Post Date December, 03 2023
Generally speaking, cohabitation after marriage for more than 2 years without any contraceptive measures and the woman not pregnant are referred to as infertility. Some men who have a history of procreation after marriage and are unable to procreate later are called secondary male infertility. So, what are the treatment methods for male infertility in Shanghai? The following is a detailed explanation from experts from Shanghai Urology Hospital.
Complex causes of male infertility
The causes of this disease are complex, and many diseases or factors can lead to male infertility. According to the results of semen examination, it can be classified as azoospermia, severe oligospermia, oligospermia, infertility with normal sperm count, polyspermosis, and sperm weakness. In addition, the causes of male infertility include:
1. Chromosome abnormalities: Common male pseudohermaphroditism, Klinefelter syndrome, and XYY syndrome.
2. Endocrine diseases: The cause is a lack of gonadotropins, and the common cause is selective hypogonadism, known as Kallmann's syndrome; Selective LH deficiency and FSH deficiency; Adrenal cortical hyperplasia; Hyperprolactinemia, etc.
3. Reproductive tract infection is relatively common: in recent years, with the increase of the incidence rate of sexually transmitted diseases, the incidence rate and severity of reproductive tract inflammation, such as prostatitis, epididymitis, orchitis, and urethritis, have increased, seriously affecting male fertility.
4. Abnormal testicular spermatogenesis: Common in cryptorchidism and varicocele. Physical and chemical factors such as toxins, magnetic fields, high fever, and trauma can cause testicular spermatogenesis disorders.
What tests are needed to diagnose male infertility
There are many and complex reasons for affecting male fertility, so the diagnosis of male infertility requires step by step exclusion testing:
"The first step in sperm quantity and quality inspection is to conduct a comprehensive analysis of the semen, just as farmers point out seeds before planting, to see if there are sperm in the semen and how their morphology and function are.". "Most male infertility is associated with abnormal semen, and after identification, further examination is needed to determine the cause of abnormal semen.".
2. Examination of sexual dysfunction, such as erectile dysfunction (commonly known as impotence), non ejaculation, retrograde ejaculation, etc. If sperm cannot enter the woman's body, of course, it is impossible to achieve sperm and egg contact and union.
3. The following problems can generally be found during a patient's reproductive organ examination: small and soft testicles are likely to be the direct cause of poor semen quality; If the epididymis has tenderness and nodules, they can affect sperm maturation and transportation; Varicocele can cause local temperature increase and accumulation of metabolic waste, damaging sperm; Prostatitis, which can affect the composition of semen and cause non liquefaction of semen; To see if the vas deferens are blocked, biochemical analysis of semen components and vasography can be used to determine.
