Congenital testicular dysplasia or acquired causes such as genitourinary tract infection, endocrine abnormalities, and varicocele can lead to low testicular spermatogenesis, and lead to oligospermia, weak sperm, or abnormal sperm.
However, there are also quite a few patients with abnormal semen quality for unknown reasons, known as "idiopathic semen abnormalities.".
For organic diseases, such as pituitary tumors and other factors that cause semen abnormalities, surgical treatment can be taken. And more semen abnormalities can be improved through medication.
The commonly used drugs in this field include anti estrogen preparations, androgen preparations, energy metabolism preparations, vitamin preparations, trace element preparations, and traditional Chinese medicine preparations.
It should be noted that due to the fact that sperm production and maturation take approximately 80 days, the duration of drug treatment needs to be more than three months.
If medication or surgical treatment cannot resolve semen abnormalities, assisted reproductive technology (ART) can be selected for pregnancy assistance.
For couples with low sperm motility in the male and no abnormalities in the female, intrauterine insemination (IUI) can be used to assist in pregnancy; For patients with severe oligozoospermia and asthenospermia, intracytoplasmic sperm injection (ICSI) is needed to assist in pregnancy treatment.