Patient's question:
Hello, how can a doctor improve sperm quality and vitality?？？？ My wife has been trying to conceive for such a long time, and it's all because of my reasons that we can't get pregnant. I feel very frustrated, what should I do?？？？ How can sperm quality and vitality be improved?？？？？ I hope the doctor can give a detailed answer.Doctor's answer:
There are many causes of azoospermia, such as endocrine dysfunction, testicular sperm production dysfunction, and blocked spermatic ducts. The male reproductive system is regulated by the hypothalamus and pituitary gland. When the endocrine function of the hypothalamus and pituitary gland is disrupted, it can lead to testicular underdevelopment or functional abnormalities. The testicles not only fail to produce sperm but also have reduced levels of androgens, resulting in infertility, loss of male characteristics, and decreased sexual function. If the testicles are mildly damaged, fertility may be restored through hormone therapy. However, if the damage is severe and the sperm-producing cells are damaged, the chances of recovery are very slim. When the spermatic ducts are blocked, if the blocked area can be identified and the blockage is not extensive or located in a position where surgery is feasible, surgical (anastomosis) can be performed. Post-surgery, pregnancy may be possible. However, if there is widespread or multiple bilateral blockages of the spermatic ducts, or if both spermatic ducts are absent along with seminal vesicles, treatment is very difficult.