What are the main symptoms of male infertility?

Patient's question:

After I got married, I never managed to make my wife pregnant. At first, I didn't realize there was a problem. Later, since we never had any children, my wife said, "Could it be that I have male infertility?" I replied, "How could that possibly be?" We even had a big argument about it, and now we're still fighting.

Doctor's answer:

Hello, male infertility has the following clinical manifestations and symptoms:
1. Couples living together for more than 2 years after marriage without using contraception but still unable to conceive.
2. Congenital diseases caused by endocrine disorders and chromosomal abnormalities, characterized by impaired sexual maturation, insufficient masculinization, gynecomastia, testicular atrophy, micropenis, low libido, premature ejaculation, and erectile dysfunction, etc.
3. Congenital abnormalities of the testicles: absence of testicles, undescended testicles, and incomplete testicular development, etc.
4. Varicocele: a sense of heaviness and pain in the scrotum, dilated veins can be felt within the scrotum, Valsalva test (+).
5. Reproductive tract infections.
6. Sexual dysfunction.

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