Patient's question:
Testicular atrophy last winter holiday unknownDoctor's answer:
Analysis of the condition: Generally, when the scrotum is exposed to cold, it may contract, which is normal and does not constitute testicular atrophy. In medical terms, testicular atrophy refers to a condition where the testicles were originally normal but gradually shrink and become smaller due to certain reasons. The main causes include the following:Viral infection
Viral infection is the most common cause of testicular atrophy in children and adolescents, particularly the mumps virus, commonly known as "mumps." When the testicles are attacked by this virus, the sperm-producing tissues within them are damaged, leading to a reduction in testicular volume and a softening of texture.
Trauma
If the scrotum or testicular area suffers impact injuries, such as scrotal hematoma or testicular laceration, even after healing, the testicles may remain in a state of insufficient blood supply, resulting in atrophy.
Inflammation
Severe testicular inflammation causes swelling and pain in the testicles, which can last for multiple days. Due to bacterial invasion that damages testicular tissue, the tissue may atrophy.
Exposure to radioactive substances
Individuals who are exposed to radioactive substances for prolonged periods, such as those working long-term with X-rays or isotopes without adequate protection, may develop testicular atrophy.
Endocrine disorders
The testicles are an endocrine organ that primarily produces androgens. If diseases affect other endocrine-regulating organs, such as the pituitary gland, adrenal glands, or hypothalamus, it can disrupt testicular function and lead to atrophy.
Medication effects
Long-term use of certain toxic drugs, such as arsenic-based medications, or repeated use of anti-androgenic estrogen drugs, such as diethylstilbestrol, can cause testicular atrophy.
Suggestions:
Testicular atrophy may ultimately lead to the loss of sperm production function or reduced sperm production capacity. However, the impact should not be too significant, and there may be no need to worry excessively. Under normal circumstances, no problems should arise. Therefore, there is no need to be concerned. A single testicle has no significant effect on fertility because the number of sperm produced by one testicle far exceeds the amount needed for pregnancy. There is also a condition called cryptorchidism, where one testicle is hidden in the groin, but as long as one remains outside, normal fertility can still be maintained.