Patient's question:
I just got married to my husband, and now we want to have a child. However, for some unknown reason, we haven't been able to conceive. We are very distressed and decided to go to the hospital for a check-up. To our surprise, they said my husband is infertile. What are the common causes of male infertility?Doctor's answer:
Hello, the causes of male infertility are quite diverse, mainly including the following aspects:1. Abnormal semen: Such as azoospermia (no sperm), or a low sperm count with reduced motility and abnormal morphology.
2. Reproductive organ infections: Repeated urinary tract infections, such as urethritis, seminal vesiculitis, orchitis, epididymitis, and prostatitis, can damage reproductive organs and affect semen quality.
3. Testicular abnormalities: Undescended testicles not only lead to infertility but can also increase the risk of malignancy; damage to the primordial germ cells during fetal development due to adverse environmental factors; and acquired testicular injuries.
4. Obstruction of sperm transport: Tuberculosis of the epididymis and vas deferens can block the vas deferens, hindering sperm passage. Sexual dysfunctions such as impotence and premature ejaculation prevent sperm from entering the female vagina.
5. Hydrocele: Hydrocele compresses testicular blood circulation, which can lead to testicular infection or atrophy.
6. Endocrine factors: Male endocrine disorders, such as thyroid and adrenal gland dysfunction, low testosterone, or elevated follicle-stimulating hormone (FSH) or prolactin, can cause oligospermia or azoospermia, leading to infertility.