Do Infections Cause Male Infertility?

The most common cause of azoospermia in India was formerly smallpox. This infection of the epididymis injured, resulting in ductal obstruction. Fortunately, this particular disease is now only of historical interest because it has been destroyed. TB also undermines the epididymis, causing azoospermia. However, for proper medical diagnosis of tuberculous epididymitis can be quite difficult, because often it is a silent and indolent disease. Gonorrhea, chlamydia, syphilis and other sexually transmitted diseases can also be chaos with the genital tract of man; causing irreparable damage to the epithelium (lining).

Mumps can also cause orchitis (inflammation of the testicles) - especially when it affects young men. This can result in significant damage to the testes, creating a testicular failure if damage both ovaries. However, remember that all children who contract mumps have sperm problems in adulthood.

What other genital tract infections? Many patients (and their doctors!) They worry when the report semen analysis shows pus cells. This condition is called pyospermia or leucocytospermia. Remember that some pus cells in semen are quite normal and this finding does not mean that you have a sperm infection. In addition, men often fertile round cells in their semen. Not pus cells, but sperm precursor cells (spermatocytes). However, many laboratories are not able to distinguish between the pus cells and sperm precursor cells. Report these round cells and pus cells and doctors can start treatment with antibiotics to "treat" this infection. It is a waste of time and money!

Many doctors make a seed culture, so when the semen sample contains many pus cells. If the test is positive, it will take place after antibiotic treatment. However, most of the organisms that thrive in these reports are not really growing pathogens at all, but quite normal commensals that colonize the genital tract and are in normal fertile men. Tthe link between the existence of bacteria in the sperm and male infertility remains cloudy. Do bacteria actually cause infertility? Is the infection to help improve fertility? Many more questions than answers, again! In my view, the treatment of most of these "abnormal relations" does not help to improve fertility in men at all.

Malpani Infertility Clinic, India

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