All about the causes of monorchism, its symptoms, diagnosis and treatment

When monachisme men is missing one testicle. Monarchism leads to disruption or complete absence of reproductive functions, as the conditions for the production of sperm in such cases are dramatically violated. A thorough diagnosis, identification of causes and prompt treatment will help man to live a full life.

Factors of the disease

Monarchism occurs as a result of fetal abnormalities. At some stage of intrauterine development the fetus may be incorrectly formed external sex organs. This leads to the fact that only develops one testicle. The second may not develop either as a result of underdevelopment, it remains in the abdomen or in the inguinal canal.

As a result of agenesis of the testis is not growing. But when degeneration of the testicle has formed, but, as the diagnosis, went back into the abdominal cavity. These symptoms are detected even at birth. The neonatologist diagnoses by visual inspection and probing of the scrotum of a newborn.

Why is no one egg?

Monarchism often found with such a symptom as the absence of kidneys. The reason for this symptom is that kidney and testicle develop from the same cloth. So that the child can simultaneously develop and monarchism, and the absence of kidneys.

In addition, monergism implies the lack of signs of the epididymis. In some cases, the scrotum may be underdeveloped appendage. However, often one half of the scrotum, where it was supposed to be an egg, also underdeveloped.

The testicle is in the body, after puberty larger than normal size. This is because it must compensate for its activities in conditions of insufficient functionality. But often monarchism combined with the symptoms of so-called hypogonadism. In such cases, the boys observed the underdevelopment of secondary sexual characteristics.

Blood tests indicate low levels of testosterone in the blood. This has the consequences, such as reduced libido, impaired erection, and in some cases – and a complete inability to conceive.

Effect on puberty boy

In pre-adolescent development of the boy is no different from the norm. However, to achieve the start time of puberty begin to show symptoms of the lack of testicles. These include the following:

• the slowdown in the growth of the penis after reaching the age of fourteen;
• slowing body hair growth;
• wet dreams have come much later or not come if there are signs of disorder in the functioning of a healthy body;
• there is a tendency to obesity.

How to diagnose the disease

Accurate diagnosismonorchism is possible only by results of laboratory and clinical diagnostics. Informative diagnostic method is inspection and palpation of the external genitalia. When this diagnosis with a careful study of history. A burdened heredity additional evidence of the diagnostic results.

Related article: Androgyny — what is it?

Gonadotropins in the disease – increased and testosterone is lowered. These symptoms and allow for the diagnosis to argue about the presence of the boy anomalies in the structure of the genital organs. Diagnosis of monarchism allows to determine an adequate substitution treatment to preserve reproductive health of men.

Features of therapy

The treatment of such pathology, as monorchism, is to support and conservative therapeutic measures on the basis of diagnosis. This takes into account the stage of development of the disease. If the remaining testicle does not detect symptoms of disorders, it does not lead to infertility and the man is able to conceive. Another thing – if only the testicle on the results of diagnostics has symptoms. In some such cases and conservative therapy can be ineffective.

Conservative treatment consists usually in taking luteotrophic hormone, and folliclestimulating hormone. If you have symptoms of hypogonadism, given oral preparations of testosterone.

Substitution therapy with hormones is also important during puberty. This is because the lack of sex hormones in this period will cause disturbances in the development of the genitals, as well as underdevelopment of secondary sexual characteristics. In turn, it may cause a trauma for a teenager.

When you need surgical intervention

Surgical treatment with the use of silicone implants is recommended for all boys, with an age of approximately 14 years. This is done to the psyche of the child did not suffer and he did not feel defective in comparison with their peers. This treatment is quite simple, as the operation is not dangerous.

During surgical treatment it is important to pick an implant the same size as a healthy body. This is due to the fact that when the surgical treatment is important outside.

In addition, surgical treatment should be according to this reason when you must remove the immature gipotenzivny body. This operation is best done when the boy will be approximately 14 years. Possible complications because of the operation – the swelling of the scrotum, bleeding and slow healing – meetquite rare.

Prevention of the disease

As monorchism – congenital disease, many causes of its development lie in the period of intrauterine development. Therefore, the expectant mother must be careful to the baby. In the first place it is necessary to refuse from harmful habits – alcohol and Smoking. It should be done already from the time when only planned conception. For the formation of the genital organs of the child are important first weeks of pregnancy.

The woman also categorically denied receiving any strong medication that can cause abnormalities in the child. In General, every case of medication for any reason must be negotiated with your doctor. Men diagnosed with monarchism it is necessary to advise only to protect the testicles from injury: it will keep health and will promote the birth of healthy offspring.