How does mumps cause azoospermia?

Many people may wonder how azoospermia is related to mumps. In fact, if mumps is not treated in time, it will cause the complication of orchitis. If it is not handled properly, azoospermia may occur. You can read the following about the relationship between mumps and azoospermia.

Regarding mumps orchitis, according to the World Health Organization's standardized diagnosis and treatment guidelines for male infertility, it was previously believed that orchitis was caused by the mumps virus, but now it has been confirmed that orchitis can also be caused by other viral infections, such as Coxsackie virus and herpes virus. The effects of mumps-induced orchitis on the patient's fertility vary. Some male patients are infertile for life, and some patients' sperm production takes up to 2 years to recover. Mumps before puberty and mumps without orchitis generally do not affect fertility.

Common knowledge about infertility caused by mumps orchitis

Mumps is a viral infection characterized by bilateral parotid swelling in patients. The virus of this disease likes to invade active glands. The testicles are male sex glands with strong activity, so orchitis is the main complication of mumps in the reproductive system. About 20% of "mumps" patients have orchitis.

The average incubation period of mumps is 18 days. After the parotid gland swells, orchitis may occur about a week later, often with unilateral testicular pain (this type of orchitis is particularly painful), chills and high fever, vomiting, abdominal pain, and scrotal examination shows that the testicles are enlarged to the size of walnuts or chicken or duck eggs, with obvious tenderness and medium texture, or as hard as a stone. The scrotal skin is obviously edematous, and yellow effusion is found in the puncture of the tunica vaginalis. The testicles swell rapidly at the beginning of the disease, reaching their peak within 1 to 2 days, and the swelling subsides after about 10 days. One-third to one-half of the patients have varying degrees of testicular atrophy. For patients with bilateral testicular infection, some patients may become infertile due to testicular atrophy causing spermatogenesis disorders.

How to treat azoospermia caused by mumps? Treatment measures for infertility caused by mumps orchitis

(1) Rest in bed, with the scrotum propped up or supported by a T-strap. Local cold compresses have a certain effect. 1% procaine can be used to close the spermatic cord on the affected side. Treat systemic symptoms symptomatically.

(2) Chinese medicine can be used with modifications to the Longdan Xiegan prescription.

(3) General antibiotics are ineffective, but Chinese herbal injections such as Qingkailing Injection, Shuanghuanglian Injection or Xingnaojing Injection have certain therapeutic effects.

(4) Adrenal cortex hormone can be used for a short period of time to inhibit inflammation and relieve symptoms. It can be used continuously for 1 to 2 weeks.

(5) Immunoglobulin injection.

(6) Serum from patients recovering from mumps (preferably serum within 3 to 4 months).