Patient's question:
I have been married to my husband for five years. Previously, because I was quite busy with work, I never really thought about having a baby. Our sex life was also natural, and I didn't intentionally take any measures for breastfeeding. However, after five years, we still haven't gotten pregnant. Our family members found it strange and insisted that we get a thorough medical check-up. It was discovered that my husband has an epididymal anomaly, specifically an epididymal head cyst. The doctor said this condition is causing infertility. What should we do?Doctor's answer:
Due to the abnormal development of the epididymis, its recurrence may be related to endocrine dysfunction during embryonic growth and development. Because of abnormally high testosterone levels, the mesonephric tubules and mesonephric ducts fail to develop or develop incompletely, leading to various types of epididymal malformations. If development ceases completely in a particular area, it can result in congenital absence of the epididymis and vas deferens. If growth terminates in a specific location, it forms a self-locking structure in that area. When the epididymal duct twists and coils around an obstacle, it can lead to significant shortening of the epididymis and recurrence of a loop-shaped epididymal malformation.