What to do if you have small testicles

Some male friends find that if the size of their testicles is smaller than normal, they are more monogamous, which will affect fertility. Sometimes it is physiological and sometimes it is pathological, so fertility cannot be judged by testicle size.

1. In clinical practice, we often encounter adult men whose testicles are smaller than normal, so they are worried about affecting fertility. In fact, small testicles can be physiological or pathological. Physiological small testicles generally do not affect fertility as long as they can produce enough normal sperm.

2. There are many reasons for pathological testicular shrinkage, the most common of which are chronic wasting diseases, endocrine disorders (hypothyroidism and hypopituitarism), persistent high fever, taking large amounts of female hormones, viral orchitis (such as mumps complicated with orchitis), testicular syphilis, etc. These diseases can cause testicular atrophy, resulting in a volume smaller than normal.

3. Pathological testicular atrophy and reduction in size is usually caused by the involvement of spermatogonia or spermatocytes in the seminiferous tubules. When these cells atrophy and cannot produce sperm, or are damaged and cannot produce normal sperm, the testicles atrophy and decrease in size.

4. In addition, it is often accompanied by infertility; however, because interstitial cells that secrete male hormones are less involved, it generally does not affect the development of male reproductive organs and male secondary characteristics (such as beard growth, lower voice, prominent Adam's apple, muscle development, etc.). From a clinical point of view, it is rare for severe testicular atrophy to cause infertility. Whether testicular atrophy is accompanied by fertility disorders can be examined by semen microscopy. If the number of sperm in each milliliter of semen is less than 20 million to 60 million, and the activity function is reduced and the morphology is abnormal, infertility should be considered.