Tuberculosis (TB) can indirectly affect sperm production and function, leading to potential fertility issues in men. While TB itself doesn't directly damage the sperm, it can cause complications that impact fertility.
How TB Impacts Male Fertility
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Epididymitis: TB can cause epididymitis, an inflammation of the epididymis—the tube that carries sperm. This inflammation can lead to blockages or scarring, hindering sperm transport from the testes to the urethra. [Source: Reference 1]
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Genital TB: Tuberculosis infection in the male reproductive system (genital TB) can interfere with sperm production and function. [Source: Reference 4]
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Anti-TB Therapy: While TB itself might not directly affect ejaculatory function, some anti-TB therapies may have side effects impacting sperm. [Source: Reference 10]
It is important to note that epididymal TB is relatively uncommon, and most cases of TB do not directly impact the male reproductive system. [Source: Reference 2] TB is more commonly associated with female infertility due to its impact on the fallopian tubes. [Sources: Reference 3, 8, 9]
The impact of TB on male fertility is often indirect, resulting from complications of the disease rather than a direct attack on sperm. Successful treatment of TB usually improves the chances of achieving fertility.