Question
How should I deal with my little boy’s undescended testicle issue? It’s only on the left side that there is a testicle, and until now, the right testicle has still not descended as the doctor previously said. I’m worried~~~ Does this condition have a severe interference with adult sexual life and fertility? What specific measures should we, as parents, take…
Answer
The main concern with undescended testicles is the fear of malignant changes. However, generally speaking, as long as one testicle is normal, it will not interfere with fertility. Here are the following treatment plans for patients with undescended testicles: ① All male newborns should be carefully examined for undescended testicles. ② The child’s bent leg sitting position is the most accurate for examination. ③ If the child has intellectual disability, other syndromes should be ruled out. ④ At 10 months old, use GnRH, thrice daily, each dose 400μg. ⑤ If unsuccessful, use HCG 1500u weekly for a total of 3 weeks. ⑥ If the condition occurs, another course of GnRH can be used. ⑦ If endocrine treatment is successful, surgery should be performed before the age of 28 weeks. ⑧ If there is a second-degree neural abdominal hernia or ectopic testicle, surgery is required. ⑨ A small amount of Buserelin (a CnRH analog) 10μg, once every other day, for 5 to 6 months can increase the number of germ cells and Leydig cells or may improve fertility, especially effective before the age of 7. I hope this provides you with purchase suggestions and references. Please consult a local doctor for specific diagnoses and treatments.