Patient's question:
My husband had mumps and orchitis two years ago and was treated in the hospital. Since then, there haven't been any more problems. But recently, he hasn't been able to get pregnant. It seems to have caused infertility. Now, the family is very anxious about this situation. Everyone wants to have a child to bring some joy to the family.Doctor's answer:
Humans infected with the mumps virus replicate in the upper respiratory epithelial tissue, leading to viremia, with approximately 20% developing orchitis. This orchitis often appears about 5-7 days after the onset of parotitis in mumps patients. Pain intensifies when standing and subsides when lying down, but it does not suppurate and may be accompanied by redness and swelling of the scrotal skin. The swelling typically gradually subsides within 7-14 days, but severe cases may lead to testicular atrophy, affecting sperm production. Comprehensive treatment, including antiviral therapy and immune enhancement, should be conducted under the guidance of a doctor.