Patient's question:
At the age of 20, I contracted mumps, which then led to orchitis. I didn't take it seriously at the time. Now, after being married for two years, we haven't been able to conceive. A few days ago, I went to the hospital for a check-up, and the doctor told me I have azoospermia.Doctor's answer:
Infertility has significant harm to men, and infertility is just an obvious injury. More and more severe hidden harms exist, so timely treatment is very necessary.Treatment for infertility:
① Treatment of undescended testicles: If suffering from undescended testicles, early detection and early treatment are crucial. The best approach is surgical intervention before the age of 2. The later the treatment is delayed, the greater the impact on fertility. For example, if surgery is performed after the onset of azoospermia in adulthood, it will not improve the testicular spermatogenesis function. The purpose of the surgery is to prevent the testicles from developing malignancies later. When parents discover that their child has undescended testicles, timely treatment should be sought to avoid potential regret.
② Treatment of varicocele: If azoospermia is caused by varicocele, surgical treatment is generally recommended. Before the surgery, a testicular biopsy should be performed to determine the extent of testicular damage. This can help assess the recovery of testicular spermatogenesis after high ligation of the spermatic vein. If the biopsy results show severe and irreversible testicular damage, the surgery may not be necessary. If the damage is mild, the surgery can yield good results.
③ Endocrine treatment: For azoospermia caused by endocrine abnormalities, endocrine methods should be used for treatment.
Advice: Early detection, clear diagnosis, and symptomatic treatment of this disease can lead to recovery.