Patient's question:
I have been married to my wife 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 we never intentionally took any measures for breastfeeding. However, after five years, we still haven't become 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 ectopic epididymis. What should I do if the ectopic epididymis affects fertility?Doctor's answer:
A varicocele in the head of the epididymis can be treated with aspiration and injection of anesthetic and sclerosing agents. However, due to a high recurrence rate, this method is less safe and reliable compared to surgical approaches and is used less frequently now. In cases of absent epididymis, treatment is not possible, and the main focus is on addressing fertility issues. If the patient's testicular sperm production function is normal, assisted reproductive technologies can be performed. In cases where an ectopic testis is separated from a malformed epididymis, timely orchiopexy should be performed. For patients with epididymal conditions, timely treatment can reduce complications, while delayed treatment may affect fertility. Therefore, patients should take oral medication promptly and maintain regular sexual activity in daily life to avoid prolonged sitting.