Patient's question:
Doctor, hello! Could you please tell me if there are any treatments available for testicular dysgenesis?First follow-up question: I've been married for two years and have been trying to conceive without using any form of contraception. In the first half of 2005, I was diagnosed with congenital testicular dysgenesis after a semen analysis showed no sperm. The doctor said my testicles are only the size of pigeon eggs. Below is my test report, and I'm very anxious. Both my parents and I are very eager to have a child, but we don't know what to do. Could you please help me find a good treatment option?
Estradiol: 89.20 pg/ml
Luteinizing Hormone: 10.34 mIU/ml
Testosterone
Doctor's answer:
Generally, there are many reasons that can cause pathological testicular atrophy, the most common of which include chronic debilitating diseases, endocrine disorders (hypothyroidism, hypopituitarism), prolonged high fever, taking large amounts of estrogen, viral orchitis (such as mumps complicated by orchitis), syphilis of the testes, and so on. These conditions can all lead to testicular atrophy, resulting in a volume smaller than normal. Pathological testicular atrophy is usually caused by the involvement of spermatogonia or primary spermatocytes in the seminiferous tubules. When these cells undergo atrophy and fail to produce sperm, or are damaged and unable to generate normal sperm, it manifests as testicular atrophy with a reduced volume. This condition is often accompanied by infertility, so it is recommended to seek medical attention for etiological examination and follow the doctor's advice for treatment based on the examination results.