Aphrodisiac: Will sleeping on one's stomach damage sperm if a man does it?

The cause of abnormal decrease in testicular volume needs to be clarified first, and hormone treatment, surgical correction or lifestyle adjustment can be taken accordingly. Small testicles may be related to factors such as congenital hypoplasia, hypothalamic-pituitary disease, sequelae of orchitis, varicocele or trauma.

1. Hormone treatment

If gonadotropin is insufficient, human chorionic gonadotropin injection or urinary gonadotropin injection can be used as directed by the doctor to promote the development of testicular interstitial cells. Those with hypogonadism can supplement testosterone undecanoate soft capsules. Primary testicular failure requires lifelong androgen replacement. Testosterone levels and prostate-specific antigen need to be monitored regularly during treatment.

2. Surgical intervention

Testicular atrophy caused by varicocele can be treated with high ligation of the spermatic vein under a microscope. Patients with cryptorchidism need to complete testicular descent surgery before the age of 2 years. If the blood supply of testicular atrophy is damaged after trauma, testicular prosthesis implantation can be considered to improve the appearance, but the compensatory function of the contralateral testicle needs to be evaluated.

3. Cause treatment

Tuberculous orchitis requires standardized anti-tuberculosis treatment for 6-9 months. In the acute stage of mumps complicated by orchitis, patients should stay in bed and apply ice. Hypothalamic syndrome caused by pituitary tumor compression requires tumor resection through the nasosphenoid sinus, followed by postoperative radiotherapy.

4. Traditional Chinese Medicine conditioning

For kidney yang deficiency, Yougui Pills can be used to warm and replenish kidney yang, combined with moxibustion at Guanyuan, Shenshu and other acupoints. For the type of qi and blood stasis, use Xuefu Zhuyu oral liquid, supplemented by local Chinese medicine fumigation and washing. For dietary therapy, you can eat oysters, walnuts and other zinc-containing foods to avoid excessive bitter cold and Yang damage.

5. Life management

Avoid sitting for long periods of time, which can compress your testicles, and choose breathable cotton underwear. Quit smoking and limit alcohol consumption to reduce vascular damage, and control weight to prevent metabolic syndrome. Perform moderate squats and Kegel exercises to improve pelvic blood circulation, but avoid strenuous exercise that may cause testicular torsion.

Adult men whose testicular volume is less than 12 ml or whose texture is abnormal need to see an andrology department as soon as possible. Testicular dysplasia in childhood should be screened for karyotype, and those with delayed puberty need intervention before the bone age is 12 years old. All treatment options must be evaluated by a reproductive endocrinologist, and self-medication is not allowed.