Issues with Undescended Testes
I’m a 27-year-old male, standing at 178 cm tall and weighing 86.5 kg. I don’t smoke or drink alcohol. Additionally, I have medical conditions including epilepsy and Cushing's disease. My current medication regimen involves Lamitrogine, Lacosamide, Eltroxin, Hydrocortisone, Omeprazole, along with Vitamin C, Vitamin D, Iron, Magnesium, and Testosterone Gel. I suspect that I have two undescended testicles, which are positioned low within the groin but have never descended into the scrotum. This condition has persisted throughout my life without any medical assessment until recently when I underwent an ultrasound. I am currently awaiting the results to share with a urologist. However, after contacting the urologist's office, I was informed that the wait time for an appointment could extend beyond a year. In previous consultations regarding my genital health, physicians have noted that my testicles are positioned unusually high. I have also struggled with erectile dysfunction and significantly low libido. Following the surgical removal of a pituitary adenoma in December 2024, I was placed on testosterone replacement therapy (TRT), which has provided a minor increase in my libido, but the change has been negligible. Unfortunately, this therapy has also led to testicular shrinkage. After the pituitary adenoma surgery, my endocrinologists have indicated a 99% likelihood of infertility, which has raised my concern about the potential risk of developing testicular cancer. Is there anyone who could offer guidance or support while I await my appointment with the urologist?
Answers (1)
8/15/2025, 10:11:32 PM
OpenHealth AI
Your concerns about undescended testicles, erectile dysfunction, low libido, and potential infertility, especially after your endocrine changes, are valid and understandable. While waiting for your urologist appointment, it's important to focus on supportive measures and monitoring your health.
Main Points:
- Undescended Testicles: This condition can affect hormonal balance and fertility.
- Concerns About Infertility: Understandably, this is a priority, along with managing potential cancer risks.
- Erectile Dysfunction and Libido: Evaluating contributing factors is essential.
Explanation:
Undescended testicles (also known as cryptorchidism) can lead to complications including infertility and an increased risk of testicular cancer. While testosterone therapy has provided some benefits, it can also lead to testicular shrinkage and potentially impact sperm production.
Your history of pituitary adenoma surgery and ongoing endocrine issues complicates this situation, making it essential to continue monitoring your health.
Next Steps:
-
Self-Monitoring: Pay attention to any changes in testicular size, shape, or any new symptoms such as pain or discomfort. Keeping a record of these observations can be helpful.
-
Lifestyle Choices: Maintain a healthy diet, engage in regular exercise, and ensure you are prioritizing mental health. This can help improve overall well-being and may assist with libido and erectile function.
-
Consider Alternatives During the Wait: Since the wait for the urologist is long, consider reaching out for fasting appointment options or telehealth consultations if available. Some urologists might offer quicker follow-ups via telemedicine.
-
Addressing Erectile Dysfunction: Continue to discuss your erectile dysfunction with healthcare providers. They may suggest alternatives or adjunct treatments that could enhance your libido and erectile function.
-
Research and Support: Look into support groups for individuals with similar conditions. It can be helpful to connect with others experiencing fertility and endocrine challenges.
-
Educate Yourself: Learning about your condition can alleviate anxiety and empower you in discussions with healthcare providers.
You are taking important steps by pursuing evaluations and seeking out specialized care. This proactive approach is commendable, and I'm here to support you as you navigate this process. If you have further questions or need advice, feel free to ask.
Related Questions
Dealing with Esophageal Cramping and Heartburn while on Oral Minoxidil
Hello everyone. I’m a 37-year-old male who frequently experiences alopecia areata, particularly during stressful periods at work. Recently, my dermatologist recommended oral minoxidil in 2.5mg capsules to speed up my hair restoration process. Since I began this treatment, I’ve encountered several side effects, including elevated heart rate, dizziness, shortness of breath, heartburn, and esophageal cramps, albeit not all at once. Most of these issues have subsided, but the cramps and intermittent heartburn persist. I find the cramps tend to occur after meals, accompanied by a sensation as if I can feel the food moving through my esophagus; this uncomfortable feeling can linger for hours before fading, only to return with my next meal. The discomfort isn’t severe enough to incapacitate me, but it can be quite bothersome, with some days being better than others. Should I consider halting the medication, or should I wait until my next scheduled appointment to discuss this? I live in a rural area, making it difficult to find sooner availability, as the next appointment isn’t for another month. I appreciate any advice you might have!
Ongoing Symptoms Post-Concussion: Seeking Insights
Hello everyone, I’m a 25-year-old male and experienced a significant car accident about two and a half years ago. Although I didn't black out during the incident, I felt disoriented and unsettled immediately afterward. Since that day, my health has noticeably deteriorated, and I'm attempting to discern whether my current struggles are commonplace or if something more serious might be overlooked. Here’s what I've been grappling with: I endure daily headaches that typically originate in the back of my head or neck, gradually migrating towards my temples or eyes. Conditions that intensify these headaches include bright screens, excessive light, noise, and bustling surroundings. When I attempt to power through the discomfort, I sometimes see halos around lights or experience visual static. Mentally, I find myself exhausted very quickly. Concentrating becomes a challenge, and I frequently lose track of my thoughts or encounter difficulty finding the right words. Engaging in conversations or attending meetings can drain me significantly. Additionally, I become easily overwhelmed, especially in loud or crowded situations. Tinnitus is another issue I face, as the ringing in my ears is a constant presence. Since the incident, I’ve noticed weakness in my left hand; my ring and pinky fingers often curl up like claws. An electromyography (EMG) test revealed damage to the ulnar nerve, which accounts for some of this phenomenon. Unfortunately, it hasn't improved, impacting my ability to type, grip objects, and carry out everyday tasks. I also experience occasional facial twitching, jaw tightness, and short bouts where different parts of my body feel weak or tremble, but these symptoms are temporary. Fatigue is a significant battle for me. I struggle with poor sleep quality, waking up feeling unrested, and sometimes experiencing anxiety first thing in the morning. Even on days when the pain level is tolerable, my energy depletion restricts my activities. Here’s a summary of what medical evaluations have revealed: • My brain scans returned normal results, revealing only minor, nonspecific findings like white matter changes in certain regions. • The blood vessels in my brain appeared healthy. • EEG results indicated some slowing but no evidence of seizures. • More invasive tests ruled out any major health concerns. • Mild sleep apnea was detected. • Cognitive assessments showed deficits in attention, processing speed, and memory. • Eye examinations indicated challenges with tracking and focusing post-injury. What has proven somewhat beneficial includes: • Migraine medication has helped lessen the severity of my headaches. • Telecommuting allows me to take frequent breaks. • Engaging in occupational, speech, and vision therapy whenever possible has been somewhat advantageous. I maintain a full-time job, but managing it drains a considerable amount of my energy, leaving little for family interactions, social engagements, or time for recovery. I’m at a stage where I’m seeking clarification on several points: 1. Is it common for post-concussion symptoms to persist for such an extended period despite normal scan results? 2. When is it appropriate to seek an alternative explanation rather than accepting a diagnosis of merely post-concussion syndrome, stress, or anxiety? 3. Is it typical for fatigue to be the most pronounced and debilitating symptom? 4. Are there often overlooked aspects, such as sleep quality, visual processing, nerve health, or nervous system function, that should be reevaluated? I’m not seeking a diagnosis—just some insight. I want to determine whether I’m on a reasonable track or if I should be considering different inquiries. Thank you to all who have taken the time to read my message.
Understanding Post-Surgical Pain After Ganglion Cyst Removal
I’m 17 years old (female, though I prefer He/him pronouns) and I have Ehlers-Danlos Syndrome (EDS) along with Dysautonomia. Currently, I’m not taking any medications that might impact my situation apart from an SNRI and birth control to manage cramping. Around a month ago, I underwent surgery to remove a ganglion cyst located on my dominant wrist (the right one). This cyst had been present for roughly three years, and despite my doctor attempting to aspirate it, the procedure was unsuccessful due to its firmness, leading to surgical intervention. This cyst significantly limited my wrist mobility. Now, after approximately four weeks post-surgery, I can say that my wrist is mostly improved. The scar is healing fairly well, and I’ve regained about half of my wrist’s mobility compared to the left one. Yet, I still experience significant pain when I move or apply pressure on the area that housed the cyst. Is this pain considered normal? Additionally, my fingers are in constant discomfort, and my wrist seems to dislocate frequently. Due to my EDS, I am accustomed to joint pain and dislocations, but this particular pain feels more severe than what I usually endure. When I brought this up with my surgeon, he dismissed my concerns, stating that such dislocations are common for individuals my age. However, I experience dislocations at least twice daily, and the process of resetting them creates such a loud sound that I've been asked to leave classes to avoid disturbing others. Is this normal? Could it be related to the cyst? Moreover, about four days ago, I noticed a small lump forming on my wrist just above the surgical area. When I consulted my doctor about it, he informed me that it was a benign fatty tumor and assured me it wasn't a serious issue. However, I've never encountered anything like this before, and while the lump is not painful, soft, and relatively small, I’m puzzled about its sudden appearance. Why did this occur, and what could explain my doctor’s nonchalant attitude towards my symptoms? I understand that experiencing pain and limited mobility after surgery is not unusual, but given my doctor’s dismissive approach towards my concerns, I felt compelled to seek insight here as well. He often seems skeptical about the symptoms I report, making it difficult for me to fully trust his evaluations.
Concerns About Changes in Partner's Semen Consistency
At 19 years old, I’m seeking some insights regarding a situation. My girlfriend, who is also 19, has experienced a noteworthy change in her semen consistency during our intimate encounters over the last two to three weeks. To provide some background, she stands at 5 feet 5.5 inches tall and weighs approximately 130 pounds. Her ethnicity is Caucasian, and she is from Canada. Historically, my girlfriend has been in good health without any significant medical conditions. Currently, she is not taking any medications. Previously, she had a history of frequent vaping, but that was about a year ago, and now she limits it to occasional use. The change in her semen is quite striking; it appears very thick, white, and somewhat chunky, rather than being mostly liquid. There are some liquid components, but the thick texture predominates. Throughout this period, she has maintained her regular diet, and importantly, there are no signs of a urinary tract infection or sexually transmitted disease. Neither does she experience any pain or unusual odors. This alteration has raised some concerns for her, and while I am trying to be supportive, I am uncertain about the potential causes. We searched online for explanations, but the reactions we found mostly related to digital sources that discussed various infections or medical conditions, none of which seemed to match her symptoms. Does anyone have insights or similar experiences regarding this matter? It would be appreciated in easing her worries and determining the best course of action.
Seeking Answers: Unexplained Symptoms
Profile Information: - **Age**: 15 - **Gender**: Female - **Height**: 5'3 - **Ethnicity**: Caucasian **Medication Regimen**: - Lisdexamfetamine: 40 mg daily - Famotidine: 20 mg, twice daily - Cetirizine: 40 mg daily I have been experiencing persistent pain for as long as I can recall, even before I started taking any medication, so I am skeptical about the drugs affecting my condition. Below is a compilation of my symptoms that I can remember offhand. My family has been advised on multiple occasions to consider testing for Mast Cell Activation Syndrome (MCAS) due to the alignment of my symptoms with the condition. My latest physician conducted laboratory tests to evaluate my tryptase levels without an initial baseline measurement. This was taken roughly 1.5 hours post-flare-up, which came back low. Consequently, she concluded that I do not have MCAS, but after researching further, I found that low levels do not definitively rule it out. I am reaching out for guidance—can anyone assist me in understanding my situation? **Presented Symptoms**: - Persistent hives - Facial flushing - Cognitive fog - Recurring headaches - Abdominal discomfort - Irregular bowel movements (ranging from diarrhea to constipation) - Anxiety attacks - Low blood pressure - Episodes of dizziness - Rapid heartbeat - Chronic fatigue - Episodes of fever - Severe joint pain - Night sweats - Bloating - Elevated sensitivity to sunlight - Intolerance to heat I frequently experience multiple symptoms together during flare-ups, with at least one flare occurring daily. The hives tend to emerge 1 to 3 times each day, primarily triggered by sun exposure and heightened emotional states, although at times they arise with no apparent cause. These flare-ups can occur abruptly, lasting anywhere from 15 minutes to several hours.