Can small testicles become normal?

Patient's question:

My testicles are small. Can they be enlarged through medication? Since puberty, I have felt that my genital development has been poor, especially when my penis is flaccid, it appears short, and my testicles are also small (the size of pigeon eggs) and do not hang properly, always staying close to the base of the penis. This may be due to short spermatic cords or simply because the testicles are small and light, making it impossible for them to hang properly. Sometimes, after ejaculation, they even retract into the abdomen. As a result, my overall genitalia are not as large as those of a normal person (though my other secondary sexual characteristics are normal). So, I want to ask: can small testicles become normal?

Doctor's answer:

Hello, there are many causes of pathological testicular atrophy, the most common of which include chronic debilitating diseases, endocrine disorders (hypothyroidism, hypopituitarism), prolonged high fever, taking large amounts of estrogen, viral orchitis (such as mumps complicated by orchitis), syphilis of the testes, etc. These conditions can all lead to testicular atrophy, resulting in a volume smaller than normal. It is recommended that you go to the hospital for a detailed examination to confirm the cause so that targeted treatment can be administered.

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