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Do Patients With a History of Orchitis Still Have Fertility?

The testicle is a unique male reproductive organ with the unique function of producing reproductive cells named sperm. If the testicle is affected and damaged by external factors, sperm production will be hindered, and some physiological functions of the body will be restricted.

Do patients with orchitis have fertility

Orchitis is a male reproductive infection caused by bacteria, viruses and other pathogenic microorganisms. The testicle itself is rarely infected by bacteria because it has a rich supply of lymphatic fluid and blood, and its resistance is stronger. So testicular inflammation is usually caused by the epididymis infection near the testicle.

Orchitis is divided into acute testicular inflammation and chronic testicular inflammation. Acute testicular inflammation often occurs in patients with urethritis, cystitis, prostatitis, and long-term indwelling urinary catheter. It has a special pathway of infection, which usually spreads to the epididymis through the lymph or vas deferens to cause epididymo-orchitis. On the other hand, chronic orchitis is most often caused by incomplete treatment of acute orchitis. Or it may be induced by mycobacterial, spirochetal and parasitic infections.

So do patients with a history of orchitis still have fertility?

Whether they can still have fertility after testicular infections must be judged according to the patient's physical condition. 

The patient should actively cooperate with the doctor in the treatment, do a good job in daily care, pay attention to personal hygiene, have regular rests, and get rid of the symptoms such as testicular pain and swelling after recovery. And meanwhile, the sperm keeps energetic. This way, his physical condition is good, and the patient can generally have fertility.

But if the patient does not behave accordingly, has recurrent symptoms such as testicular pain or swelling, and the sperm cannot keep energetic, it means that his condition is not good, and the patient usually is unable to have fertility.

If the patient do not have fertility, there may be the following reasons:

1. Reduced mobility of the sperm: after pathogens infect the epididymis, some pathogens can directly cause damage to sperm in the epididymal ducts, inhibiting the mobility of the sperm or making the sperm agglutinate to reduce its mobility. Some pathogens will be adsorbed on the surface of the sperm so that the sperm mobility is reduced or even lost. The toxins pathogens produce will also kill the fragile sperm and greatly increase their mortality rate.

2. Sperm channel blockage: the harm of orchitis includes blocking the passing channel of the sperm. If testicular infection is caused by gonococcus, tuberculosis bacillus, mycoplasma, chlamydia, and other pathogens, not only will the inflammation spreads and damages the sperm, but also it will easily cause the epididymal lumen to shrink or block, resulting in incomplete or complete obstruction at the junction between the tail of the epididymis and the vas deferens.

3. Trap of the sperm: when inflammation occurs in the testicle, the body's self-defense system will take immediate action, and immune cells such as leukocytes, lymphocytes and humoral immune substances enter the inflamed epididymal ducts to clear the pathogens. Meanwhile, the immune cells, with a markedly reduced ability to recognize the body's tissues in this case, will have a direct immune reaction with antigenic substances on the surface of the sperm or in the seminal plasma to form anti-sperm antibodies.

Antibiotics are generally required for the treatment of orchitis. Even if the symptoms resolve quickly, patients still need to take the entire course of antibiotics as their doctor prescribes to ensure the infection is entirely cured. If patients are concerned about the side effects of traditional antibiotic therapy, they may consider taking some traditional Chinese medicines, such as Diuretic and Anti-inflammatory Pill.

If patients with orchitis are not treated thoroughly and promptly, when acute testicular inflammation turns chronic, the treatment of testicular inflammation can be difficult, and the condition will recur many times, making it difficult to treat thoroughly. If the suspected orchitis symptoms appear, patients must go to a regular hospital in time.

Recommended Readings:

Understanding the Infertility Risks Associated with Three Types of Orchitis

With Orchitis, Can People Give Birth with Only One Testicle?

Orchitis Patients Still Has Symptoms After 6 Months, What Should You Do?

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