Post Date December, 03 2023
Testicular abnormalities usually include: 1. Testicular deficiency. After a clear diagnosis, the main treatment is to supplement male hormones in a reasonable and timely manner to achieve better development of the patient's external genitalia. However, if male hormones are used too early, they can close the epiphysis and affect physical development. During drug use, testosterone levels should be regularly measured to adjust the drug dose, and "artificial testicle" implantation should be performed, To some extent, it can soothe the patient's psychological inferiority complex and reduce mental trauma. 2. Congenital testicular hypoplasia syndrome: Treatment is mainly based on insufficient androgen supplementation. 3. Orchitis: Apply antibiotic treatment and take relevant symptomatic treatment according to the type of disease.
What are the infertility caused by testicular abnormalities? How to treat testicular abnormalities? Here are experts to answer the patient's questions: What are the infertility caused by testicular abnormalities? How to treat testicular abnormalities?
1. Male pseudohermaphroditism: Treatment should focus on two aspects: gender selection and gonadal management. After proper treatment, it is generally difficult to maintain fertility. Therefore, we believe that the treatment of gender should be directed towards women as much as possible.
2. Congenital testicular hypoplasia syndrome: Treatment is mainly based on insufficient androgen supplementation. Generally, 200mg can be injected every 3-4 weeks, which is helpful for masculinization, but cannot affect female breasts. Breast plasty is sometimes performed for cosmetic or psychological reasons.
3. Cryptorchidism: There are relatively complete schemes for its treatment. The aim is to restore the number and function of germ cells in the testis as soon as possible and improve fertility.
The specific scheme is as follows:
① All male newborns need to be examined for cryptorchidism (the most correct examination for children in a bent leg sitting position) If children with cryptorchidism are mentally retarded, other related syndromes should be excluded; ③ Children should receive GnRH nasal spray at the age of 10 months, 3/d, 400 times μ g;④ If unsuccessful, use HCGl500U per week for a total of 3 weeks; ⑤ If relapse occurs, GnRH can be used for another 4 weeks; ⑥ If endocrine therapy fails, surgery should be performed before the age of 2 years; ⑦ If complicated with hernia or ectopic testicles, surgery should be performed; ⑧ Follow-up is required once a year until puberty; ⑨ Small amount buserelin (10 μ g) Once every other day for 5 to 6 months can increase the number of germ cells or promote fertility, especially before the age of 7.
4. Testicular deficiency: After a clear diagnosis, the main treatment is to supplement male hormones in a reasonable and timely manner to enable the patient's external genitalia to develop better. However, if male hormones are used too early, they can close the epiphysis and affect physical development. Testosterone levels should be regularly measured during medication to adjust drug dosage. "Artificial testicle" implantation can soothe patients' psychological inferiority complex and reduce mental trauma to a certain extent.
5. Orchitis: Apply antibiotic treatment and take relevant symptomatic treatment according to the type of disease.
