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How Testicular Cancer Affects Fertility

By On 06/07/2020

5 things every man should know about testicles

The testicles are crucial for sexual health and fertility, which is why they need special attention. Here's what you need to know…



The testicles are oval-shaped organs that produce testosterone, a hormone that is involved in all types of the functioning of the male body. Testosterone plays an important role in the formation of sperm, which is produced in the tube inside the testicles. The epididymis is a tube, which is located on the back of each testicle and transmits and stores sperm cells and is the place where spermatozoa mature. The scrotum is a loose "bag" on the skin that holds the testicles, and their role is to protect the testicles by regulating their temperature and removing them from danger.




On average, the testicles are about 5 cm long and 2.54 cm wide. It is completely normal for them to be of different dimensions or for one to be lower than the other testicle or for them to be one behind the other. In most men, the right testicle is slightly larger, and the left one hangs lower than the right one.




There are two conditions that you should pay attention to and consult a doctor immediately. If you feel a sudden, painful swelling in the testicles, you may have torsion of the testicles, ie it is possible that they have twisted. Torsion can occur after some trauma, and some people are simply born with testicles, which rotate more freely. You should definitely consult a doctor because torsion usually requires surgery. Another appeal is inflammation, swelling, or tenderness of your testicles, which can lead to chlamydia.




As for the overall health of your body, it is important to live a healthy life. Avoid alcohol, cigarettes, and increase your intake of food, which is rich in antioxidants. Alcohol use can reduce testosterone levels and sperm production. It can also cause erectile dysfunction. Smoking is also associated with decreased sperm count. Fertility can be affected by both stress and obesity. Also, activities that warm your testicles, such as cycling and frequent use of the sauna, can reduce the number of your sperm.




The probability that a man will get testicular cancer is 1 in 270. It most often occurs in young and middle-aged men. The probability that cancer will be successfully cured is higher if the disease is detected early, so it is important that you perform a self-examination once a month. While you are in the shower, feel your testicles and if you notice any changes, consult a doctor. Lumps, change in size, shape, swelling, pain is symptoms that you must not ignore. 





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One in six couples has problems with pregnancy, or with maintaining pregnancy. The same percentage of reasons can be in men and women. Specifically, in one-third of cases, the reasons lie infertility problems in men; in one-third in women; in the remaining cases (also one third) the reasons lie in a combination of factors in both partners - or there is simply no medical explanation.

If after a year of regular sexual intercourse (2-4 times a month) you are still not pregnant, it is recommended that you visit a gynecologist who will advise you whether you and your partner need to do tests.

Most (two thirds) couples who have a problem with conception will be able to conceive after appropriate analyzes and treatments - which can be very simple (change of diet, for example) but of course, can also require interventions such as artificial insemination.

So just be patient and brave! In this article, we will deal with potential infertility problems in men. Remember that the word "infertility" does not mean "complete inability to remain pregnant", but is defined as "absence of pregnancy after one year of sexual intercourse without the use of contraception". Only in a very, very small number of cases is a man completely sterile or a woman has a problem that completely prevents her from remaining pregnant. "Infertility" is not the same as "sterility"!




Diagnosis, treatment, and survival

Diagnosing testicular cancer usually involves both a scan and a blood test. The presence of a mass in or on the testis can be determined by ultrasound examination, while blood tests look for various tumor markers (including alpha-fetoprotein, human chorionic gonadotropin, and lactate dehydrogenase).

Other screening methods such as chest X-rays and CT scans are used to determine the stage (or rate of spread) of cancer, and the stage then determines what treatment is needed. If the cancer is found only in the testicle, then removal of the testicle (called orchidectomy) is often the only necessary treatment. If cancer has spread beyond the testicles, to lymph nodes or organs (such as the lungs, liver or brain), then chemotherapy and/or radiotherapy may be necessary. Removal of a single testicle does not affect fertility or the production of male hormones, but chemotherapy and radiotherapy can temporarily or permanently reduce sperm count.




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