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Does Hernia Affect Male Fertility

Does Hernia Affect Male Fertility?

| 10 Nov 2023 | 186247 Views |

People of all ages and genders might suffer from the prevalent medical disease known as hernias. But one concern that comes up frequently about male health is whether or not a hernia might affect a man’s ability to conceive.

We will examine the possible consequences and address common concerns among men as we examine the connection between male fertility and hernias in this post.

Does hernia affect male fertility?

No, male fertility is not directly impacted by hernias. For the sake of one’s general health, it is imperative to seek timely medical assistance for hernia repair. For individualized advice, speak with a healthcare provider if you are concerned about your fertility.

Large Hernias can cause infertility

Sexual function may be impacted by swelling in the scrotum and groin area caused by a big inguinal hernia, which is frequently ignored. The penis may occasionally get buried in the hernia sac due to a hernia this size, which can impair fertility and sexual function.

This is especially frequent when there is a bilateral hernia, resulting in swelling of the groin and scrotum. Fertility issues and problems with sexual performance may result from this. To promote general health, it is imperative that these conditions are addressed.

Congenital Hernia can cause infertility

A hernia occurs when the normal hole that allows the testes to pass from the belly into the scrotum does not shut, which results in a hernia that persists long after the baby is born.

Subnormal sperm production might result from testes that are not descended properly and failing to descend into the scrotum. This can lead to both infertility from malfunctioning testes and a double issue of hernia.

When both testicles are impacted, individuals may develop a hernia as well as infertility as a result of the testicles not working properly. Sufficient fertility is achieved even if there is only one testis in the scrotum. If neither testis descends, infertility may result from defective testicular function.

Hernia Mesh can cause infertility

A mesh used during a hernia repair may push on the vas, the white tube that carries sperm. Patients frequently inquire about the possible hazards of this procedure. This can kink and cast the tube in the scar, which might impact fertility.

There are, however, very few case reports of mesh actually kinking the vas deferens and leaving a scar behind. This anxiety is usually baseless because the danger of restricting the tube and infertility is very low due to the overall safety of mesh used in hernia surgeries.

Does Inguinal Hernia surgery affect male fertility?

According to clinical research, within three to six months of laparoscopic inguinal hernia surgery, individuals with simple groin hernias usually report considerable improvements in their erectile function, sexual desire score, and overall happiness.

Patients having trans-abdominal pre-peritoneal (TAPP) and completely extra-peritoneal (TEP) repair both show similar improvements. Regarding improved function and increased sexual satisfaction, lightweight and conventional heavyweight meshes have comparable results.

Although there is little research on the subject, it is thought that male fertility is impacted by inguinal hernia surgery, regardless of whether the condition affects women or men.


In conclusion, there is no evidence to support a direct link between hernias and male fertility, even though they can cause men discomfort and health issues. To maintain general health, it is imperative to receive timely medical treatment and to have the necessary hernia repair operations performed.

A healthcare professional’s advice and peace of mind can be obtained if you are worried about hernias and their possible impact on fertility.

About The Author
Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more

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