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 2 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 is a significant harm to men, and infertility is just an obvious injury. More and more severe harms are those hidden harms, so timely treatment is very necessary.Treatment for infertility:
① Treatment for cryptorchidism: If you have cryptorchidism, early detection and early treatment are essential. The best time for surgical treatment is before the age of 2. If the delay is too long, the impact on fertility will be greater. 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 testis from developing malignancy later. If parents discover that their child has cryptorchidism, timely treatment should be sought to avoid potential regrets.
② Treatment for varicocele: If azoospermia is caused by varicocele, surgical treatment is generally applicable. Before the surgery, a testicular biopsy is required to determine the extent of testicular damage, which can assess the recovery of testicular spermatogenesis after high ligation of the spermatic vein. If the testicular biopsy results show severe and irreversible damage, the surgery is unnecessary. 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.
Suggestions: Early detection, clear diagnosis, and symptomatic treatment can lead to recovery from this disease.