Patient's question:
Hello doctor, I've been married for about six years. My family has been urging us to have a baby as soon as possible, and we've been trying very hard, but it just hasn't happened. My husband and I went for tests, and surprisingly, it wasn't my fault—it was his. Is this more complicated?Doctor's answer:
Hello, the causes of male infertility are diverse, including sexual dysfunction: such as impotence, premature ejaculation, nocturnal emission, and anejaculation, with anejaculation accounting for 35% of male infertility cases. Testicular diseases: such as orchitis, epididymitis, and testicular atrophy, can lead to male infertility. Immunological factors: refer to the presence of antisperm antibodies in male serum or seminal plasma, which triggers an autoimmune response against sperm and results in immunological infertility. Additionally, varicocele accounts for 12% of male infertility cases. Abnormal semen quality: including oligospermia, asthenospermia, azoospermia, teratospermia, polyzoospermia, hyposemenia, and semen agglutination. Oligospermia accounts for 15.4% of male infertility cases. Other diseases leading to infertility: such as reproductive tract infections, congenital abnormalities, systemic diseases, and infertility of unknown causes.Advice: For male infertility, it is essential to first identify the underlying cause of the infertility. Only then can doctors develop a reasonable treatment plan based on the patient's condition to achieve optimal treatment outcomes. In most cases, male infertility can be cured, so there is no need to worry excessively.