Patient's question:
What symptoms indicate that a man's vas deferens is blocked? I've been married to my wife for a year, and she hasn't been pregnant. I suspect I might have a problem, but I don't know if it's something like that. What symptoms indicate that a man's vas deferens is blocked?Doctor's answer:
Epididymitis (deferentitis) refers to an infectious disease of the vas deferens, commonly occurring in adolescents. It can be unilateral or bilateral. Pure epididymitis is rare and often coexists with orchitis. It can be caused by non-specific infections of general bacteria or specific pathogens, such as tuberculosis or gonorrhea. This condition is divided into two major categories: acute epididymitis and chronic epididymitis. Due to inflammatory changes, the vas deferens may become obstructed, leading to secondary infertility. The symptoms of epididymitis include the following clinical manifestations:(1) Symptoms of acute epididymitis: Painful swelling and redness in the affected scrotum, with pain radiating to the abdomen and the same side of the inner thigh, often causing the patient to bend forward and clutch their abdomen. Local tenderness in the scrotum, and significant tenderness of the vas deferens upon palpation. In severe cases, fever may occur, and suppurative lesions may form around the vas deferens.
(2) Symptoms of chronic epididymitis: Painful swelling or redness in the affected scrotum, with pain radiating to the abdomen and inner thigh. The clinical symptoms are milder than those of acute epididymitis, with a slow onset and a history of recurrent episodes. It is often accompanied by orchitis and epididymitis. Physical examination may reveal thickening and hardening of the vas deferens in the scrotal region. In severe cases, the vas deferens may become adhered to surrounding tissues, with tense cremaster muscles and retraction of the scrotum and testes.
Epididymitis that develops due to vas deferens injury or post-vasectomy can form nodules that spread outward from the center. The vas deferens may become thickened or adhered, and the nodules may be either painful or asymptomatic.
To improve male infertility, it is recommended to adopt healthier lifestyle habits, enhance physical fitness, quit smoking and drinking alcohol, avoid spicy foods, maintain a regular daily routine, and strengthen nutrition while engaging in moderate physical exercise.
There are many Western medications available for treating male infertility, such as:
1) Drugs that enhance sperm vitality and prolong their survival time: Adenosine triphosphate (ATP), arginine, and taurine release enzyme.
2) Drugs that regulate and stimulate the body's spermatogenesis process: Clomiphene, tamoxifen, and gonadotropin-releasing hormone.
3) Drugs for treating reproductive tract infections: Mostly antibiotics, and effective medications can be selected based on the type and location of the infection.