"10% - 30% of patients with oligozoospermia and azoospermia have a history of parotitis." According to Xuan Xujun, chief physician of the male department of Sun Yixian Memorial Hospital of Sun Yat sen University, after mumps virus enters the human body, it can invade various gland tissues or nervous system, and can cause complications such as meningoencephalitis, orchitis, pancreatitis, mastitis, and oophoritis. Among the complications, orchitis and epididymitis are the most common, and the incidence rate accounts for 10% - 30% of male adult patients. Generally, the incidence rate of orchitis in patients after 13 years of age is significantly higher, and the probability of orchitis in children due to immature reproductive organs is lower.
"Because after the inflammatory swelling of the tail of the testis, the mass compresses the testicular artery, resulting in testicular ischemia and local necrosis, the swelling and pain of the acute inflammatory stage of the testis will occur, and after a month or two, it will 'shrink', and the testes of individual patients will also shrink and disappear." Xuan Xujun said that the testicular lesions are often unilateral, because mumps virus itself will damage the function of the spermatid cells, plus the damage caused by inflammation to the testis, If not treated in a timely manner, it may lead to fertility disorders in the future.
"For the spermatogenic dysfunction caused by mumps virus, the comprehensive treatment method of 'physiotherapy+antiviral drugs+hormone' is generally adopted, but the cure rate is only 5% - 10%, and the natural fertility rate is very low! Most of the remaining patients may be pregnant with the help of assisted reproductive technology." In this regard, Xuan Xujun particularly stressed that men with mumps, regardless of age, should pay attention to orchitis Treatment of complications of epididymitis. After the inflammation is cured, you should also go to a professional urology department for sperm production function testing. If problems are found, timely hormone treatment is better.
(Intern Editor: Xie Yunsheng)