 [ Symptoms ] small testes after mumps orchitis my testes have shrunk badly since i had mumps orchitis my life is badly disturbed about to be divorced what are possible treatments to get my fertility back [ Disease ] hi this is from the uk is nhs pain and swelling of the testicles orchitis affects one in four males who get mumps after puberty the swelling is usually sudden and affects only one testicle the testicle may also feel warm and tender in affected boys and men swelling of their testicles normally begins four to eight days after the swelling of the parotid gland occasionally swelling can occur up to six weeks after the swelling of the glands any testicle pain can be eased using over the counter painkillers such as paracetamol or ibuprofen if the pain is particularly severe contact your gp who may prescribe a stronger painkiller for you applying cold or warm compresses to your testicles and wearing supportive underwear may also reduce any pain just under half of all males who get mumps related orchitis will notice some shrinkage of their testicles and an estimated 1 in 10 men will experience a drop in their sperm count the amount of healthy sperm that their body can produce however this is very rarely large enough to cause infertility so as you can see you should still be fertile have you had a sperm test done is your divorce because of this problem there ways to retrieve sperm even its a very small amount with this she could have ivf that is if you have the money for this did see a japanese guy the were only able to retrieve 7 sperms and that did the trick had twins i believe see so it can be done do hope this helps you good luck