Patient's question:
The couple is both 30 years old. They began having sexual relations in 1997. In January 2002, they became pregnant once and underwent a medication-induced abortion at the Hubei Provincial Maternal and Child Health Hospital, but no embryo was observed. Subsequently, they used condoms for contraception. Since February 2005, they have completely avoided contraception but remain infertile.Medical history and treatment outcomes:
1. On April 26, 2008, after abstaining for 3 days, they underwent their first semen analysis at the Hubei Provincial Maternal and Child Health Hospital. After centrifugation, no sperm were observed, with a semen volume of 1 mL, incomplete liquefaction, a pH of 7.0, and a grayish-white color.
2. On May 1, 2008, after abstaining for 5 days, they underwent their second semen analysis at the Hubei Provincial People's Hospital.
Doctor's answer:
Hello. Personally, I think your testicular volume of 6-8 mL is significantly small. If it's less than 10 mL, it's very difficult to recover with medication. It's possible that you had mumps as a child, which led to orchitis, resulting in tubular adhesion and atrophy, causing the testicles to shrink. If you want to try medication, you can use traditional Chinese medicine for a maximum of 3 months. If there's no improvement, you should give up. There's no need to do the 6-hormone test. I'm not very familiar with Androl, so I can't offer an opinion. You can consider IVF (in vitro fertilization). Since artificial insemination rates are also very low, it won't cause loss of sexual function. Many cases are psychologically induced, so you shouldn't worry too much about it. There's no need to do a testicular biopsy. It's an invasive procedure and is more commonly used for azoospermia. After the test, it may cause antibodies, leading to immunological infertility. Currently, your condition doesn't require it. My answer may not meet your expectations, but it's for your reference.