Patient's question:
Married for more than 4 years without taking any contraceptive measures and still no childrenDoctor's answer:
For the treatment of male infertility, it is necessary to go to a regular tertiary hospital in Changsha. The only military-run tertiary hospital in Changsha, Changsha 163 Hospital, provides answers for patients with infertility and infertility: The main factors of infertility and infertility: ① Ovulatory dysfunction, characterized by anovulation during the menstrual cycle, or ovulation with inadequate corpus luteum function after ovulation; ② Congenital or acquired abnormalities of the reproductive organs, which obstruct the smooth passage and function of the reproductive tract from the vulva to the fallopian tubes, hindering the meeting of sperm and eggs, leading to infertility; ③ Immunological factors, referring to the presence of antisperm antibodies in the female reproductive tract or serum, which produce an allogeneic immune response to sperm, causing sperm to clump together, lose vitality or die, leading to infertility or subfertility. In addition, some infertile women have serum containing antibodies-like substances against their own egg zona pellucida, which can hinder sperm penetration into the egg for fertilization and may also cause infertility; ④ Infertility caused by sexual dysfunction, lack of sexual knowledge, systemic diseases, and unknown factors or causes accounts for about one-third of the causes of infertility. Factors or causes of male infertility: ① Sexual dysfunction, including impotence, premature ejaculation, nocturnal emission, and anejaculation. This category of factors or causes can be divided into psychological/neurological and organic lesions. According to relevant data, one in every eight married men suffers from varying degrees of sexual dysfunction. Currently, there are more than 50 million male sexual dysfunction patients in China, with an incidence rate as high as 10%. Domestic reports indicate that oligospermia accounts for 15.4% of male infertility factors or causes, ranking second only to anejaculation as the second leading cause of male infertility. ③ Varicocele-induced male infertility, accounting for 12.1% according to World Health Organization data; while China's data shows 6%. ④ Immunological factors, referring to the presence of antisperm antibodies in male serum or seminal plasma, which produce an autoimmune immune response to sperm, leading to immunological infertility. ⑤ Reproductive tract infections, congenital abnormalities, systemic diseases, and unknown factors or causes causing infertility. Prevention: Mental state: Stress can easily lead to low libido and difficulty in achieving an erection or ejaculation. Such factors as family disharmony or excessive workload; Nutrition: Balanced diet, as zinc, vitamins A, C, and E in food are beneficial for sperm production; Exercise: Avoid long-term, sustained intense exercise; Daily life habits: Avoid excessive alcohol consumption, smoking (not more than 20 cigarettes per day), staying up late, wearing tight pants, soaking in hot baths, or saunas; Environment: Avoid prolonged exposure to high temperatures, radiation, or chemical industrial environments.