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Home > Blog > Cryptorchidism: Symptoms, Causes, and Complications

Cryptorchidism: Symptoms, Causes, and Complications

Cryptorchidism: Symptoms, Causes, and Complications

Max Lab

Apr 28, 2025

Cryptorchidism is a medical condition characterized by the absence of one or both testicles in the scrotum. This occurs when the testicle fails to descend during fetal development.

Typically, testicles form in the abdomen and move into place before birth. When this process doesn't happen, it leads to what many refer to as undescended testis.

This condition can affect newborns and infants, though it may resolve on its own within the first few months of life. However, if a testicle remains undescended beyond six months, medical intervention is often required.

Signs and Symptoms

Cryptorchidism manifests primarily in the absence of one or both testicles from the scrotum. When a newborn is checked after birth, parents might notice that only one testicle has descended, which can raise concerns.

In some cases, the undescended testis may be found higher up in the groin area. This positioning can be subtle and requires careful examination to detect.

It's important for parents to monitor any unusual signs as their child grows. If there's swelling or discomfort around the groin or abdomen, it could indicate complications linked to cryptorchidism.

Causes

The causes of cryptorchidism can vary widely. One primary factor is the disruption during fetal development. Hormonal imbalances may interfere with testicular descent.

Genetic factors also play a significant role. Family history increases the likelihood of this condition in newborns. Certain congenital anomalies, like hypospadias or inguinal hernias, often accompany undescended testicles.

Environmental influences are another consideration. Some research suggests that exposure to certain chemicals and toxins during pregnancy might affect normal development.

Premature birth is frequently linked to higher rates of cryptorchidism as well. Babies born before term have less time for their testes to move into the scrotum.

Low birth weight serves as a contributing risk factor too. The more factors at play, the greater the chance of experiencing this condition in male infants.

Potential Complications

Cryptorchidism can lead to several complications if left untreated. One of the most significant risks is infertility. When a testicle doesn’t descend, it remains in an environment that’s warmer than optimal for sperm production.

Additionally, there’s an increased risk of testicular cancer later in life. Studies show that males with undescended testis have a higher incidence compared to those without this condition.

Another potential complication is torsion, where the spermatic cord twists and cuts off blood supply to the affected testicle. This painful condition requires immediate medical attention.

Diagnosis and Treatment Options

Diagnosing cryptorchidism typically involves a physical examination. Pediatricians check for the presence of one or both testicles in the scrotum. If they are not palpable, further imaging tests like ultrasounds may be recommended.

Treatment options vary based on age and condition severity. For many infants, doctors suggest monitoring until 6 months of age, as some testicles can descend naturally during this time.

If the testicle remains undescended after this period, surgical intervention is often advised. A procedure known as orchidopexy is performed to move the testicle into its proper position within the scrotum.

Prevention Tips for Parents to Reduce Risk of Cryptorchidism in Children

Preventing cryptorchidism begins before birth. Pregnant women should focus on overall health and nutrition. A balanced diet rich in vitamins and minerals plays a critical role.

Avoid exposure to harmful chemicals during pregnancy. Pesticides, heavy metals, and certain plastics can disrupt hormonal development.

After birth, regular pediatric check-ups are essential. These visits allow healthcare providers to monitor testicular descent closely in newborns.

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