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:
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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.
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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.
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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.
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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.
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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.
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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.
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