Post-Surgery Recovery: When Can You Resume Sexual Activity After Orchidopexy? - Urology

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Cryptorchidism surgery


Hello, I am 35 years old and I plan to undergo surgery to remove my left unilateral undescended testis.
How long after the surgery can I engage in sexual activity? I recently had a sperm quality check, and both the quantity and motility were below the standard.
I am currently taking "Liyou" and "KeDianPing." Could these medications affect my sperm quality, or is it due to having only one testis that impacts sperm quality? Thank you.

Jiang Xiansheng, 30~39 year old female. Ask Date: 2016/09/02

Dr. Sun Hongshun reply Urology


Hello: The factors affecting sperm quality are not limited to cryptorchidism; your physical and psychological conditions, as well as any medications you are taking, can also have an impact.
Regarding surgery, it depends on the type of procedure, the size of the incision, and the healing process.
Please consult with the surgeon who performed your operation.

Reply Date: 2016/09/02

More Info


After undergoing orchidopexy, which is a surgical procedure to correct undescended testicles, it is essential to understand the recovery timeline and when it is safe to resume sexual activity. Generally, after such a surgery, patients can expect to wait at least 2 to 3 weeks before engaging in sexual intercourse. This timeframe allows for adequate healing of the surgical site and minimizes the risk of complications such as infection or excessive bleeding.

During the initial recovery period, it is crucial to monitor for any signs of complications, including increased pain, swelling, or unusual discharge from the surgical site. If any of these symptoms occur, it is advisable to consult your healthcare provider promptly. Engaging in sexual activity too soon can lead to discomfort and may hinder the healing process.

Regarding your concerns about sperm quality, it is important to note that several factors can influence sperm production and quality. The presence of only one testicle can affect sperm count and motility, but many men with one testicle can still produce viable sperm. The medications you mentioned, "離憂" (likely an antidepressant) and "克癲平" (likely an anticonvulsant), can also have an impact on sperm quality. Some antidepressants are known to affect libido and sexual function, while certain anticonvulsants may influence testosterone levels and sperm production.

If you are concerned about your sperm quality, it may be beneficial to discuss this with your healthcare provider or a urologist. They can provide a more comprehensive evaluation and may suggest a semen analysis to assess sperm count and motility post-surgery. Additionally, lifestyle factors such as diet, exercise, and avoiding substances like tobacco and excessive alcohol can also play a significant role in improving sperm health.

In summary, after orchidopexy, it is generally safe to resume sexual activity after 2 to 3 weeks, provided that you are healing well and have no complications. As for sperm quality, it can be influenced by various factors, including the medications you are taking and the presence of only one testicle. Consulting with a healthcare professional can provide you with tailored advice and potential treatment options to improve your sperm quality.

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