How to solve the problem 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. Additionally, I have some cysts in my epididymis, but there are no other symptoms. The doctor said that infertility is caused by epididymal malformation. What should be done if epididymal malformation occurs?

Doctor's answer:

Attached epididymal malformation 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, leading to various types of epididymal malformations. If development completely ceases in the mesonephric duct, it can result in congenital absence of the epididymis and vas deferens. If growth terminates at a specific location, it can cause localized self-locking. When the epididymal duct twists and coils abnormally, it may lead to significant shortening of the epididymis and the recurrence of a loop-shaped epididymal malformation.

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