Post Date December, 03 2023
Xiaoliu is an unmarried young man who suffered injuries to his testicles. His testicles on one side are now only one-third the size of a normal person. He has a girlfriend and has reached the point of discussing marriage. But I have been feeling lingering fear, can I have a healthy baby?
In fact, situations like Xiaoliu may not necessarily affect fertility. Testicular trauma may indeed affect fertility, but it depends on the degree of trauma and the age at which the trauma occurred. If the testicles have matured, it will not affect their development. The testicles on the injured side may atrophy as a result, which may affect the spermatogenic function of the testicles on that side and may not necessarily affect their fertility.
Does small testicles affect fertility
80% of the testicular volume is the seminiferous tubules, which are the "sperm processing factories" responsible for spermatogenesis. The testicular stroma accounts for only 20% of the testicular volume and is the place where testosterone is produced, and a small amount of testosterone can exert significant physiological effects. Therefore, it is not difficult to understand that this type of trauma may not necessarily affect the testosterone production function of small testicular patients simultaneously, and the patient's sexual development should not be a problem, nor will it affect the orgasm after marriage.
If the testicular volume decreases after trauma, the spermatogenic effect of that testicle will be affected, that is, the number of sperm will decrease. Xiaoliu's testicles on one side are normal and can produce a normal amount of sperm. As the function of the prostate and seminal vesicles is not affected, the secretion and sperm from the testes and epididymis only account for a small proportion of the total semen, and the total semen can still be maintained at a normal level. Therefore, it should not lead to infertility. Of course, it is best for Xiao Liu to seek medical attention from a reputable hospital's urology department before marriage, undergo relevant examinations, and further clarify the diagnosis to ensure a clear understanding.
How to self check the testicles
Undoubtedly, how to self detect sexual organ lesions in the testicles is the most troublesome thing for men. Although regular medical examinations at the hospital are a good way to cope, who is willing to go to the urology department or urology department again and again due to face saving. Fortunately, men's "lifelines" (penis and testicles) protrude outside the body cavity, which provides them with convenience for self-examination. By taking a glance or touching while taking a shower or changing clothes, one may discover any abnormalities. Going to the hospital for treatment at this time will save you the trouble of commuting back and forth.
When self checking the testicles, the first thing to pay attention to is the size of the testicles. The volume of adult testicles should be above 8 milliliters, while the average testicular size of Chinese people is 12 milliliters. If the testicles of an adult are less than 8 milliliters, it is possible that the testicles are atrophic. When a boy is 10 years old, the testicular volume should generally reach 4 milliliters, and less than 4 milliliters should be considered abnormal.
Next, the testicles need to be examined using the touch method. The normal state of the testicles should be smooth on the surface, full in texture, without tenderness, and clearly demarcated from the epididymis. If testicular enlargement is found in the short term and there is no tenderness, it may be testicular cancer; If there is pain in the testicles under touch, it indicates inflammation in the testicles; If the scrotum enlarges and the testicles and epididymis cannot be touched, it is possible that there is fluid accumulation in the scrotum, which means there is fluid accumulation in the scrotum; If there is pain or swelling in the epididymis, it indicates that there is a lesion in the epididymis.
In addition, if there is a feeling of swelling or pain in the scrotum or testicles, it can worsen during prolonged standing and long-distance walking; When lying flat, the symptoms may alleviate or disappear, which may be varicocele. A typical varicocele can show twisted and dilated veins beneath the scrotal skin; When touching with your hand, you can feel the dilated blood vessels in the shape of a worm. Primary varicocele can shrink or disappear when lying flat. If the symptoms do not improve while lying flat, it may be due to compression of tumors and other lesions. Once the above symptoms appear, it is best to go to the hospital for diagnosis and treatment as soon as possible.
Men's testicles also need "care and maintenance"
The testicles have a thick fibrous membrane that divides them into many testicular lobules. There are interstitial cells in the connective tissue between the seminiferous tubules in the testicular lobules that secrete male hormones. Once a man enters the puberty stage of 12-14 years old, these interstitial cells can produce a large amount of testosterone.
Testosterone is the main component of male hormones and its biological effects are extremely important in the human body. It is currently believed that the reason for the gradual decrease in testosterone levels with age may be related to the aging of testicular system skills caused by daily wear and tear and excessive life pressure in the human body. When male hormones decrease to a certain extent, symptoms such as irritability, depression, fatigue, and decreased libido may occur, indicating the onset of male menopause.
Testicular maintenance is an important means to solve male dysfunction in men. Men can massage their testicles with both hands while taking a shower or before going to bed, and gently massage the testicles with their thumbs for ten minutes in both clockwise and counterclockwise directions. Long term persistence is beneficial. If you find any abnormal pain during massage, it may be orchitis or epididymitis. Please go to the hospital for examination in a timely manner.
(Intern Editor: Liu Ruichang)
