Spermiogram Part of Population with the Manifest Orchtis During an Ongoing Epidemic of Mumps

Abstract

ntroduction: Incidence mumps infection has declined since the introduction of the inevitable MRP vaccination during the stage of childhood. In Bosnia and Herzegovina (BIH), from a period of February 2011 until today, there is an evident inclination of the recorded cases of the mumps infection. Orchitis usually occurs in between 3 to 10 days after the parotitis and is found with the post-puberty population. Aim: The aim of the study is to confirm the changes that occur during an early stage of the spermiogram and hormonal status, and after treated mumps orchitis, the patients treated in the Clinic for the Infectious Diseases. Patients and Methods: Retrospectively, the analysis of 54 historical diseases was undertaken. During the research stage, the patients after being discharged have made an inquiry to our clinical consultancy units with final results of the spermiogram and hormone-FSH, LH and testosteron. The data analysis was processed with the SPSS program for Windows. Results: the average length of the hospitalization period was in between 8 (medium) days, and average age M (mean) = 21, 9±5,4 years. The speriogram of the treated patients was undertaken one month after the acute phase of the disease and has shown the following results: azoospermia with 14 patients (25,9%), oligospermia with 30 patients (55,6%) and normospermia with 10 patients (18,5%). During the hormonal status with 11 patients (20,4%), the results have shown the inclination of the value in FSH hormons, with 11 patients (20,4%), have shown the lesser value of the testosterons. Conclusion: The current study suggests that post-orhitis atrofia is expected within a period of 2-3 months after the infection, and thus, the monitoring on the patients' treatment would continue. The male infertility as a result of mumps ocrhitis is controversial and continues to be the thematic issue as well as the effect of orchitis on testicular endocrine function.

Viral infections and implications for male reproductive health

“…However, 15%–30% of epididymo-orchitis is bilateral and causes testicular atrophy that progresses to infertility in 30%–87% of patients. 26 27 28 …”

The Low Prevalence of Y Chromosomal Microdeletions is Observed in the Oligozoospermic Men in the Area of Mato Grosso State and Amazonian Region of Brazilian Patients

“…The percentage of patients (52.1%) reporting mumps infection in childhood in the current study is high. Worldwide, 15–20% of adult men who contract mumps can present orchitis, usually unilateral 46–48. The prevalence of alcohol consumption, in any amount, in the current study was 64.9%; alcohol consumption in infertile men worldwide is reported as high as 88% 49.…”

“…Worldwide, 15–20% of adult men who contract mumps can present orchitis, usually unilateral. 46 – 48 The prevalence of alcohol consumption, in any amount, in the current study was 64.9%; alcohol consumption in infertile men worldwide is reported as high as 88%. 49 Tobacco is known to affect sperm quality and decrease its ability to fertilize the egg.…”

Estimating true hospital morbidity of complications associated with mumps outbreak, England, 2004/05

“…The high numbers of mumps orchitis in current mumps outbreaks may be attributed to the high attack rates in adolescents and young adults. Although mumps orchitis has been shown to cause acute azoospermia and oligospermia, the potential of mumps orchitis to lead to infertility in post-pubertal males remains unclear [25-29]. …”