What are the causes of male infertility?

Patient's question:

Hello, I am 24, but my family wants me to have a child. Both my wife and I went to the hospital for check-ups. She has no issues, but there is a problem with my semen—it's abnormal. Can this really cause my wife to be unable to get pregnant? I don't know how to face my wife right now.

Doctor's answer:

Hello,
1. Abnormal sperm structure and seminal plasma abnormalities: Affect sperm motility, capacitation, and acrosome reaction, etc.
2. Male sexual dysfunction: Erectile dysfunction, premature ejaculation, anejaculation, and retrograde ejaculation can all cause male infertility.
3. Abnormal spermatogenesis in the testes: Common in cryptorchidism. Toxins from varicocele, magnetic fields, high temperatures, and physical injuries can all cause impaired spermatogenesis in the testes.
4. Endocrine diseases: The cause is a lack of gonadotropins. Common conditions include selective hypogonadotropic hypogonadism (i.e., selective LH deficiency and FSH deficiency), adrenal cortical hyperplasia, hyperprolactinemia, etc.

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