Is male infertility related to testicular trauma?

Patient's question:

I want to know what symptoms men may show if they are infertile? Which department should I go to? My wife and I have been trying to conceive for two years without success. She has been checked and there are no problems, so it must be me. Is male infertility related to testicular trauma?

Doctor's answer:

1. Reproductive organ infection: Infections caused by bacteria, viruses, protozoa, etc., can directly harm the testicles, leading to testicular atrophy, testicular tuberculosis, destruction of testicular tissue, severely affecting sperm production ability and reducing sperm vitality, resulting in infertility. For example, 20% of individuals who contract mumps before the early stage of puberty develop secondary testicular inflammation, which can cause infertility.
2. Postnatal testicular injury: Procedures such as hernia repair surgery, hydrocele surgery, and testicular fixation surgery can damage testicular blood vessels, obstruct blood supply, and lead to testicular atrophy.
3. Obstruction of sperm transport: Tuberculosis of the epididymis and vas deferens can cause vas deferens obstruction, hindering sperm passage. Sexual dysfunctions such as impotence and premature ejaculation cannot allow sperm to enter the female vagina.

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