Does epididymitis affect fertility

epididymitis may affect fertility, especially if the inflammation has not been effectively treated for a long time. Epididymitis can lead to decreased semen quality, obstructed vas deferens, or impaired testicular function, thereby interfering with male fertility. Timely medical attention and scientific treatment can effectively reduce the impact of epididymitis on fertility.

1. The reasons why epididymitis affects fertility

The epididymis is an organ that stores and transports sperm, and inflammation can interfere with its normal function.

Inflammation produces toxic reactions: When epididymitis occurs, inflammatory cells release toxic substances that may damage sperm quality, leading to decreased sperm motility, abnormal morphology, or reduced quantity. Epididymal duct obstruction: When inflammation worsens, it can lead to local tissue fibrosis, making it difficult for the epididymis to effectively transport sperm. In severe cases, it may cause blockage of the vas deferens, leading to infertility.

Testicular dysfunction: The epididymis is adjacent to the testicles, and severe infection may spread to the testicles, known as epididymorchitis, directly affecting the quality of sperm production in the testicles.

2 Treatment Methods for Epididymitis

Scientific treatment and maintenance can reduce damage to fertility, including the following points:

Drug treatment:

① Antibiotic treatment: such as cephalosporins, quinolones, such as levofloxacin, should be taken according to medical advice to completely eliminate infection.

② Analgesic drugs: such as ibuprofen, used to relieve pain and inflammatory reactions in the epididymis.

③ Anti swelling drugs: The use of nonsteroidal anti-inflammatory drugs can help restore inflammation.

Local treatment: Local hot compress can be used to promote blood circulation, help alleviate discomfort, and assist in the absorption and resolution of inflammation.

Surgical treatment: For cases where inflammation recurs or affects normal sperm discharge, epididymal puncture drainage or epididymectomy can be chosen according to the doctor's advice.

3 Lifestyle and Dietary Adjustment

Pay attention to lifestyle: maintain good hygiene habits, reduce the burden of prolonged sitting and frequent sexual activity on the epididymis, quit smoking and alcohol, and avoid spicy and irritating foods.

Optimize diet: Eat foods rich in zinc and vitamin E in moderation, such as seafood, nuts, and eggs, to improve sperm quality and promote reproductive health. Early detection and active treatment of epididymitis generally do not have a significant impact on fertility. If left untreated for a long time, it may lead to irreversible damage to the epididymis and surrounding tissues. If fertility difficulties are caused by epididymitis, it is recommended to obtain a systematic treatment plan based on the evaluation of urologists and reproductive doctors.