Patient's question:
It's only on the left side that there is a testicle, and even now, the right testicle hasn't descended as the doctor previously said it would. I'm so worried~~~ Does a child's condition like this seriously interfere with sexual life and fertility in adulthood? What specific measures should we, as parents, take...Doctor's answer:
Orchiopexy is mainly feared for its risk of malignant transformation. However, as long as one normal testicle is present, it will never interfere with fertility. The following treatment plan is recommended for patients with cryptorchidism:① All male newborns should be carefully examined for cryptorchidism.
② The knee-chest position is the most accurate for examination.
③ If the child has intellectual delays, other syndromes must be ruled out.
④ GnRH should be administered three times daily at a dose of 400 μg each time starting at 10 months of age.
⑤ If unsuccessful, HCG at 1500 U per week should be used for three weeks.
⑥ If symptoms persist, another course of GnRH may be administered.
⑦ If endocrine treatment is successful, surgery must be performed before the age of 28.
⑧ If there is a second-degree inguinal or testicular ectopia, surgery is required.
⑨ Low-dose Buserelin (a GnRH analog) at 10 μg every other day for 5–6 months can increase the number of germ cells and Leydig cells or improve fertility, especially when used before the age of 7.
This is intended to provide purchasing recommendations and references. For specific diagnosis and treatment, please consult a local physician.