm, and slightly sensitive. They should move freely.

Check the spermatic cord. Locate the epididymis (cord-like structure) behind the testicle and the spermatic cord extending upward from it. Carefully pass it over the left testicle between the fingers of your left hand. Do the same with your right hand right side. Check for lumps or swelling.

If you find anything questionable during the examination, tell your doctor.

J. Zeccardi

"How to examine the testicles"- article from the section

Problems in the sexual sphere cause a lot of anxiety, and sometimes even complexes among representatives of the stronger sex. One such problem is an undescended testicle. Parents of boys should be aware that such a developmental defect can cause huge problems in the future when the time comes to become a father.

A very common occurrence in newborn boys.

The formation of these organs begins from the second month of intrauterine development. This is an important period when a woman’s deviation from the norm healthy image life is caused by the development of congenital anomalies in the structure of the reproductive system.

Almost the entire period of intrauterine development, the testes are located in the abdominal cavity. And only before birth do they descend into the scrotum. This means that the testicles assume their normal position precisely when they are in the intended place. All other variants of the location of the testicles (testicles) are abnormal. This location of the seminal glands outside the scrotum is called cryptorchidism.

Why does pathology appear?

The reasons why the testicles do not descend in boys are not precisely known. Violation of the rules of a healthy lifestyle by a pregnant woman and the use of antibiotics is important. In some cases, a child's testicle does not descend as a result of high intra-abdominal pressure.

Hormonal imbalance in women is also important. That is why, in order to early diagnose problems in the functioning of the testicles in boys, women need to undergo ultrasound and blood tests for hormone levels in a timely manner. This way, endocrine disorders can be detected in advance and the necessary treatment can be prescribed to see that the child’s testicle descends correctly into the scrotum.

The following pathologies in a pregnant woman contribute to the development of the disease:

• diabetes;
• dysfunction of the pituitary gland and thyroid gland;
• pregnancy pathologies (for example, prematurity).

In newborns, testicular descent may not occur as a result of:

• narrowness of the inguinal canal;
• shortening of the spermatic cord;
• underdevelopment of the testicular ligament.

How is cryptorchidism diagnosed in infants?

Cryptorchidism is easily determined by palpation, but for more precise definition If the testicles are found, additional diagnostic methods may be prescribed.

An undescended testicle is detected by palpation (palpation). After birth, all boys are subject to mandatory medical examination. During the examination, this pathology is revealed.

After palpating the newborn’s scrotum, it is determined at what stage the process stopped. An ultrasound is prescribed for this. It is believed that before a child is one year old, these organs can descend on their own. If, after this period, they still have not taken their normal position, then surgery is prescribed. It is best to perform surgery for cryptorchidism in a child before he or she reaches the age of five.

Alternative judgments

Some doctors believe that if the testicle has not descended, then this is not a reason to panic. It happens that a newborn’s organs can take a wandering position. That is, they can either descend into the scrotum or hide back into the inguinal canal. The reasons for this phenomenon are not fully understood.

It is believed that special muscles are to blame for this, which should protect the delicate part of the body from damage. Even with the slightest touch to the scrotum, the testicles hide. The same can be said if the temperature environment falls.

Optimal timing

The most appropriate time for the testicle to descend into the scrotum is the last weeks of pregnancy. The testicles occupy a physiological position in 97 percent of newborns born on time. In premature babies, they drop in four out of five boys.

It is believed that the testicles should descend into the scrotum on their own without any additional treatment, massages or other actions when the child is one year old. This is the most late date when they need to be where they need to be.

If parents notice that the child’s testicles are not descending, then first of all they need to check whether the child is cold. Indeed, as a result of low temperature, the testicles do not descend into the scrotum, but, on the contrary, hide in the inguinal canal. In some cases, stroking the scrotum can return them to their place. Relaxing baths are also helpful.

Is it necessary to have surgery?

If cryptorchidism is suspected, boys under one year of age are prescribed only observation, since everything can recover during this period. If nothing changes, then surgery is prescribed.

If testicular descent does not occur when the boy reaches one year, then a pathological process should be suspected. Typically, non-descending internal genitalia in a child indicates that previously prescribed procedures did not produce the desired result.

Treatment of an undescended organ is carried out by andrologists or pediatric endocrinologists. Some doctors advise operating on a child when he reaches ten months of age. It is believed that before this time the testicles can still spontaneously descend into the scrotum.

As an alternative to surgical solution to the problem, there may be drug treatment. The administration of human chorionic gonadotropin is prescribed. This hormonal drug increases the chances of the testicles naturally descending to the place they need.

This treatment is prescribed only in early age. If testicular descent does not occur for some reason, then when the boy reaches puberty, hormone therapy cannot be done. This is the time when the level of gonadotropic hormones in the boy’s body increases significantly.

Surgical treatment is carried out by bringing the undescended testicle into the scrotum. During the operation, a biopsy of the organ is performed in order to exclude gonadal dyskinesia or malignant processes.

Why is timely treatment important?

If parents delay treatment of cryptorchidism, pathological degeneration of the organ or even necrosis may occur. In this case, an operation to remove the testicle is performed. During removal, the issue of transplanting a donor testicle or implanting an artificial organ for cosmetic correction is decided.

Untimely treatment of cryptorchidism contributes to the fact that the testicle develops into unfavorable conditions. This negatively affects the formation of sperm and causes infertility.