Can you have fertility if the testicles are different sizes?

Patient's question:

Can you get pregnant if the testicles are different sizes? I was born with testicles that are not as developed as others, and I also have very sparse pubic hair. All other characteristics are normal, but my libido is much shorter. I have never been treated for this. If I start treatment now, can it be cured?

Doctor's answer:

According to your condition, the congenital adrenal hyperplasia syndrome manifests individually as follows: In males, the signs are not apparent during childhood and adolescence, but during puberty, symptoms gradually reappear, such as reduced breast size, sparse facial hair, pubic hair, and armpit hair, narrow shoulders, and wide hips, among other feminine physical characteristics.
Recommendation: It is best to consult a local reputable public hospital for clarification before undergoing examination and treatment. A small number of patients have female external genitalia that still retain male characteristics, but the testicles are small and the sexual function is impaired, with no sperm in the semen. Testicular biopsy shows that interstitial fibrosis and spermatogenesis have completely ceased or severely increased.

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