Post Date December, 03 2023
Mr. Li, who is already 35 years old, now has a house, a car, and hundreds of thousands of deposits. He lacks nothing but a descendant and no children to celebrate under his knee. My wife's stomach has never moved, and I'm so worried about him.
In fact, pregnancy is not a personal matter, and men account for about 20% to 40% of clinical infertility. The husband of an infertile patient should not be overly confident, and should not intentionally or unintentionally evade necessary examinations because there is no obvious disease.
What is male infertility?
"After marriage, a couple who cohabit for more than two years without taking any contraceptive measures and the woman never becomes pregnant are referred to as infertility.". According to relevant literature reports, 10% to 15% of married couples experience infertility. Infertility is caused by the male partner, which is called male infertility. Male reproductive physiological activities mainly include a series of processes such as spermatogenesis, maturation, semen formation, ovulation, and sperm egg fusion and fertilization. Different factors that interfere with any of the above processes can affect fertility and cause male infertility.
Scientific judgment of male infertility
The general procedure for diagnosing male infertility: First, it should be clear whether it is male infertility or female infertility, or whether both have infertility diseases; If it is male infertility, it is necessary to clarify whether male infertility is absolute or relative, primary or secondary; Finally, the cause of male infertility should be identified.
The examination and diagnosis methods for male infertility generally include detailed medical history, physical examination, laboratory examination, imaging examination, and other examinations.
First of all, doctors will collect a detailed and complete medical history, which is an important basis for determining the diagnosis idea. Generally, inquiries should be made from aspects such as marital and reproductive history, sexual life history, past medical history, and family member medical history.
Secondly, the examination includes the differential diagnosis of male infertility such as height, weight, posture, appearance, obesity, congenital testicular malformation, injury, and dysplasia. At the same time, prostate massage can be performed and prostate fluid can be sent to the laboratory for examination.
Next is a laboratory examination to rule out factors such as epididymitis, seminal vesiculitis, urogenital inflammation, prostatitis, and other bacterial infections. In addition, semen testing is an important test for diagnosing male infertility, which can reflect the quality of sperm produced by the testicles, the smoothness of the seminal tract, and the secretion function of the epididymal glands.
Self inspection can detect early warning signals
The main causes of male infertility are genetics, abnormal sexual hormones, varicocele, genital tract infection, cryptorchidism, bad living habits, and external pollution. If men know some simple reproductive knowledge and self testing methods, they can conduct effective self testing.
If you gently touch along the spermatic cord from top to bottom and find large, wormlike, soft, and tortuous masses within the scrotum, it is important to note that this may be a varicocele. It can cause testicular temperature to rise, and stagnation of venous blood affects testicular metabolism, thereby interfering with spermatogenesis and causing a decline in semen quality.
If there is testicular swelling and pain, and the testicles gradually shrink after relief, it may be testicular torsion or traumatic atrophy after orchitis. This is often accompanied by irreversible damage to spermatogenic cells. If the testicle fails to descend into the scrotum and remains in the abdominal cavity, it is called cryptorchidism. Excessive temperature in the abdominal cavity is not conducive to sperm production, and the risk of testicular malignancy is greatly increased.
Observing semen can also partially reflect fertility. Normal semen is grayish white or slightly yellow, and if pink or red appears, it is bloody semen. The normal semen volume is 2-6 milliliters, and if it is more than 7 milliliters, it is excessive. Not only will the sperm density become low, but it is also easy to flow out of the female body, resulting in a decrease in the total sperm count. "If the total amount of semen is less than 2 milliliters, it means that the amount of semen is low. If the total amount of semen is less than 1 milliliter, it means that there is too little, which can easily lead to infertility.". Generally, semen will become liquid within 15 to 30 minutes after ejaculation. If it cannot change its shape after more than 30 minutes, it is clinically called non liquefaction of semen and is also a cause of infertility.
Usually, through careful discovery by oneself, one can find clues, thereby finding the root cause of the disease, carrying out radical treatment, and still enjoy the joy of family life.
