Does excessive masturbation lead to infertility?

Patient's question:

When I was young, I didn't understand things and had frequent masturbation. Now I'm planning to have children, and I have two internal ejaculations a month, but there's no response. Is it infertility?

Doctor's answer:

Hello! Fertilization is a complex physiological process that requires several basic conditions:
① The female's ovary must release a normally mature egg each month;
② The male must be able to ejaculate during intercourse, with semen containing a normal number, shape, and vitality of sperm;
③ The female's fallopian tubes must be unobstructed, allowing sperm and eggs to meet and fertilize within the tubes;
④ The fertilized egg must be able to pass through the fallopian tubes into the uterine cavity and implant in the endometrium. Additionally, it is important to check whether both partners have immune antibodies in their bodies.
If any of these steps are impaired, infertility or subfertility may occur. There are over 150 possible causes or factors contributing to infertility, which may exist in both partners or only in one partner. Therefore, it is essential to undergo early examination to identify the primary cause of infertility before effective treatment can be initiated.
If you have any other questions, feel free to ask. Wishing you good health!

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