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Can testicular damage affect fertility? Can testicular damage still recover?

2023-08-19 本站作者 【 字体:

In today's society, the chance of accidental injury is already very small, but this does not mean that there will be no possibility of injury at all. If men often work outdoors, engage in physical labor, or exercise regularly, they will inevitably experience some unexpected injuries. Some male friends also unfortunately have their testicles injured, which is not only very painful, but also quite complicated to treat. But these are often not the most important things that people pay attention to. Many people's first thought after testicular injury is "Will this affect fertility?" So what is the truth? If testicular injury occurs, can it still recover?

Can testicular damage affect fertility? Can testicular damage still recover?(图1)

1、 What kind of situation can cause testicular injury?

Testicular damage is more common and generally seen in young adults. The main causes of injury include shooting, bruising, kicking, riding injuries, etc. Local examination of scrotal hematoma and damage to the spermatic cord, accompanied by testicular contusion, laceration, or even rupture, with a history of trauma. Ultrasound can determine the degree of testicular damage and whether there is rupture. Testicular injury mainly determines whether there is recovery ability, and treatment should be determined based on the degree of injury and recovery status to avoid delaying diagnosis and affecting the patient's sexual life and fertility. The testicles are very sensitive because there are abundant nerve endings in these areas. Once the testicles are injured, it may cause testicular hematoma, scrotal hematoma, and testicular damage. Be sure to go to the hospital and have the doctor help you determine which parts are injured.

2、 Can testicular damage affect fertility?

Because the scrotum is suspended and has high mobility, it is protected by the thighs and pubic bones, causing bruises and swelling that will quickly subside. Severe pain is not necessarily the cause of serious injury, but rather because the surface of testicular tissue is covered with a rich white film of nerve endings, making it particularly sensitive. After the swelling subsides, the tissue naturally recovers, and even if it has a certain impact on spermatogenic cells, it is only temporary. In the last few weeks or months, the quality of semen will completely return to normal, and this damage will not cause infertility. Testicular rupture is the most serious factor affecting fertility. For example, riding injuries caused by a high-altitude fall, testicular compression by hard objects and pelvis, or stabbing or gunshot injuries caused by sharp objects. Testicular damage can affect male fertility. Spermatogenic cells evolve in the seminiferous epithelium of the seminiferous tubules. Damaged spermatogenic epithelium. On the one hand, sperm cannot regenerate. On the other hand, even after sperm formation, the discharge channel is blocked. In this way, there will be no sperm or extremely reduced sperm in the semen. Therefore, those with severe testicular injury should be treated as soon as possible and the cracks repaired to minimize the possibility of infection and avoid exacerbating the degree of injury. This is because once a testicle is damaged, the blood testis barrier in the original seminiferous tubules will also be disrupted. At this point, the antigens possessed by sperm will enter the blood, which will produce anti sperm antibodies, leading to immune infertility.

3、 Can testicular damage still recover

In fact, whether the testicles can recover on their own after injury depends on the degree of trauma. If it's just a minor injury, taking care of your testicles will still help you recover, but if it's a serious injury, you need to go to the hospital. In fact, due to the special location of the testicles, they are usually not injured. If there is damage, it can be divided into two types: open injury and closed injury. Actually, the most common one is trauma. In fact, whether the testicles can recover on their own after injury depends on the degree of trauma. If it's just a minor injury, taking care of your testicles will still help you recover, but if it's a serious injury, you need to go to the hospital. If the tunica vaginalis is not ruptured or if the ruptured tunica vaginalis is small, conservative treatment can be accepted. You can choose some antibiotics to prevent infection and treat according to symptoms. If there are other circumstances, surgery can be performed. Most patients with testicular injury only require conservative treatment, with only a few requiring surgery, which may affect their future fertility.

Testicular injury is not an impossible thing. In normal work and exercise, there are many opportunities to cause testicular injury. But testicular injury can indeed cause some trouble. If it is only a minor injury, it can generally recover, but if the injury is severe, it will definitely affect reproductive function. Therefore, it is necessary to seek treatment as soon as possible to avoid unexpected situations!

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