Patient's question:
Two years into our marriage, we still haven't had a baby. Every time we have sex, it's not very smooth. My wife and I went to the hospital for a thorough check-up. The doctor said I have some minor inflammation in my private area and need to use the right methods to treat it for it to be cured.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 it is now used less frequently. In cases where the epididymis is absent, treatment is not possible, and the primary focus is on addressing fertility issues. If the patient's testicular spermatogenesis function is normal, assisted reproductive technologies can be performed. In cases of split cryptorchidism due to epididymal malformation, timely orchiopexy should be performed. When epididymal malformation does not affect fertility, treatment is not necessary. However, close monitoring of any changes is required. Epididymal conditions tend to recur, and long-term oral medication is often needed.