What should be done about testicular malformation?

Patient's question:

I have congenital testicular malformation. I've been married for several years and have never been able to get pregnant. Later, when I wanted to have children, I went to the hospital for a check-up. The doctor said it was due to the testicular malformation that caused the infertility. Is my condition very serious? What other diseases could it cause?

Doctor's answer:

Testicular malformation, whether it is a congenital developmental disorder in males or lesions of the testes caused by numerous acquired factors, can lead to infertility. Abnormal testicular number includes anorchia (absence of testes), monorchidism (single testis), and polyorchidism (extra testes). Abnormal testicular size includes underdevelopment resulting in smaller size than normal, which is often not an isolated symptom. Testicular enlargement due to hyperplasia, such as testicular teratomas, congenital atrophy. Testicular fusion refers to the fusion of both testes into a single entity within the abdominal cavity or scrotum, which can be easily mistaken for cryptorchidism or monorchidism.

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