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Published on: August 6, 2014
[The clinico-statistical characteristics of the testicular generative function in male subfertility following mumps]
Abstract:
The paper emphasized the role of mumps complicated by orchitis in the etiology of male subfertility with allowances for a possible development of testicular degeneration in the course of epidemic parotiditis alone, i.e. without clinically evident orchitis. To distinguish the impact of mumps sustained in childhood on the infertility development clinical and laboratory investigations would be advisable in the majority of subfertile males. The results of clinical and statistical study of 865 infertile males aged between 20 and 36 yrs whose marital life varied from 8 mos to 12 yrs were reported. Anamnestic evidence of epidemic parotiditis sustained at the age of 5-13 yrs was found in 174 examinees (20.1 per cent). Spermographic data on subfertile males with a history of mumps were exposed to statistical computation and correlated with the data on 200 subfertile males who avoided the disease and the data on 22 healthy fertile males. The authors noted significantly low (p less than 0.05) contents of ejaculate spermatozoa in subfertile males with a history of mumps and a significantly low number of morphologically normal spermatozoa (p less than 0.001) in comparison to those values in subfertile males without a history of epidemic parotiditis.
Insights
Mumps, especially with orchitis, can cause male subfertility. Childhood mumps history is linked to lower sperm counts and fewer normal sperm in infertile men.
Area of Science:
- Reproductive Medicine
- Andrology
- Infectious Diseases
Context:
- Mumps (epidemic parotiditis) is a viral illness that can affect adult males, potentially leading to orchitis.
- Male subfertility is a significant concern, and etiological factors require thorough investigation.
Purpose:
- To investigate the long-term impact of childhood mumps infection on male fertility.
- To determine if mumps, with or without orchitis, contributes to male subfertility and testicular degeneration.
Summary:
- A clinical study analyzed 865 infertile males (aged 20-36). 20.1% reported a history of mumps between ages 5-13.
- Sperm analysis revealed significantly lower ejaculate spermatozoa counts (p<0.05) and fewer morphologically normal spermatozoa (p<0.001) in men with a mumps history compared to controls.
Impact:
- Childhood mumps infection is a significant risk factor for male subfertility.
- Clinical and laboratory investigations for mumps history are recommended for subfertile males to identify potential causes.
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