Cryptorchidism is a medical condition where one or both testes as a result of significant genetic alterations do not descend into the scrotum before birth, which is commonly referred to as undescended testes.
As part of thermal contraception #
As a precautionary measure, and in the absence of scientific data, this history does not allow us to use this contraception. To date, we have no scientific literature showing that daily exposure to body heat does not increase the risk of cancer in this testicle, which carries genetic alterations that already greatly increase it.
Definition #
Normally, the testicles form inside the fetal abdomen and descend into the scrotum during the final months of pregnancy. In the case of cryptorchidism, this descent does not occur completely, as the testicles carry serious genetic alterations, which can have consequences for health and fertility. The testicles may be located in the abdomen, in the inguinal canal, or at the entrance to the scrotum.
Processing #
Treatment of cryptorchidism is generally recommended to avoid future problems such as infertility or increased risk of testicular cancer. Options include:
- Surgery (orchidopexy): This is the most common treatment, in which the surgeon places the testicle back in the scrotum and fixes it to prevent it from rising. This operation is usually performed before the child reaches the age of 12 to 18 months.
- Hormonal treatment: Hormones such as hCG or gonadotropin can be used to stimulate testicular descent. However, this method is less frequent and generally less effective than surgery.
- Surveillance every 5 years by palpation is recommended.
Impact on fertility #
If left untreated, cryptorchidism can have a negative impact on fertility. Even after treatment, men who have had cryptorchidism may have a higher risk of fertility problems, although early surgery can reduce this risk.
Population concerned #
Cryptorchidism is one of the most common congenital anomalies in newborn boys. It is estimated to affect around :
- 3% to 4% of boys at term
- Up to 30% of premature babies
The risk diminishes markedly after birth, with the majority of people of cases resolving spontaneously within the first year of life if the testes are close to the scrotum. However, cases where the testicles are abdominal or high up in the inguinal canal often require surgical intervention.
In summary, cryptorchidism is a condition that must be treated promptly to reduce the risk of future complications, including fertility problems and the risk of testicular cancer.
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