What should I do if there are no testicles in both scrotums from a young age to adulthood?

Patient's question:

From a young age, both scrotums did not contain testicles. I have been to large hospitals for thorough examinations, but due to poor financial conditions, I received treatment locally. My chromosomes are normal, ultrasound showed no inguinal canal, and color Doppler ultrasound revealed no obvious testicular echoes in the abdomen. My six sex hormones show low FSH, low LH, and low testosterone. Currently, I am taking oral hormone medication for treatment. My height and limbs are relatively long, I am quite thin, and my abdomen is relatively fat. People treat me as a child, which truly makes me very hurt. I can feel small testicles in my scrotum, only the size of sesame seeds, they are soft but hard. Sometimes one scrotum feels swollen or aching, but it's not a hernia. Moreover, I feel that my scrotum has varicose veins, and when I touch it, it feels like two pieces of meat. The testicles are only the size of sesame seeds, soft but hard. Currently, I am undergoing oral hormone treatment.

Doctor's answer:

Consider multiple factors related to the symptoms caused by undescended testicles. It is recommended that in your current situation, you undergo a thorough examination with a color Doppler ultrasound in a professional urology department to make a clear diagnosis. For patients with testicular issues, timely treatment can reduce the risk of complications, whereas delayed treatment may affect overall health. Therefore, patients should receive timely and symptomatic treatment, and maintain a regular lifestyle in daily life to avoid prolonged sitting.

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