This is an automatically translated article.
Everyone thinks that, having mumps and having testicular complications is definitely infertile. However, according to male doctors, within 1-2 months after orchitis, patients go to the doctor and have sperm frozen, they are completely capable of giving birth thanks to modern fertility support measures. .1. The complication rate of mumps orchitis accounts for about 20-30% of cases and is common in men at puberty or after puberty.
Unfortunate storiesAfter contracting mumps, Mr. Nguyen Van Tuan (24 years old, in Tam Diep, Ninh Binh) found his testicles were getting smaller and smaller, but because he was afraid to go to the doctor. Half a year later, Tuan went to do a semen analysis. He panicked because he knew he was no longer able to be a father." Both of the patient's testicles were atrophied, soft, and the semen analysis did not contain sperm. must think about the possibility of asking other people's sperm to fertilize them," said Orthodontist Nguyen Ba Hung, Reproductive Support Center, Vinmec International General Hospital.
Mr. Luan (27 years old, in Hoa Binh) is unmarried, suffering from right testicle inflammation due to mumps 2 years ago. After recovering from the disease, he gradually atrophied in one testicle. Thinking that having "one ball" still ensures his ability to become a father, he is still cavalier. Unfortunately, he had an accident that resulted in a ruptured testicle and had to remove 3/4 of the testicular parenchyma at a provincial hospital. Six months after the accident, Luan went to the orthopedic clinic. At this time, the right testicle has atrophied, the left testicle after the accident is also deformed with sticky fibers, the remaining volume is only the size of a finger, ie 1/8-1/6 compared to before. The semen analysis showed no sperm at all.
According to Dr. Hung, usually, orchitis may appear within 1-3 weeks after the patient has painful swelling of the parotid gland. The complication rate of orchitis caused by mumps accounts for about 20-30% of cases, and is common in men at puberty or after puberty. And in those with this complication, up to 30-50% will have testicular atrophy leading to infertility. When the mumps virus attacks the spermatogenic cells, these cells are damaged and cannot continue to produce sperm. Current treatments for mumps do not have a specific treatment, so when there is a complication of testicular atrophy, there is no way to restore spermatogenesis.
2. How to freeze sperm?
Those who have complications of mumps or for some other reason damage both testicles, completely lose spermatogenesis of the testicles, within 1-2 months after that incident, people still detect There are still sperm in the semen (because some sperm are still left in the vas deferens, seminal vesicles), so the patient still has the opportunity to father a father using current assisted reproductive techniques even at that time. having only a small amount of sperm is not enough to conceive naturally.Patients who come to the orthodontist during this period will still have the opportunity to collect the remaining sperm here and store them outside the body (sperm cryopreservation) thereby helping to preserve the child. alike. If left for a long time after 2 months or more or after 10 or more ejaculations, the sperm reserve will run out while the supply is no longer available, so there will be no chance to be your own father.
Sperm samples are preserved under strict technical conditions, at minus 196 degrees Celsius in liquid nitrogen environment and can keep sperm for more than 20 years. The rate of sperm surviving after thawing is up to 70% - 80%. The quality of embryos fertilized by thawed spermatozoa ensures the quality to give birth to healthy babies.
Being a father is the happiness of any man. Accidents that lead to testicular trauma can be unpredictable. Therefore, Dr. Nguyen Ba Hung (Reproductive Support Center - Vinmec Times City International Hospital) recommends: Immediately after having an incident, there is a risk of losing sperm function (mumps, sperm injury) testicles, testicular torsion...) or after stabilizing this condition, if men still want to have children, men should see an orthodontist immediately.
Note for the case of mumps, men can consider actively storing sperm as soon as the parotid gland is swollen. Currently, the technology of sperm cryopreservation in particular and tissue freezing in general has made a lot of progress. Hospitals that have performed in vitro fertilization are able to store sperm. Sperm cryopreservation, also known as sperm freezing, is a good prophylactic method in assisted reproduction for cases where patients are treated with chemotherapy and radiation for cancer treatment, for cases where the family is still recovering from cancer. doing high-risk jobs, people who want to donate their offspring...
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