How is treatment carried out for patients with epididymal malformation?

Patient's question:

I have been married to my wife for five years. Previously, because training was quite busy, I haven't really thought about having a baby. Sexual life was also natural, and I didn't intentionally use any contraceptive measures. However, after five years, we still haven't become pregnant. Our family members found it strange and insisted that we have a thorough medical check-up. It was discovered that my husband had epididymal malformation, specifically an epididymal head cyst. The doctor said this condition was causing infertility. How should patients with epididymal malformation be treated?

Doctor's answer:

Due to the frequent occurrence of epididymal malformations in patients with cryptorchidism, its recurrence may be related to endocrine dysfunction during embryonic growth and development. Due to excessively low 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. Moreover, for male patients, it is important to seek medical treatment promptly at professional and reputable hospitals, and treatment should be considered based on the results of thorough examinations.

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