Testicular Absence: Causes, Concerns, and Treatment Options

Having one testicle missing?

Hello, doctor.
I have a concern that has troubled me for a long time.
I remember that when I was a child, I had one testicle that was absent, but at that time, I didn't understand it, so I didn't pay much attention.
However, at some age, that missing testicle reappeared! Now, my genitalia are very small, not of adult size! I'm wondering if there is any connection between these events.
Is there a treatment available?

Hsuān, 20~29 year old female. Ask Date: 2016/01/12

Dr. Fu Shizhang reply Urology

It is indeed possible that if the testes do not develop within the scrotum, it may affect their development.
The testes are primarily responsible for the secretion of male hormones, which are closely related to the development of secondary sexual characteristics.
Therefore, if the genitalia are smaller, it may be associated with this issue, and it is recommended to visit a clinic for examination.

Reply Date: 2016/01/12

More Info

Understanding testicular absence, also known as anorchia or testicular agenesis, is a condition where one or both testicles are absent at birth. This can occur due to various reasons, including genetic factors, hormonal imbalances during fetal development, or issues with the descent of the testicles. In some cases, a testicle may be present but undescended, which can lead to complications if not addressed.

The concerns surrounding testicular absence often revolve around fertility, hormonal function, and psychological impacts. The absence of one testicle typically does not prevent an individual from producing sperm or testosterone, as the remaining testicle can often compensate. However, the absence of both testicles can lead to infertility and a lack of secondary sexual characteristics due to insufficient testosterone production.

In your case, it sounds like you experienced a situation where you believed one testicle was absent during childhood, but later it seemed to have reappeared. This could potentially be related to an undescended testicle that may have descended later in life. The size of your genitalia can also be influenced by hormonal levels, which can be affected by the presence or absence of testicular tissue.

If you are concerned about your reproductive health, size, or any associated psychological impacts, it is essential to consult with a healthcare professional, preferably an endocrinologist or urologist. They can conduct a thorough examination, including hormonal assessments and imaging studies, to determine the current state of your reproductive system.

Treatment options depend on the underlying cause of your condition. If hormonal deficiencies are identified, hormone replacement therapy may be recommended to help develop secondary sexual characteristics and improve overall well-being. In cases where fertility is a concern, assisted reproductive technologies may be explored, depending on the presence of viable sperm.

Psychological support is also crucial, as the emotional and mental health aspects of living with a condition like testicular absence can be significant. Counseling or therapy can help address feelings of inadequacy or anxiety related to body image and reproductive health.

In summary, understanding the causes and implications of testicular absence is essential for addressing any concerns you may have. Seeking professional medical advice will provide you with a clearer picture of your health and available treatment options. Remember, you are not alone in this, and there are resources and support systems available to help you navigate these challenges.

Similar Q&A

Understanding Azoospermia: Causes and Treatment Options Explained

Hello Dr. Hsu: I have been married for almost a year, and my wife has not become pregnant. Recently, we went to the hospital for examinations. After the tests, the doctor said my wife is fine, but my semen analysis revealed no sperm, which left me quite shocked. The doctor ment...

Dr. Xu Weikai reply Urology
Xiao Zhao: Hello, azoospermia is clinically quite troublesome. Common causes include hormonal imbalances, chromosomal or genetic abnormalities, abnormal testicular development (which means no sperm production), underdeveloped or abnormal epididymis or vas deferens, bilateral epid...

Undescended Testes: Impact on Fertility and Surgical Timing

Congenital cryptorchidism from infancy, which was not surgically addressed in a timely manner, may lead to infertility issues if surgery was only performed later, such as during military service. This condition can affect sperm production and hormonal function, potentially impact...

Dr. Xu Weikai reply Urology
HIME: Hello, 1. Is it unilateral or bilateral? 2. What type of surgery was performed? 3. Current condition of the testicles: size, shape, etc. Recommendation: The simplest approach is to go to a laboratory to check the semen for any issues. If necessary, additional endocrine test...

Understanding Testicular Issues: Atrophy, Function, and Fertility Concerns

During my middle school years, my left testicle swelled up to the size of an ostrich egg. When I went to the emergency room, the doctor diagnosed it as epididymitis. I don't recall having surgery; I only took medication. However, later on, my left testicle seemed to have dis...

Dr. Xu Weikai reply Urology
P: Hello, a check-up is needed. Generally, the size of the testicles can be determined through palpation or combined with ultrasound examination. It is recommended to seek medical attention as soon as possible to confirm the position of the testicles. If there is cryptorchidism, ...

Effective Methods for Restoring Testicular Size and Health

Is there any way to restore healthy size to atrophied or underdeveloped testicles? Are there any methods currently available for testicular enlargement, including medications or dietary supplements? (Are there surgical options for enlargement?) Thank you.

Dr. Lin Hexing reply Urology
Hello: First, it is important to clarify whether it is atrophy or hypoplasia. Atrophy refers to a situation where the testes initially grow normally but then shrink and become softer due to various reasons. Hypoplasia, on the other hand, indicates that the growth has been poor si...