Can Medication Improve Testicular Size After Undescended Testis? - Urology

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Dysplasia


Hello, doctor.
I had cryptorchidism in elementary school, but it is now normal.
However, the size is not normal.
Can medication still help improve this?

Xiao Tian, 20~29 year old female. Ask Date: 2018/03/29

Dr. Sun Hongshun reply Urology


Cryptorchidism should have already been addressed with orchidopexy.
It's normal for the left and right testicles to vary in size, so there's no need to worry (of course, the side that underwent surgery may theoretically be smaller).
This condition cannot be improved by medication.
You are welcome to visit my clinic for a more detailed response.

Reply Date: 2018/03/29

More Info


The question of whether medication can improve testicular size after experiencing undescended testis (cryptorchidism) is a complex one that requires a nuanced understanding of the condition and its implications.
Cryptorchidism is a condition where one or both testicles fail to descend into the scrotum before birth. If left untreated, it can lead to several complications, including infertility, testicular cancer, and hormonal imbalances. The standard treatment for undescended testis is surgical intervention, typically performed during infancy or early childhood, to reposition the testicle into the scrotum, a procedure known as orchidopexy.

In your case, since you mentioned that you had cryptorchidism in childhood but now have normal testicular positioning, it is important to note that the size of the testicles can vary significantly among individuals. Factors such as genetics, hormonal levels, and the timing of surgical intervention can all influence testicular size.
Regarding medication, there is currently no specific pharmacological treatment that has been proven to increase testicular size in individuals who have had a history of undescended testis. Hormonal therapies, such as testosterone replacement, may be considered in cases where there is a deficiency, but these treatments are typically aimed at addressing hormonal imbalances rather than directly increasing testicular size.
It is also worth noting that the size of the testicles does not necessarily correlate with fertility or overall health. Many men with smaller testicles can still have normal testosterone levels and fertility. If you are concerned about your testicular size or any related symptoms, it is advisable to consult with a urologist or an endocrinologist. They can perform a thorough evaluation, including hormone level testing, and provide personalized recommendations based on your specific situation.

In summary, while medication is not likely to improve testicular size after undescended testis, it is essential to focus on overall reproductive health and hormonal balance. If you have any concerns about your condition or its implications, seeking professional medical advice is the best course of action. Regular check-ups and discussions with healthcare providers can help monitor your health and address any issues that may arise.

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