The main symptom of testicular hypoplasia is that the testicles are one large and one small unequal in size or both of them are relatively small, and the texture is soft to touch, unlike the usual normal testicles which are about 3~4 centimeters, the surface is smooth to touch, and the texture is firm with some tension.
Symptoms caused by testicular hypoplasia include hormonal abnormalities, sexual dysfunction and decreased fertility.
1. Abnormalities caused by hormonal abnormalities: low libido and difficulty in maintaining secondary sexual characteristics due to abnormal levels of sex hormones, which are mainly manifested as thinning of the voice, disappearance of the beard, and feminized breast development.
2. Sexual dysfunction: for example, erectile dysfunction, and the duration is not long, erection but not firm, impotence and premature ejaculation.
3. Decline of fertility function: due to the decline of spermatogenesis caused by the destruction of the function of the testicles themselves, patients may have abnormal semen quality or even infertility.
Therefore, it is necessary to combine these results with urine routine, urine bacterial culture, semen routine and scrotal ultrasound, and if necessary, also do congenital chromosomal abnormality screening, but also check the level of sex hormones to do a comprehensive assessment, according to these results to the urology department for further investigation and consultation.
The main common causes of testicular hypoplasia are congenital chromosomal abnormalities, cryptorchidism and acquired varicocele, as well as sex hormone secretion abnormalities caused by any disease in the hypothalamic-pituitary-gonadal axis.