Top
30
Doctor insights on: Epididymal Cyst Blocking Testosterone

Share
1

1
Could a testicular cyst (spermatocele) have an affect on testosterone production?

Could a testicular cyst (spermatocele) have an affect on testosterone production?

Doubtful: Testosterone production controlled by pituitary via lh. Sperm production controlled by pituitary via fsh. However, varicocele may increase local temperature such that sperm may not be viable. If concerned about hypogonadism or andropause, check lh, fsh & testosterone (total & free) along w/prolactin. Also check estradiol, too, as too much can negate benefit of t. ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


4

4
I have slightly elevated testosterone, light periods with a 30-34 day cycle, I occasionally has cysts, does this mean I have pcos?

I have slightly elevated testosterone, light periods with a 30-34 day cycle, I occasionally has cysts, does this mean I have pcos?

Possibly: Not for certain, although that's one very good possibility. You describe 2 out of 3 possible criteria needed for diagnosis of pcos, the third one is ultrasound appearance. I suggest you not trust anyone's internet diagnosis, but a good provider can help you sort this out in office. ...Read more

5

5
Can you have normal testosterone and estrogen levels with multiple ovarian cyst and still be considered to have pcos?

Can you have normal testosterone and estrogen levels with multiple ovarian cyst and still be considered to have pcos?

Yes: Pcos is a clinical syndrome. It is not diagnosed by blood test results, though high male hormone levels, or other tests suggestive of Insulin resistance, can support the diagnosis. If you have problems with irregular periods, weight gain, excess hair growth, you can be diagnosed with pcos, despite normal lab results. ...Read more

6

6
Mild pcos, open tubes (had HSG) getting ready to try IUI. No cyst or endo just slightly high testosterone. Can IUI work with pcos?

Mild pcos, open tubes (had HSG) getting ready to try IUI. No cyst or endo just slightly high testosterone. Can IUI work with pcos?

IUI: Yes. However, it would be wise to have an honest discussion with your fertility specialist to discuss success rates, etc. ...Read more

7

7
Hello, I have a couple of PCOS related questions: would you recommend consumption of spearmint tea to reduce testosterone levels, and should ovarian cysts be examined regularly?

Hello, I have a couple of PCOS related questions: would you recommend consumption of spearmint tea to reduce testosterone levels, and should ovarian cysts be examined regularly?

Insulin resistance: PCOS tx should include measures to reduce insulin levels. This is accomplished by lowering your carbohydrate intake dramatically and increasing your green vegetables and protein intake. Reviewing ovarian cysts is not standard of care. Metformin is commonly used which helps ovulation they an insulin sensitivity pathway. ...Read more

8

8
I was diagnosed with pcos, (high testosterone, numerous cysts, been on metformin for 5-6months), I got my period in sept. Lasted a week. Then a week later I got it again, it has now been almost 3weeks and its still flowing. Is this normal? (i already dr

I was diagnosed with pcos, (high testosterone, numerous cysts, been on metformin for 5-6months), I got my period in sept. Lasted a week. Then a week later I got it again, it has now been almost 3weeks and its still flowing. Is this normal? (i already dr

Yes: Women with pcos have very unpredictable bleeding. It also predisposes you to uterine polyps and overgrown tissue in the uterus, both of which can affect bleeding patterns. You really need a full evaluation with labs, ultrasound, maybe saline ultrasound, and maybe even a biopsy to find out what I going on. ...Read more

9

9
Lh higher then fsh, dhea testosterone and andro norm, no cysts, low bmi, stress from divorce, missed 2 periods, pcos or? Stressed out?

Lh higher then fsh, dhea testosterone and andro norm, no cysts, low bmi, stress from divorce, missed 2 periods, pcos or? Stressed out?

Could Stress but - -: There's a lot of variability in hormone levels depending on the timing and other factors that alter body physiology. Stress is one of them, follow up with the doctor is recommended. Consider stress management through counseling and other interventions that boost coping skills. ...Read more

11

11
I am a 45 year old female that is experiencing severe cystic acne on my chin with acne on my forehead. Labs show low testosterone with normal estrogen and progesterone. Will testosterone help or cause more acne.

I am a 45 year old female that is experiencing severe cystic acne on my chin with acne on my forehead. Labs show low testosterone with normal estrogen and progesterone. Will testosterone help or cause more acne.

Typically: Typically testosterone is going to increase not decrease your acne problems. This is why young male teenagers become acne prone during early teen years with puberty. I would suggest meeting with a dermatologist or a plastic surgeon for a full evaluation. Good luck! ...Read more

12

12
Is it normal to get light cramps two weeks before a period? I have it almost constant and a history of high testosterone. Ultrasound normal cysts.

Is it normal to get light cramps two weeks before a period? I have it almost constant and a history of high testosterone. Ultrasound normal cysts.

Cramps before period: May be Mittelschmerz, ovulation can cause cramping, may also be implantation pain (though not usual) or infection, check HCG


https://www. Nlm. Nih. Gov/medlineplus/ency/article/001503.htm ...Read more

13

13
What is a bilateral epididymal cyst?

What is a bilateral epididymal cyst?

Here are...: It is a common round space of variable diameters from few mm to many cm incidentally found in scrotal US for evaluating some pain / ache in the sac; it is usually located at globus major of epididymis. Such cyst may present as single or multiple like a cluster. More detail? Ask Urologist for detail. ...Read more

16

16
What is epididymis cyst?

Cyst from epididymis: Epididymis is part of the conducting system, and in situated one on either side just above and mainly behind each testicle. It collects the sperms and hormonal secretions from the testes through tiny tubes and is highly convoluted structure -which continues as vas deferens -one on either side. Cysts arising from this epididymis usually are small, sometimes multiple. See ur doc to decide trt plan. ...Read more

17

17
Can an epididymal cyst turn cancerous?

Can an epididymal cyst turn cancerous?

Epididymal cyst: Epididymal cyst is a benign cyst and does not turn into cancer. It might grow though and in that case it might cause some testicualr discomfort. Regular exams (twice a year) is the way to follow it up. ...Read more

19

19
Is epididymis cyst or spermatocele usually hard or soft?

Is epididymis cyst or spermatocele usually hard or soft?

Cyst is spherical: Come in various sizes, can feel tender. Is a small tense fluid filled structure, niether hard or soft. Benign ; only removed if large or painful. ...Read more

21

21
I had a ultra sound done and the results say I have a bilateral epididymal cyst. How are these treated? Please help

Here are some...: For an 18-y-o man, the incidental finding of epididymal cysts should be left alone because almost all these are benign and any procedures done to these areas will pose a high odd of blocking the tubes like that after vasectomy. So, leave them alone. More? Seek counseling from urologists or contact me at www/healthtap. Com/dr-Lin via RQPWJC to login. ...Read more

22

22
What other things can mimic an epididymal cyst on an ultrasound or is an epididymal cyst on an ultrasound definitely always benign?

No such thing as: "definitely always", but in this case you are close. Malignant tumors of the paratesticular structures are rare but not impossible. These would likely grow more rapidly than the common benign cyst. ...Read more

25

25
My doctor told me I have a small cyst on my epididymis. He said it is nothing to worry about & that it should go away. Will it go away by itself?

My doctor told me I have a small cyst on my epididymis. He said it is nothing to worry about & that it should go away. Will it go away by itself?

Will stay ;. ..: How did you know you have a small cyst in epididymis, by scrotal us for local ache or by palpation? Generally speaking, such cyst is you're born with it, usually not hurt but may grow at highly variable pace, and no need to do something but leave it alone until... See a urologist for detail timely. Meanwhile, it's a good practice to do testicular self-examination just like women for their breast. ...Read more

26

26
Hi, I'm 25, I recently was diagnosed with epididymal cyst on the right. It is painful and lately both testicle are but there is no lump on the other?

Hi, I'm 25, I recently was diagnosed with epididymal cyst on the right. It is painful and lately both testicle are but there is no lump on the other?

Epididymal cyst: Epididymal cysts are very common and are generally nonpainful. The exception would be if they're associated with epididymitis. Anabiotic's may be helpful in this case. ...Read more

27

27
I've heard warm compresses have been shown to reduce (but not cure) other types of cysts. Would a warm compress have any effect on an epididymal cyst?

I've heard warm compresses have been shown to reduce (but not cure) other types of cysts. Would a warm compress have any effect on an epididymal cyst?

Probably not at all: Warm compression may alter sensation and ease discomfort, but would be very unlikely to change the fate of cysts deep inside the sac, which, to begin with, is very rich in circulation. So, why do we need warm compression for epididymal cysts? More? Ask doc or contact www. HealthTap. Com/dr-Lin with RQPWJC to login. ...Read more

28

28
Are epididymal cysts hard?

Yes, usually: But you need to see an urologist to get examination done so that further verification can be done with tests like ultrasound examination to confirm it. ...Read more

29

29
Epididymal cysts, what to do?

Epididymal cysts, what to do?

Leave them alone if: The finding of epididymal cysts is usually an incidental find on evaluating scrotal pain or ache with US. Most of them are located at globus major (head of epididymis), clinically asymptomatic, and require no active attention. So, leave them alone if being mentally & physically comfortable. For individual concern, of course, ask, talk, and work with Doc timely. Best wish... ...Read more

30

30
Can a "cold laser" shrink an epididymal cyst?

Can a "cold laser" shrink an epididymal cyst?

Unclear: Lasers are not used to shrink cysts in the scrotum. Please clarify the meaning of a "cold laser" ...Read more

Epididymis (Definition)

"didymus" is greek for "twin", and these are the cords that hang adjacent to (usually behind) the testes to mature ...Read more


Dr. Alvin Lin
1,756 Doctors shared insights

Testosterone (Definition)

Testosterone is a hormone/androgen which is a kind of ...Read more