Patient's question:
Testicular development is poor, no sperm, can it be treated? Is it easy to cure?Doctor's answer:
Diagnosis:1. Severe oligoasthenozoospermia
2. Hyperprolactinemia
3. Hyperprogesteronemia
4. Hypergonadotropic hypogonadism
Recommendations:
1. Continue testing:
- Complete ultrasound of the reproductive system
- Chromosome microdeletion
- Fructose and glucosidase in seminal plasma to rule out testicular damage
Contributing factors:
1. History of mumps complicated by orchitis
2. Long-term exposure to radioactive, high-temperature, or heavy metal work environments
3. Testicular trauma
4. Undescended testes, inguinal hernia, hydrocele
Treatment:
Since FSH levels are elevated more than twice, the prognosis is generally poor. If financially feasible, in vitro fertilization (IVF) can be directly performed.
For endocrine changes, oral bromocriptine + vitamin B6, along with HCG + HMG mixed injections, should be administered. Follow-up after 3 months.