How to care for bilateral testicular trauma caused by a car accident

Patient's question:

The bilateral testicles were completely shattered due to a motorcycle accident and have been completely removed. I have already been discharged from the hospital. The day before the incident, I had sexual intercourse many times. Today, I asked someone, and they said it's possible that there might still be sperm in the vas deferens. Is it meaningful to do a semen test as soon as possible now? I called the doctor, and the doctor said that both of my spermatic cords have been ligated, and they were ligated after the testicles were removed. I had no choice but to ask here. Besides hope, can anyone understand my feelings? I'm only 20 years old, working odd jobs outside, and I'll be mocked if I don't have children in the future. My parents will also be heartbroken. Please, doctor, tell me in detail what I should do now. I also want to find a psychologist.

Doctor's answer:

The physiological function of the testes is to excrete male hormones, maintain male sexual characteristics, and additionally promote the evolution of sperm to ensure normal fertility. Since the testes have been removed and no longer have normal sperm production function, it is possible that there may be no sperm present. It is recommended to maintain a positive mindset, regardless of fertility, and not to excessively grieve or feel inferior. As long as one is healthy, that is enough. Everyone may encounter certain unexpected events. If possible, it is advisable to undergo further and more thorough examinations at a large hospital, and to divert attention in daily life.

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