Post Date December, 03 2023
There are many reasons for infertility, and the well-known cause of infertility is abnormal semen. Therefore, men with infertility often think of abnormal semen. Little is known that the testis is a sperm production factory, and the vast majority of semen abnormalities are related to the testis. Therefore, men with infertility should be examined for testicular factors. Below, experts will introduce relevant knowledge about the reasons why "small testicular" men are more likely to suffer from infertility
Which "small" testicular diseases are associated with infertility?
Before the age of 12, the testicles of newborn infants are in a relatively static phase, with a general volume of 1 to 4 ml. After the age of 12, boys enter the puberty stage, and the testicular volume rapidly increases. In adult males, the testicular volume can reach 16 to 25 ml, with an average value of 19.8 ml. After the age of 60, they enter the stage of sexual decline, and the testicular volume gradually decreases.
Due to factors such as genetic quality and nutrition, there may be certain differences in testicular size among individuals, some larger and some slightly smaller. However, as long as within the normal range, it does not indicate the strength of sexual function. However, if the volume of a testicle is less than 12 cubic centimeters, it indicates that the testicle is stunted or atrophic. If the adult testicular volume is less than 10 ml, it is considered a small testicle, which can lead to sexual dysfunction and male infertility. This is because testicular size is too small, which can interfere with testicular spermatogenesis, resulting in low sperm count or azoospermia and loss of reproductive function in most cases.
Examination showed that the plasma testosterone level was very low, male secondary sexual signs were stunted, whiskers, pubic hair, and axillary hair were sparse, and pronunciation was low and thin. Severe cases could have feminization, and most patients had low libido and low sexual function. The main diseases that cause microtestis include Crohn's syndrome, congenital adrenal hyperplasia, and some genetic diseases.
But "small testicles" do not necessarily have infertility problems
Experts point out that the testicles and uterus are different, so it is not appropriate to assume that the small testicles have the same effect because of the small uterus.
The main function of the testis is to produce sperm. As long as the quality and quantity of sperm are good enough, they generally do not affect fertility. "The uterus is the place where life is born. Being too small in the uterus can cause the uterus to not store and transport semen and sperm normally, making sperm unavailable and unable to conceive."; Abnormal uterine morphology and volume, as well as poorly developed myometrium, are not conducive to implantation, implantation, and embryo development, and can easily lead to early pregnancy miscarriage, abnormal placental position, and delayed fetal development.
Expert: Pathological testicular degeneration requires attention
Of course, if it is due to pathological testicular degeneration, special attention needs to be paid.
"Most of these small testicles are caused by mild fatigue in the spermatogonial tissue or cells of the seminiferous tubules. These cells constantly atrophy and cannot produce sperm normally, or when they are injured and cannot produce sperm, testicular atrophy becomes smaller.". In severe cases, infertility can also occur. However, because fewer mesenchymal cells that secrete male hormones are involved, they generally do not affect the development of male reproductive organs and male side features. From the clinical reality, severe testicular atrophy leading to infertility is not uncommon.
Through expert analysis, you must have your own understanding of the increased risk of infertility among "small testicular" men. It should be noted that with the improvement of medical technology, the cure rate of male infertility is also increasing. Although the treatment of small testicles is relatively complex, the cure rate is not low. Men who suffer from small testicular infertility should not be afraid to seek early treatment in a professional hospital, and the probability of recovery is still high.
