Does testicular dysgenesis affect fertility?

Patient's question:

Doctor, hello, I have been malnourished since childhood, and my testicles haven't developed well. What should I do? I'm not married yet, and I haven't had children. Will poor testicular development affect fertility?

Doctor's answer:

Generally, undescended testicles can affect fertility, but it is necessary to determine the specific type of underdevelopment. If the volume of one testicle is less than 12 cubic centimeters, it can be diagnosed as undescended testicles or atrophy. In such testicles, the most affected cells are sperm-producing cells. Therefore, if sperm cannot be found in the semen, it is sufficient to prove infertility, although sexual function may still be present.

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