Can mumps infertility be treated? – VnExpress

Many men with testicular atrophy due to mumps complications still have a chance to have children with micro-TESE.

Doctor Ngo Dinh Trieu Vy, Reproductive Support Center of Tam Anh General Hospital in Ho Chi Minh City, said that azoospermia due to spermatogenic damage is still one of the challenges in the treatment of male infertility. Fortunately, however, in the case of infertility due to testicular atrophy, a complication of mumps, spermatogenesis does not completely stop, but still occurs in a small area in the testicle, despite the rate of spermatogenesis. will decrease faster than normal.

Therefore, in the case of men with mumps and complications of testicular atrophy, testes do not produce sperm and semen results do not find sperm, they will be examined, evaluated comprehensively and plan treatment. .

Micro-TESE surgery at IVFTA-HCM to find sperm for azoospermia patients under modern microscope. Image: Tam Anh General Hospital

Currently, with the development of medicine, micro-TESE is considered a “golden” treatment for infertile patients due to damage to spermatogenesis. .

At the Center for Reproductive Support at Tam Anh General Hospital in Ho Chi Minh City (IVFTA-HCM), micro-TESE surgery has brought positive results in the treatment of male infertility. The rate of finding sperm with infertility cases due to atrophy of 2 testicles, no spermatogenesis at IVFTA is up to 60-70%.

Sperm collected from micro-TESE will be processed and carried out for in vitro fertilization. Recent studies show that the success rate of this method is close to that of IVF cases using sperm samples collected in semen. Besides, in addition to the treatment that can have sperm and children, patients need to pay attention to reproductive health even after successful IVF.

Doctor Vy recommends that for men who do not want to have children but have had mumps, in addition to treating immediate diseases, patients should see a doctor specializing in reproductive health to be evaluated for the effects on the reproductive organs. fertility and consider sperm storage. If this step is skipped, men need a pre-marital examination to assess their reproductive health.

According to Doctor Vy, a very typical problem in Vietnamese men is that they only pay attention to the treatment of mumps but forget or don’t really pay attention to the complications of the disease that can affect their health. Few men pay attention to pre-marital health check-ups, so after marriage and late children go to the doctor and discover that they are infertile due to mumps complications.

“When there are symptoms of mumps and orchitis, men need to immediately go to specialized hospitals so that they can intervene in time, keeping the hope of fatherhood by storing sperm,” said Doctor Vy.

Doctors recommend that men go to a gynecologist once every 1-2 years to see what testicles and endocrine status are in order to take measures to regulate testosterone levels. Especially for patients with an appropriate exercise regimen, using drugs to regulate the hypothalamic-pituitary-gonadal axis, not just supplementing with testosterone alone… along with a balanced diet. nutrition, healthy lifestyle because in these cases the male’s spermatogenesis will be reduced early, which not only affects their own quality of life but also affects their relationship with their wives. husband and family happiness.

Quynh Chau


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