Can having only one testicle cause issues with fertility?

Question

Hello doctor,

I am a 25-year-old male with only one testis. I experience sexual feelings as any other man would and masturbate about once a week. Will having a single testis cause any issues in the future? Recently, I had sex for the first time with my partner. I was nervous and experienced difficulty with penetration.

Please offer some guidance.

Answer 1

Hello,

Welcome to icliniq.com.

It seems you may have a condition called cryptorchidism, where one of the testes is not present in the scrotum. There are two possible scenarios: either the testis has not developed at all, or it has developed normally but has not descended into the scrotum. Given your age, if your sexual desire and secondary sexual characteristics, such as facial and pubic hair growth, are normal, then your testosterone production is likely normal. Your reproductive capability will depend on the sperm production of your functioning testis. I recommend that you consult a local urologist for a thorough evaluation to determine the type of cryptorchidism you have.

I hope this helps you.

Thanks for using icliniq, and have a nice day.