Patient's question:
I have been married to my husband for three years. We have never used any protection during our intimate moments. However, over the three years, we have not been able to conceive. Now, our family is very anxious. I have also gone to the hospital for a check-up, and the doctor said there was nothing wrong with me, suggesting the issue might be on the male side. Upon examination, it was found that he has low sperm count with a high ratio of weak and dead sperm.Doctor's answer:
Hello: This requires clarifying the underlying cause. Most treatments are still very effective. Common factors or causes include:1. Incomplete maturation or damage and thinning of the spermatogenic epithelium, leading to poor sperm quality and weak motility;
2. Low seminal fluid volume;
3. Seminal plasma abnormalities, such as inflammation in the epididymis, seminal vesicles, or prostate, which can negatively affect sperm activity and survival due to changes in pH, oxygen supply, nutrition, and metabolism;
4. Immunosuppression and endocrine disorders. If antisperm antibodies exist, they can cause sperm agglutination, rendering them inactive.
5. Varicocele and hydrocele of the tunica vaginalis.
6. Chromosomal abnormalities, especially sex chromosome aberrations, which severely impact sperm density and motility.
7. Exposure to drugs, pesticides, heavy metals, radiation, smoking, and alcohol intoxication, all of which can inhibit sperm production.
However, some patients may undergo various examinations without identifying a cause for reduced sperm count, a condition known as idiopathic oligospermia. Which category do you fall into? It is recommended that you undergo a timely and comprehensive examination to clarify the situation, so targeted and effective treatment can be administered. Further testing is advised to confirm the cause and receive timely, targeted treatment. Wishing you good health!