Q.Males in whom testes fail to descend to the scrotum are generally infertile. Why?
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Start your 14-day free trial to unlock the full solution →Infertility in males with undescended testes occurs because the higher temperature inside the abdomen damages the delicate process of sperm production, which requires the cooler environment of the scrotum.
The human scrotum is not just a bag of skin — it is a carefully designed temperature-regulating chamber. For sperm to be produced (a process called spermatogenesis), the testes need to be kept about 2–3°C cooler than the core body temperature. That is why the scrotum hangs outside the main body cavity, and why muscles like the cremaster and dartos can pull the testes closer or let them hang lower to adjust temperature.
When a male's testes fail to descend into the scrotum — a condition called cryptorchidism — one or both testes remain lodged somewhere along the normal path of descent, often inside the abdominal cavity or the inguinal canal. Inside the abdomen, the temperature is the same as the rest of the body, roughly 37°C. This is simply too warm for spermatogenesis to occur normally.
The testes themselves do produce the male hormone testosterone even when undescended, so secondary sexual characteristics (like voice deepening, facial hair) develop normally. The problem is specifically with sperm production, not hormone production.
The heat inside the abdomen disrupts the enzymes and cellular machinery that build sperm. The germ cells (spermatogonia) degenerate or fail to mature. If both testes are undescended, the result is usually azoospermia — no sperm in the semen — and therefore infertility. Even if only one testis is undescended, the sperm count can be significantly reduced, though fertility may still be possible if the other testis is normal. …
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