Can testicular trauma lead to abnormal sperm?

Patient's question:

If the testicles have been injured, will the sperm in the body be abnormal or healthy? I have children, but they are unhealthy. Is this related to the injury to the testicles?

Doctor's answer:

I. Blocking the Sperm Channel: If orchitis is caused by a pathogen infection, it will directly affect sperm quality and may lead to the shrinkage or blockage of the seminiferous tubules, ultimately resulting in blocked vasa deferentia.
II. Reducing Sperm Motility: After the testicles are infected by pathogens, sperm motility is directly damaged, further inhibiting sperm activity. Additionally, it may lead to sperm agglutination, reducing sperm motility; some pathogens may adhere to the surface of sperm, also causing reduced or even complete loss of sperm motility. Meanwhile, toxins can kill fragile sperm, leading to a decrease in sperm count.
III. Trapping Sperm: Orchitis can also cause male individuals to develop antisperm antibodies. This occurs because, after contracting orchitis, the body's self-defense system immediately activates, and immune cells or substances enter the inflamed seminiferous tubules to eliminate pathogens, triggering an immune response and producing immune cells. When immune cells bind to sperm, antisperm antibodies are formed, making it easier to develop oligospermia.

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