Posted by Bjorn Lundquist on August 06, 1999 at 05:52:58:
In Reply to: Re: Undescended Testes posted by CLDing on August 05, 1999 at 11:06:35:
To sum up, this is an otherwise healthy 36 yr old male who had surgery at 18 for bilateral undescended testes. If they were truly undescended, not retractile that is, they have already suffered permanent and probably end stage damage before surgery. Hormonally they may have stayed operational for some time, the age they commonly fail to produce sufficient amounts of testosterone is at the age of 35-40. Therefore it is advicable to do LH, total-Testosterone, possibly beta-HCG, and SHBG. Obviously as expected FSH is elevated.
Is the hemospermia persistent? Can the information regarding the fact that two palpable testes were actually placed in the scrotum be relied upon? IF not , and there is persistent hemospermia, and there are no testes neither to palpate nor to see with TRUS, not even in the inguinal canal, one has to consider the risk that the previous or MR?
Extending the hormone analysis might give information on the intersex question (more so than chromosome analysis) - this suspicion ought however have been raised already at a very young age. Did he have a normal puberty at expected age? That question and the reply to it is most likely to indicate if there is a reason to carry on suspicions of intersex and the like. How is his sexual function? Desire? Erections? Obviously he does ejaculate though.