### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
When I was in elementary school (26 now)i was kicked or punched in the groin a lot, specifically by a certain girl at school. Now by a lot I mean it would happen anytime I did something wrong or bad or annoying. I didnt think much of it now, but what type of effect could that have on a male during and after puberty?

### output:

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-You could be suffering from -Post-Traumatic-hematomas with epididymitis./ or you could suffer from-TVH-Tunica Vaginalis-Hy Chat Doctor.  / Testicular Hematoma-with calcification and hypofunctioning / Post-traumatic Atrophic Testes with delayed puberty / or weak puberty changes. Just check up with Surgeon and Urologist to rule out above possibilities. Many other problems need to be ruled out, which could occur from-punches in groin region. Dos-USG of scrotum/ testes. CT pelvis and testes. Other causes of needs to be ruled out by Consulting Surgeon/ Urologist.Don't be callous to get examined with your doctor. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with Surgeon/ Urologist, if things don't recover.-Other causes need to be verified with your Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from Consulting Surgeon / Urologist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! 