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 it hasn't worked. Also, I have some cysts in my epididymis. The doctor said that infertility is caused by epididymal malformation. What are the general causes of epididymal malformation?Doctor's answer:
Attached epididymal malformation 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 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 cause significant shortening of the epididymis and recurrence of a loop-shaped epididymal malformation.