Post Date December, 03 2023
Nowadays, due to various reasons, the probability of infertility in modern people is constantly increasing. The traditional belief that infertility is a problem for women and has nothing to do with men is very incorrect. Medicine has proven that men can also experience infertility, but there are still some men who do not believe so. Even during the examination, some male friends often fall into some misconceptions.
The common misconceptions of male fertility
Myth 1: The man is in good health and does not need to undergo a semen test.
Influenced by traditional feudal ideology, the husband always blames his wife for not having a child. "A piece of salty and alkaline land, nothing grows!" Therefore, many infertile couples have been treated for many years, but the woman has been running around in the hospital, and the man is unwilling to undergo the most basic examinations.
Myth 2: If the semen test results are normal, it is the woman's problem.
In outpatient treatment, many husbands wait with anxiety for the results of their semen test. Once they are informed that the test results are within the normal range, the president breathes a sigh of relief and tells his wife, "I am good, that's your problem!" This kind of either or judgment is actually a wrong idea, because the semen test results are normal ≠ fertility. The results of routine semen examination can only provide a rough understanding of the quantity, odor, color, liquefaction time, and the number, motility, activity rate, and morphology of sperm in the semen. However, the normal internal structure of sperm, fertilization ability, and completeness of genetic material cannot be determined. That is, one can only understand its' external image ', but cannot know its' internal quality'. In addition, about 10% of all infertile couples have unexplained infertility, and all the tests that couples can currently undergo can be normal, but they cannot conceive. Some couples divorce due to infertility, and when they get married again, it's easy for them to get pregnant. So, if the semen test results are normal, after further examination by the woman, if it is basically normal, then the man needs to undergo further examination.
Myth 3: A routine semen examination is sufficient.
In male clinics, it is often found that some patients are eager to know whether their condition is good or not after receiving their first semen routine examination report, and whether it is possible to make the woman pregnant. Actually, it's too early to draw a conclusion at this point. We know that the condition of men's semen is greatly affected by other factors, which is closely related to the interval between semen extraction and the last ejaculation, whether there is a sauna 2 weeks before semen extraction, whether there are drugs that affect sperm motility, personnel and machines for inspection, and other factors. So, a semen examination sometimes cannot accurately reflect the true condition of semen. For this reason, the World Health Organization specifically requires routine semen tests to be conducted twice or more consecutively within 2 weeks before a diagnosis can be made based on the results. So, after receiving the report, we should not rush to draw conclusions, especially if the results are abnormal, sometimes it takes three consecutive times to clarify.
The principle of patient treatment for male infertility
Surgical emergency treatment: For patients with varicocele accompanied by abnormal semen routine, high ligation of the spermatic vein is necessary. For those with cryptorchidism or incomplete testicular descent, testicular descent fixation surgery can be performed to promote testicular spermatogenic function
Maintain unobstructed vas deferens
Actively treating sexual dysfunction and maintaining normal and amiable sexual life. For patients with congenital vas deferens deficiency such as obstruction and ligation of the vas deferens, surgical treatment should be actively reported to the child
Improve sperm function
Individuals with a passion for reproductive tract inflammation should actively receive antibiotic treatment; Vitamin E, vitamin C, and zinc preparations such as complex protein zinc can both improve sperm function. For immune infertility patients, using condoms can eliminate and reduce the stimulation of sperm antigens on women. High dose short-term use of immunosuppressive agents and artificial insemination with sperm washing are helpful methods for treating immune infertility in hospitals.
Principles of medication for male infertility:
1. The infertility caused by genital tract infection is mainly treated by antibiotic anti inflammatory dangerous treatment, supplemented by drugs to improve sperm motility;
2. Azoospermia, oligospermia, and idiopathic infertility should mainly be treated with endocrine therapy using good sex hormone drugs;
3. The patients with low sperm motility were mainly treated with drugs to improve sperm motility;
4. For patients with infertility caused by obstruction of the vas deferens duct due to varicocele, it is advisable to undergo other surgeries to explain and treat, supplemented by endocrine trusted drugs and other supportive medications.
