Friday , June 24 2022

Undescended testes can cause infertility and cancer


Cryptorchidism or undescended testes are one of the most common defects that can cause infertility in the genital areas, but also testicular cancer, so it is important to diagnose from an early age.

Dr. Ingenes, a specialist in obstetrics. According to Lilia Berenice Leyva Macías, cryptorchidism or undescended testes occur in about 3% of all births and 1% in children older than 3 months.

This disorder, which literally means "secret testis", refers to a testist who has not reached its place in the scrotum, so it is generally known as lack of testes.

Risks due to undescended testis or cryptorchidism

Untreated cryptorchidism may have detrimental effects over time. There are more cases in premature babies and there are almost no specific symptoms, but the absence of testicles in the scrotum sac during revision, explains Ingenes.

In general, if the testis spontaneously descends during the first year of life, then a surgical correction should be made to prevent future infertility problems and also the development of testicular cancer.

In this context, a single patient with cryptorchidism is known to have a risk of infertility of 75%. If the problem is bilaterally and the testicles are lacking, the risk is 50%.

In this sense, patients with undescended testes are 7 to 10 times more likely to develop cancer in testicular cancer.

Causes of cryptorchidism and infertility

The causes of undescended testes are not entirely clear, but genetic, endocrine and environmental factors are known to be involved.

Leyes Macias, men with undescended testicles, ejaculate and infertility of the probability of finding sperm in the rates of up to 89%.

For this reason, full tests should be performed to diagnose serious changes in sperm production, such as lack of sperm in the production of sperm in men who want to become parents and to try for a long time, such as azoospermia, cryptorchidism and risk of development. cancer.

An alternative to carrying out such a fertility test are experts in Ingenes' Reproductive Biology, which have an Andrology unit and which offer a variety of options depending on whether or not there is a sperm count.

One of them is testicular biopsy, whereby the sperm are extracted directly from the epididymis, in order to achieve the dream of having a baby in the house by In Vitro Fertilization, thus the best ovum fertilization in the laboratory.

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