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DrRussMD, Board Certified MD
Category: Medical
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Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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46 year old male with epididmal cyst, normal blood flow, stinging

Resolved Question:

46 year old male with epididmal cyst, normal blood flow, stinging in testicle but no mass, azoospermic. Possible causes and treatment?
Submitted: 1 year ago.
Category: Medical
Expert:  Shantal-Mod replied 1 year ago.
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Expert:  DrRussMD replied 1 year ago.
HelloCauses are due to lack of sperm production or bloackageThey are as followsPrimary testicular failureY chromosome abnormalitiesabnormal chromosomes (karyotype)Unexplained genetic reasonsKallman syndromeUnexplained gonadotropin lackHypothalamic/pituitary tumorHyperprolactinemiaCancer treatmentVaricocelePituitary suppression,Testosterone supplementsCongenital adrenal hyperplasiaSevere illnessDiabetes mellitusSickle cell anemiaHemachromatosisSperm autoimmunityPesticide/toxin exposureUndescended testicles at birthObstruction, absence of the vas deferensEjaculatory duct obstructionEpididymitisScrotal traumaYoung syndromeVasectomyTreatment depends on the conditionIf an obstruction can be unblocked for example...that is surgical most often.Genetics usually can not be fixed.Diabetes can be tightly controlled.Illness can be treated.Infection would require antibioticsVaricocele is surgical repairHernia can be repaired, etc.etc. OK, so that is an initial answer….Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64410
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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