Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

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Treatment for an undescended testicle in adults generally involves surgery (orchiopexy) to reposition the testicle into the scrotum or, depending on functionality and age, testicle removal (orchiectomy). As you are young and keen on fertility, think of orchiopexy.

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This is a complex case that needs specialist input from a urologist/andrologist. The small testis size and azoospermia indicate severely reduced sperm production from that side. The elevated LH with normal testosterone is a sign of compensated testicular dysfunction — your body is working harder to maintain hormone levels, which means the testicular reserve is reduced. At age 27, orchiopexy has minimal benefit for fertility (the optimal window is before age 2), though it may still be discussed for cancer risk reduction. The combination of cryptorchidism and azoospermia with normal FSH makes genetic testing important — Y chromosome microdeletion and karyotype must be done, as results will directly influence whether surgical sperm retrieval (TESE/micro-TESE) is worthwhile.

You need surgical  intervention to decent down testies as early as possible  as u r facing azoospermia. In stomach temperature  is high  in scrotum  its cool n airey.

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Sir based on the information you have provided Orchideopexy would be the better option as it is important to bring down the testis to prevent testicular torsion and also since right testis is absent preserving and operating early is best as it prevent the risk of developing testicular tumor in future

Consult urologist, all issues will resolve.

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Hi, Proper evaluation and personalised advice needed, a detailed consultation would be best. Feel free to consult me for further guidance.

Consult a general surgeon

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Orchiopexy (orchidopexy) is a surgical procedure to move a testicle into the scrotum and permanently secure it in place. More more discussion you can contact me directly on Practo

At age 27, orchiopexy is unlikely to improve fertility significantly, especially with a very small undescended testis. The undescended testis may contribute to azoospermia, particularly if the other testis is absent. High LH + normal testosterone suggests compensated testicular dysfunction. Recommended: repeat semen analysis, genetic testing (karyotype + Y-chromosome microdeletion), and consultation with an andrologist/urologist. Depending on examination and imaging, orchiopexy or orchiectomy may be advised. Natural fertility improvement is usually low, but sperm retrieval techniques (micro-TESE) with IVF/ICSI may still be possible.

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Orchiopexy