Chances of getting pregnant with one testicle
Monorchism (also monorchidism) is the state of having only one testicle within the scrotum. Many people with one testicle have a healthy and active sex life. A single testicle can produce enough testosterone to fuel your sex drive. This amount of testosterone is also enough for you to get an erection and ejaculate during an orgasm.
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Usually, only one testicle does not descend. Both are undescended in 10 percent of cases. Men with one undescended testicle can still have children, but their fertility is lower than normal by roughly half. In most cases, people with one testicle can get someone pregnant. Remember, one testicle can provide enough testosterone for you to get an erection and ejaculate. This is also enough to produce adequate sperm for fertilization. One testicle can provide enough testosterone for you to get an erection and ejaculate. This is also enough to produce adequate sperm for fertilization.
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Monorchism can be due to:
- One testicle not descending into the scrotum during normal embryonic or fetal development (3–4% of ‘normal’ live births), also known as undescended testis or cryptorchidism. In this case the testis is within the abdominal cavity, somewhere along the normal route of descent most commonly, within the inguinal canal. Such a testis has an increased risk of malignancy.
- One testicle may disappear during development (the so-called vanishing testis) due to some intrauterine insult. This is thought to be most likely vascular, such as testicular torsion.
- One testicle may be injured.
- One testicle may have been surgically removed through orchiectomy.
The procedure to remove a testicle is called orchidectomy.
It’s done for a range of reasons, including:
- Cancer. If you’re diagnosed with testicular cancer, prostate cancer, or breast cancer, removing a testicle may be part of treatment.
- Undescended testicle. If you have an undescended testicle that wasn’t found when you were younger, you may need to have it surgically removed.
- Injury. Injuries to your scrotum can damage one or both of your testicles. If one or both become nonfunctional, you may need surgery.
- If you have a serious viral or bacterial infection affecting one or both of your testicles, you may need and orchiectomy if antibiotics don’t do the trick.
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One testicle complication
Having just one testicle is rarely a risk factor for other health conditions. However, it can lead to some health complications.
These include:
- Testicular cancer. People with an undescended testicle have an increased risk of this type of cancer. The cancer can occur on the undescended testicle or the descended one.
- Subfertility. In rare cases, having one testicle can reduce your fertility. Still, this doesn’t mean you can’t have children. You may just have to be a bit more strategic about your approach.
- Hernias. If you have an undescended testicle that hasn’t been removed, it may lead to a hernia in the tissue around your groin that requires surgical treatment.
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