Can a person without testicles have sexual life?

Patient's question:

Hello, I am 27 years old. I have a problem that hased me for many years, which is that I was born without testicles and never told you or anyone else about it. Later, I found out that this is not normal. However, my penis is not problematic—it is just shorter than average. I am quite concerned about whether living without testicles affects sexual life?

Doctor's answer:

If there are no testicles, as long as the penis can achieve normal erection, sexual life can still be carried out. However, it is generally not possible to impregnate a woman because the organ supplying sperm is missing. If the testicles are lost, sexual desire may also decrease, and endocrine disorders may occur, which can have a certain impact on future fertility. Most patients without testicles are due to congenital causes such as incomplete testicular development or failure to grow. The condition of male urological diseases tends to recur, requiring long-term medication. For male patients, it is necessary to seek medical attention immediately at a professional and regular hospital. Treatment should be considered based on the results of a thorough examination. Additionally, it is important to quit smoking and drinking, pay attention to personal hygiene, and finally, wish all patients a speedy recovery.

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