Testicular Injury: Should You Worry About Fertility Issues?

Testicular issues?

Hello doctor, last week while playing basketball, I got kicked in the testicles.
It was quite painful at the moment, and I wasn't sure if it was just psychological.
The dull pain lasted for about an hour, but after I focused on other things, I didn't pay much attention to it.
Now, it's been over a week, and I no longer feel any pain.
Masturbation and urination are both normal without any discomfort.
Could this injury potentially cause infertility or other issues? Should I see a doctor? I'm a bit worried.
Thank you, doctor!

Xiao Xin, 30~39 year old female. Ask Date: 2020/01/20

Dr. Li Xinyi reply Urology

Generally, treatment is required for testicular rupture caused by trauma or traumatic epididymitis.
Based on your description, there should be no issues; however, if you have concerns, it is advisable to consult a urologist for an examination and discuss it with the physician.

Reply Date: 2020/01/20

More Info

Testicular injuries, such as the one you experienced during a basketball game, can indeed raise concerns about potential fertility issues. However, the good news is that many minor injuries to the testicles do not lead to long-term complications, especially if the pain subsided and normal function has returned.
When the testicles are subjected to trauma, several factors can influence whether there will be any lasting effects on fertility. The testicles are responsible for producing sperm and testosterone, and any injury that affects their structure or blood supply could potentially impact these functions. In your case, since you experienced pain that resolved within a week and have not noticed any ongoing issues with urination or ejaculation, it is likely that the injury was mild and did not cause significant damage.

However, it is important to be aware of the signs that could indicate a more serious issue. If you experience any of the following symptoms, it would be wise to consult a healthcare professional:
1. Persistent Pain: If you notice any lingering or recurring pain in the testicular area, it could indicate an underlying issue that needs to be addressed.

2. Swelling or Bruising: Any significant swelling or bruising that develops after the injury could suggest a more serious injury, such as a hematoma or rupture.

3. Changes in Urination or Sexual Function: If you experience any changes in your ability to urinate, or if you notice changes in your sexual function, these could be signs of complications.

4. Fever or Nausea: These symptoms could indicate an infection or other complications that may require medical attention.

Regarding fertility, while a single incident of trauma may not lead to infertility, repeated injuries or severe trauma can have a cumulative effect. If you have concerns about your fertility, especially if you plan to conceive in the future, it may be beneficial to undergo a fertility evaluation. This typically involves a semen analysis to assess sperm count, motility, and morphology, which can provide insight into your reproductive health.

In summary, while your initial injury may not pose a significant risk to your fertility, it is always best to err on the side of caution. If you have any ongoing concerns or symptoms, seeking medical advice is a prudent step. A healthcare provider can conduct a thorough examination and, if necessary, recommend further testing to ensure that your reproductive health is intact. Remember, early intervention can often prevent more serious complications down the line.

Similar Q&A

Testicular Concerns: Injury Impact on Fertility and Health

Hello, about eight years ago, I injured my testicle (around 7 or 8 PM). It was very painful at the time, and I still felt some lingering pain the next day. I noticed a tear at that time (now they look like normal testicles, but on the left side, I can still see the scar from the ...

Dr. Du Shixi reply Urology
Hello: To determine if one can conceive, checking semen quality is sufficient, and there's no need to overthink it. Avoiding smoking and alcohol, wearing loose underwear, and not sitting or standing for prolonged periods can help improve sperm quality. Wishing you good healt...

Bruising in the Testicle: Should You Worry About Fertility?

I would like to ask about an incident that happened a year ago when I was hit in the groin by a basketball. At that time, I experienced pain for a few minutes, but it subsided, so I thought it wasn't a serious issue. However, I later noticed some slight bruising underneath m...

Dr. Li Yilun reply Urology
At that time, the symptoms were likely a contusion of the scrotum. If there is no discomfort in the testicles, the impact on fertility is minimal. However, since the incident occurred a year ago, if there are concerns, it is advisable to visit a hospital for evaluation. A semen a...

Can Testicular Injury Lead to Infertility? Expert Insights

Hello, doctor. I apologize for bothering you again. I would like to ask if accidentally injuring the testicles could lead to infertility issues. Thank you.

Dr. Du Shixi reply Urology
Hello: Accidentally piercing the inside of the testicle will not lead to infertility issues --> It won't, wishing you good health.

Impact of Testicular Injury on Male Fertility: What You Need to Know

Doctor, I had an injury to my testicles when I was a child, which resulted in them not being completely intact. Both sides are affected. Will this impact my fertility? I ejaculate normally, but could I be producing no sperm?

Dr. Xu Weikai reply Urology
Hello, if you're feeling worried, you can consider the following tests: 1. Semen analysis 2. Testicular ultrasound 3. Hormonal analysis. Medical science has advanced significantly, so there's no need to worry. If you have any further questions or need more details, feel...