Patient's question:
Clinical Description: A 9-year-old male child, who previously underwent surgery for right hydrocele of the spermatic cord at the age of 3, visited the Tengzhou Central People's Hospital yesterday for a follow-up examination. The color Doppler ultrasound showed that the right spermatic cord had developed a new hydrocele, with an approximate size of 3.21.0 cm in the dark area. Additionally, it was discovered that the testicles were slightly smaller than those of children of the same age. The growth hormone profile included: Prolactin level: 305.67 mIU/L (Reference range: 95.4-267.12 mIU/L), Low testosterone level: 0.03 nmol/L (Reference range: 10.41-19.77 nmol/L), Estradiol level: 1.31 pmol/L.Doctor's answer:
Hello, high total testosterone generally affects fertility issues and requires symptomatic treatment.Suggestions: There are many possible causes, including adrenal cortex hyperplasia, adrenal cortex tumors, polycystic ovary syndrome, ovarian androgen-producing tumors, pineal gland tumors, idiopathic hirsutism, hypothyroidism, etc. Additionally, endocrine disorders and high stress can also lead to disruptions. It is recommended to first undergo a check-up to determine if there is an organic lesion. If not, Chinese medicine regulation can help normalize things quickly. Wishing you good health.