Patient's question:
Main symptoms: Married for two years without children Onset time: 2 Medical examination results:Doctor's answer:
The factors or causes of female infertility include:① Ovulatory dysfunction, characterized by anovulation during the menstrual cycle, or ovulation with inadequate luteal function post-ovulation;
② Congenital or acquired abnormalities of the reproductive organs, or lesions of the reproductive organs, which obstruct the patency 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, causing homologous allogeneic immune reactions that lead to sperm agglutination, loss of vitality, or death, resulting in infertility or subfertility. Additionally, some infertile women have serum antibodies against their own oolemma, which can obstruct sperm penetration and fertilization, also causing infertility;
④ Sexual dysfunction, lack of sexual knowledge, systemic diseases, and other unknown factors account for about one-third of infertility cases.
Advice:
The factors or causes of male infertility include:
① Sexual dysfunction, including impotence, premature ejaculation, nocturnal emission, and anejaculation. This category can be divided into psychological/neurological and organic disorders. According to relevant data, 1 in every 8 married men suffers from varying degrees of sexual dysfunction. Currently, there are approximately 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, ranking second only to anejaculation as the leading cause of male infertility.
③ Varicocele-induced male infertility, accounting for 12.1% according to World Health Organization data, and 6% according to domestic data.
④ Immunological factors, referring to the presence of antisperm antibodies in male serum or seminal plasma, leading to autoimmune sperm immune reactions and resulting in immunological infertility.
⑤ Reproductive tract infections, congenital abnormalities, systemic diseases, and other unknown factors causing infertility.
Lifestyle Management:
Prevention:
- Mental state: Stress can lead to low libido, difficulty in achieving or maintaining an erection, or ejaculation. Factors such as family disharmony or excessive workload may contribute.
- Nutrition: A balanced diet rich in zinc, vitamins A, C, and E is beneficial for sperm production.
- Exercise: Avoid prolonged, intense physical activity.
- Daily 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.
- Medications: Drugs such as marijuana, tranquilizers, chemotherapy medications, antihypertensive drugs, antidepressants, and gout treatments can all have adverse effects on reproductive function.