Will premature ejaculation and shrinking testicles affect fertility?

Patient's question:

Last October, I noticed that my testicles had shrunk. I've been having sex for about 4 years. What medicine should I take, and how should I fix it? Please advise.

Doctor's answer:

If it is found that the testicles have noticeably shrunk, it should be considered that this may be caused by developmental disorders. It is recommended that you visit the urology department of a hospital for a follow-up examination in a timely manner, and undergo a detailed color Doppler ultrasound examination of the testicles to confirm the diagnosis and then implement timely treatment. Premature ejaculation often leads to recurrent symptoms, requiring long-term medication. For male patients, it is necessary to seek medical treatment immediately at a professional and reputable hospital, and treatment should be considered based on the examination results. Additionally, it is important to quit smoking and drinking, and pay attention to personal hygiene.

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