Why is my wife not pregnant

Patient's question:

I have been married for 1 year. Why is my wife not pregnant? Our couple's sexual time is very short. It only takes less than 1 minute to ejaculate, and there are not many sperm. Will this affect future pregnancy? Please explain in detail

Doctor's answer:

According to your description, it may be due to excessive tension or glans sensitivity causing premature ejaculation symptoms. It is recommended to use a condom during sexual activity, change sexual positions, and take Priligy orally to reduce glans sensitivity for treatment.
The reasons for reduced semen volume include:
① Obstruction of the ejaculatory duct or congenital absence of the seminal vesicles;
② Pituitary or Leydig cell disorders, leading to decreased gonadotropin levels or reduced estrogen, causing a decrease in semen production;
③ Infections in the reproductive tract can also damage accessory glands, resulting in reduced semen production.
Statistics show that infertility caused by an abnormally low semen volume accounts for 1.8% of male infertility cases. It is recommended that you visit a hospital for further examination to identify the underlying cause and condition, and receive targeted treatment.

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