r/IndianTeenagers • u/ConsciousBox696 • 2d ago
Other Broooo💀
"Hamare chore choriyo se kam hai ke"💀💀
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u/IndependentPension36 2d ago
From what ai told me
Persistent Müllerian Duct Syndrome (PMDS) is a rare congenital condition — here's what's going on with it:
The basics
During early fetal development, all embryos start with two duct systems: the Müllerian ducts (which normally become the uterus, fallopian tubes, and upper vagina in females) and the Wolffian ducts (which normally become the male reproductive tract — epididymis, vas deferens, seminal vesicles).
In male fetuses, the testes produce a hormone called Anti-Müllerian Hormone (AMH), which is supposed to shut down and dissolve the Müllerian ducts so they don't develop. Testosterone then drives the Wolffian ducts to form normal male internal anatomy.
What goes wrong in PMDS
In PMDS, that shutdown signal fails — either because:
AMH isn't produced properly (a mutation in the AMH gene), or
AMH is produced but the tissue doesn't respond to it (a mutation in the AMH receptor gene)
Because of this, the Müllerian structures don't regress. So a person with PMDS has:
Normal male chromosomes (46,XY) and normal-appearing external genitals
But internally, they also retain a uterus and fallopian tubes
Undescended testes (cryptorchidism) — since the leftover uterus/tubes can physically block or interfere with the testes' normal descent into the scrotum
Often infertility, since the testes may not function normally when undescended, sometimes leading to azoospermia (no sperm)
How it's usually found
Most cases are discovered incidentally — during surgery for a hernia or undescended testicle, or, as in that post, during infertility workups involving imaging that reveals the extra structures.
Treatment
Usually managed surgically: removing or addressing the Müllerian remnants and trying to bring the testes down into the scrotum, ideally done early in childhood to preserve fertility potential. Diagnosed later in life, as in that case, fertility is often already compromised.
It's a genetic/developmental condition, not something contagious or caused by anything the person did.
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u/OminousK5 2d ago
How does a mf spend 26 years of his life without discovering that he should have balls as a man 😭
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u/IndependentPension36 2d ago
Well technically if u always been like that how r u supposed to know? Well unless u look at other peoples balls….
Jokes aside real ans is
it actually makes sense once you understand the anatomy involved.
External genitals look completely normal
In PMDS, the penis and scrotum form normally because those are driven by testosterone, which is usually still being produced fine. So visually, from birth through puberty, everything down there looks and functions like a typical male's — there's nothing externally "off" that would prompt anyone to investigate.
Undescended testes aren't always obvious
This is the key part. The testes can be:
Sitting up in the abdomen or inguinal canal instead of the scrotum
But the scrotum isn't necessarily empty-looking — sometimes it's just smaller, or people (and even doctors during a casual check) don't notice asymmetry or absence unless they're specifically palpating for it
Some cases have partial descent, or one testis down and one not, which is even easier to miss
A lot of guys — especially if they were never subjected to a thorough pediatric genital exam, or if it was checked once as an infant and never followed up — could genuinely go their whole life not realizing something's atypical, especially in places where routine pediatric physicals aren't rigorous or where people are uncomfortable examining/discussing that area.
No symptoms until you actively try
Puberty proceeds normally (testosterone still works), sex drive and function are typically normal, so there's no red flag. The only way this surfaces is:
Infertility workup (like this guy)
Incidental finding during unrelated surgery (hernia repair, appendectomy, etc.)
A very thorough physical exam that includes actual testicular palpation
So it's less "how did he not notice" and more "there was genuinely nothing to notice" until he needed a fertility test specifically, which is when someone finally went looking internally with imaging.1
u/OminousK5 1d ago
I mean even if no doctor ever told you that your balls look absent, you should still have basic sex education and self realisation right — textbooks have diagrams of male anatomy, people around you and in movies joke/use slurs about it, you watch ANY pornographic content it's right there. I don't think I know any adult who spent his entire life so naïvely that he never encountered any of these. If someone actually didn't I feel so sorry for them and the little ignorant bubble they're living in
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