Can Testicular Compression Lead to Infertility? Expert Insights - Urology

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Can testicular compression lead to infertility?


Hello, doctor.
I am currently working abroad.
Yesterday, when I jumped onto my bed, I landed on my side with my legs together, which seemed to compress one of my testicles.
Today, while walking, I feel something unusual, though I'm not sure if it's psychological or something else.
My urine is normal with no blood, and everything looks fine.
I wouldn't describe it as pain, but it feels strange.
Could this potentially cause infertility? I appreciate your help in clarifying this matter.
Thank you!

Huangkong de guowaigongzuozhe, 30~39 year old female. Ask Date: 2020/10/05

Dr. Xu Wencang reply Urology


It will not cause infertility; further observation is needed.

Reply Date: 2020/10/05

More Info


Testicular compression, particularly if it results from an acute injury or prolonged pressure, can indeed raise concerns regarding fertility. However, the relationship between such compression and infertility is complex and depends on several factors, including the severity and duration of the compression, as well as the overall health of the testicular tissue.

The testicles are responsible for producing sperm and testosterone, and they are sensitive to changes in temperature and blood flow. When the testicles are compressed, it can lead to temporary changes in blood flow and potentially affect sperm production. If the compression is severe enough to cause trauma or injury to the testicular tissue, it could lead to more serious complications, including testicular torsion or damage to the seminiferous tubules, where sperm is produced.

In your case, since you mentioned that you experienced a sensation of discomfort but did not report any pain, blood in the urine, or visible swelling, it is likely that the compression was mild and temporary. The absence of significant symptoms is a positive sign. However, it is essential to monitor the situation. If you experience persistent discomfort, pain, swelling, or any changes in urination or sexual function, it would be advisable to seek medical attention.

Regarding the potential for infertility, it is important to note that temporary compression or mild trauma is unlikely to cause permanent damage to the testicles or lead to infertility. The body has a remarkable ability to heal, and if the testicular tissue is not severely damaged, normal function can often be restored. However, if there are repeated incidents of compression or if the testicles are subjected to chronic pressure, it could potentially lead to long-term issues.

For men concerned about fertility, it is advisable to maintain a healthy lifestyle, including a balanced diet, regular exercise, and avoiding substances that can negatively impact sperm production, such as tobacco and excessive alcohol. Additionally, if there are concerns about fertility, a semen analysis can provide valuable information about sperm count, motility, and morphology.

In summary, while testicular compression can theoretically impact fertility, mild and temporary compression is unlikely to cause significant harm. If you have ongoing concerns or symptoms, consulting a healthcare professional, preferably a urologist or a fertility specialist, would be a prudent step to ensure your reproductive health is not compromised.

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