How to treat male infertility caused by weak sperm

Patient's question:

I've been divorced for nearly twenty years and have never had children. I had a thorough medical examination at the hospital, and the doctor said I have asthenozoospermia. I have been actively pursuing treatment. Although I've taken many medications over the years without seeing any results, I've never given up. Last month, my wife told me she was pregnant. I was very happy. However, because I've been taking medication, I'm unsure if it could affect the child. Can weak sperm cause male infertility be treated with medication during the period when the wife becomes pregnant?

Doctor's answer:

Regarding how pregnancy medication can interfere with the fetus, all doctors, including experts, cannot provide a 100% answer. From a scientific perspective, there are currently three confirmed cases where medication can absolutely interfere with the baby:
1. The use of chemotherapy, radiation therapy drugs, and other anti-aging medications, which can destroy cell DNA and severely affect the baby's growth and development.
2. The use of large amounts of hormone medications (such as many emergency contraceptives), which have a high risk of causing gender-specific birth defects.
3. Exposure to radiation or radiation therapy.
If it does not fall into the above three categories, it is considered relatively safe. In this case, it is necessary to conduct strict and thorough prenatal examinations. At 14–19 weeks of pregnancy, a Down syndrome screening should be performed, and at 22–26 weeks, a four-dimensional ultrasound and postnatal anomaly screening should be conducted.

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