Can a man with one smaller testicle still be fertile?

Patient's question:

Doctor, hello. Actually, I have been married for a year, but I still haven't been pregnant. Although I have always wanted a child, it just hasn't happened. Hello, if a man has only one testicle and it is small, how can he get pregnant?

Doctor's answer:

If it's just a testicle, it can generally still be fertile, but the testicle is small in this case. If it's too small, that's another story. Because being too small may prevent sperm from developing, and low sperm quality makes it difficult to conceive. You should have a sperm test done at the hospital. If the test results are all normal, you can conceive normally. If they're not all normal, you can start with medication. If the sperm count is too low and medication doesn't help, artificial insemination may be an option.

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