Patient's question:
Had mumps and it triggered orchitis, leading to atrophy of the left testicle. Will it affect sexual life and infertility? What is the likelihood of infertility? (Note: Wet dreams have also decreased, occurring about once every two months) Is this a disease? Desperately seeking an answer. Thank you.Doctor's answer:
Chronic orchitis is usually a result of untreated acute orchitis, but it can also be caused by certain bacterial infections. Pathologically, it may manifest as testicular swelling or hardening, hyalinization of the basal membrane of seminiferous tubules, and degenerative changes with loss of spermatogenic epithelial cells. Sclerosis may occur around the seminiferous tubules, and small fibrosis may also form. It is recommended that you go to the hospital for precise screening to identify the specific bacterial, viral, or other pathogens causing the orchitis, so that symptomatic treatment can be administered.