Is it possible that the second child is delayed in conceiving this disease? What diseases can lead to the inability to conceive a second child

Nowadays, with the release of a second child, not only couples in their twenties and thirties have a need for a second child, but even couples in their forties can't help but think of a 'good' word. Mr. Zhang, who is 42 years old, and his wife, who is 35 years old, have been working hard on this for over a year, but they have been slow to see any progress. What is the reason for this?

Recently, Mr. Zhang went to the Urology of Qifu Hospital for examination due to scrotum swelling, and found that he suffered from "Varicocele", which is one of the common causes of male infertility. Later, Mr. Zhang received microscopic ligation of Testicular vein and recovered well.

According to Guo Guibin, chief physician of the Urology of Qifu Hospital, Varicocele refers to the abnormal expansion, elongation and tortuosity of the racemose venous plexus in the spermatic cord, which can lead to pain, discomfort and progressive testicular dysfunction. It is a common male Genitourinary system disease.

Feel Asymptomatic, but can't wait for the "next generation"

Most of the patients with Varicocele have no symptoms. A few patients will have scrotal swelling when standing, and the scrotum will feel pain, dull pain and dull pain in local continuous or intermittent swelling. Due to the fact that the incidence of pain is only 2% to 10%, that is to say, only 2-10 out of 100 patients experience pain. Silently, many men's huge sperm army has been damaged countless times, causing the expected "next generation" to be delayed and unable to appear.

According to Dr. Guo, the cause of male infertility caused by Varicocele is not completely clear, but there are these possible factors, such as blood stasis in the Testicular vein, which increases the local temperature of the testis and affects sperm production, and the return of Testicular vein affects sperm quality.

How to treat and choose carefully

Many patients ask if surgery is necessary for Varicocele? Guo Guibin, the attending physician, said that for those without symptoms or with mild symptoms, surgery could not be used temporarily. Conservative management, such as medication, scrotal support, local cold compress, and avoiding excessive sexual life, could also alleviate the disease. In daily life, abdominal pressure, sitting and standing for a long time, and strenuous exercise should also be reduced.

Patients who require surgical treatment often have the following symptoms: for example, testicles shrink and become soft in texture; Abnormal semen examination; Severe sagging, swelling, pain, etc. of the genitals or testes; The level of serum testosterone in patients with grade ⅱ or ⅲ Varicocele decreased significantly; Bilateral Varicocele; Varicocele in adolescence and testicular spermatogenic function decline.