Patient's question:
Unilateral cryptorchidism with early diarrheaHow is early diarrhea treated?
What tests need to be done?
Is it related to the endocrine system?
Doctor's answer:
Hello, during the development of a male fetus in the mother's body, the descent of the testicles may be impaired, "stuck" in the process of descent. If the testicles cannot be found in the scrotum, cryptorchidism occurs. Treatment:(1) Observation therapy
Under normal circumstances, the testicles of an infant have already descended into the scrotum at birth. However, a portion of infants may experience delayed testicular descent due to delayed embryonic development, which can be postponed to 3 months to 1 year after birth. Therefore, if an infant has cryptorchidism at birth, it is not necessary to rush to use medication or surgical methods to attempt to correct the descent. Patience is advised, with the expectation that the testicles may descend on their own. An observation of 3,612 male infants revealed that true cryptorchidism rarely descends again after the age of 1, which reminds us that non-urgent measures and purely waiting therapy are only suitable for children under 2 years old.
(2) Hormone therapy
A portion of cryptorchidism cases are caused by endocrine-related reasons. As mentioned earlier, the descent of fetal testicles in the mother's body is closely related to maternal gonadotropin hormones. Based on this, many scholars in recent years have adopted a treatment approach of first using LH-RH (Gonadotropin-Releasing Hormone) and then using HCG (Human Chorionic Gonadotropin) to achieve better therapeutic effects. The total dosage of HCG therapy is preferably 10,000 to 20,000 units, with a specific method of 1,500 units every other day. Another short-term high-dose pulse therapy involves intramuscular injection of 4,000 to 6,000 units daily for 3 days. If the treatment is effective, the testicles may potentially descend into the scrotum 2 to 3 weeks after medication. The appropriate age for treatment is between 2 and 9 years old, with no effect before or after this period. A synthetic LH-RH nasal spray method is also available, with the method being...