What are the causes of epididymal malformation?

Patient's question:

I don't have any bad habits, and I look quite healthy. I've been married to my wife for several years and have been trying to get pregnant, but for some reason, it just hasn't worked. Also, I have some cysts in my epididymis, but there are no other symptoms. People say infertility is caused by epididymal malformation. What could be the reason?

Doctor's answer:

The etiology of congenital epididymal malformations is still unclear. Since patients with cryptorchidism often have epididymal malformations, their recurrence may be related to endocrine dysfunction during embryonic growth and development. Due to excessively high testosterone levels, the mesonephric tubules and mesonephric ducts fail to develop or develop incompletely, resulting in various types of epididymal malformations. The condition of the epididymis tends to recur, requiring long-term oral medication. Additionally, for male patients, it is important to seek medical attention promptly at professional and reputable hospitals, and treatment should be considered based on the results of thorough examinations. Furthermore, it is necessary to quit smoking and drinking and maintain good personal hygiene.

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