Patient's question:
Doctor, hello! Could you please tell me if there are any methods to treat testicular hypoplasia?First follow-up question: I've been married for two years and have been trying to conceive without using any contraception. In the first half of 2005, I was diagnosed with congenital testicular hypoplasia, and my testicles are only the size of pigeon eggs. Below is my test report. I'm very anxious, and both my parents and I really want to have a child as soon as possible, 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, with the most common being 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, etc. 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 cannot generate normal sperm, it manifests as testicular atrophy with reduced volume. It is often accompanied by infertility, so it is recommended to seek medical advice and undergo etiological examination at a hospital. Treatment should be based on the examination results and follow the doctor's instructions.