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 children. Our sexual life was also quite natural, and we never intentionally took any measures for breastfeeding. However, after five years, we still haven't been able to conceive. Our family members found it quite strange and insisted that we get a thorough medical check-up. It was discovered that my husband has an ectopic epididymis, specifically an epididymal head cyst. The doctor said this condition is the cause of his infertility. How should patients with an ectopic epididymis be treated?Doctor's answer:
The etiology of epididymal malformation is still unclear. Since patients with cryptorchidism often have epididymal malformation, its recurrence may be related to endocrine dysfunction during embryonic growth and development. Due to abnormally high testosterone levels, mesonephric tubules and mesonephric ducts fail to develop or develop incompletely, leading to various types of epididymal malformations. If the mesonephric ducts fail to develop at all, it can result in congenital absence of the epididymis and vas deferens. The condition of the epididymis tends to recur, requiring long-term oral medication.