Is it possible to stay sexually active with one testis?

Hello,

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I had gone through all the data you have posted (attachment removed to protect patient identity). Normally, right testis remain little higher up than the left, but in your case it is a little higher up. During the process of formation, testes are formed inside the abdomen; they start descending down and reach the bottom of the scrotum. It can get arrested at any point. Descent is important as testis cannot produce sperm at higher temperatures in the abdomen and so it stays out. So, you have mild cryptorchidism (undescended testis). Do you have this since childhood or recent origin? If it is very high up means not in the scrotum, then we surgically place it down. But, I think it is not necessary in your case. If you do not have any problem now and if it is present since young age, then leave it and do not worry about it. If it was of recent origin or you have any problem now, then kindly consult a urologist, we may also need an ultrasound scan.

Hello,

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I agree that there is a problem with cryptorchidism. Though it may be asymptomatic till now, there are some known problems with that like hernia, torsion and chance of malignancy. Chance of developing malignancy in maldescended testis is a known complication. The incidence of testicular malignancy in the general population is 1 in 100000, but it is 1 in 1000 to 1 in 1500 in patients with cryptorchidism. So, we may need to remove the undescended testis. Have you completed your family? Kindly consult a urologist, let him examine you and he will let you know the next line of management.

Hello,

Welcome back to icliniq.com.

Normally, one testis is sufficient for parenthood and production of spermatozoa. But, again sorry to say that there are small 5% to 10% risk of development of malignancy even in normal testis. According to some studies, you need to be under close follow up. Varcicocele is a problem with pampiniform plexus of veins of the spermatic cord. This condition is associated with infertility. This needs surgical ligation of veins on the right side. Coming for parenthood, even with azoospermia (low sperm count) there are newer technologies like IVF (in vitro fertilization) and ICSI (intracytoplasmic sperm injection), where even single sperm is sufficient to fertilize oocyte and zygote formation. This will be implanted into the female partner so that they can have children. Get a semen analysis to look at the condition of sperm count. So you need to consult a good urologist now for solving all your problems.