Does anyone know how COVID impacts the testicles and prostate?

If you haven't already done so, it would be good to get a biopsy from your doctor. Here are a couple of research papers on effect of covid on PSA levels and such. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159928/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493783/

Thanks for the reference study. Anecdotal data suggests I was extremely impacted.
I’m being monitored by a urologist. For the time being I am NOT pushing for prostate biopsies.
I am hoping MRI and PSMA PET scan technology in the US improves and replaces the need for biopsies in the monitoring stage.
Biopsies are notoriously inconclusive when negative results are obtained.
I have done some research on the topic when there were some hints at doing biopsies.
I am now a strong believer that we must be our own advocate in health care.

Thank you for the research studies. Very interesting! We really do need more information about post-Covid health issues.

My husband's PSA was 5.5 6 years ago and had a positive biopsy result. He had the Da Vinci microsurgery, so no nerve damage. For most, prostate cancer grows so slowly that men die of old age first. My husband's didn't have clear margins on his cancer so he still has to get his PSA tested.

This is my 1st post after reading everyone for over a year , so my turn to contribute . I am 72 yo and a life long exerciser who has had long COVID over 2 years . My COVID was centered in my gastrointestinal and urinary tracts . My 1st severe sign of long COVID was a paralyzed bladder sphincter which prompted the doc to bring up self catheritization 3x daily . I opted for a mindfulness approach ( breath , relaxation and meditation .) My intuition through all of this is that long COVID moves through the body and often the affected body parts/organs recover most but not all of their normal function . My bladder sphincter did . Now to the PSA . I have had BPH for a number of years and my PSA was consistently 1-2 and my CRP was also very low ( C reactive protein , a marker of systemic inflammation and a good indication of long COVID . ) Last Fall my CRP suddenly went up to 7 and along with it my PSA rose to 6.4 or so and my doc 1st mentioned biopsy . Once again I opted to wait and see because of the correlation with the CRP . Indeed , the next blood test showed both markers dramatically down so no further testing required . Then this past Spring both CRP and PSA shot up again , to somewhere around 9 and 8 respectively . This time we opted for an MRI which showed no indication of cancer . These days I know when my inflammation levels are up as my joints hurt and fatigue levels are higher . Despite years of exercise and a still fit body ( visceral fat only .8 lbs ) my blood glucose and A1C are borderline indicating long COVID has affected my insulin tolerance . We’ll all see where this goes , but I focus on daily gratitude for all the abundance and beauty in my life and not on what I have lost to COVID and long COVID . The hardest days when exhaustion and pain make it hard to even walk across a room are fewer . It is the mental wear and tear chronic disease inflicts that is now the greatest challenge . That is where a few caring people become essential . Also consider therapy . One caveat - if your markers do not fluctuate as mine do you may need further tests . Please do not take my experience as a reason to avoid them . Blessing to all living with this and chronic fatigue