Is male infertility primarily due to sperm factors or causes? And what else?

Patient's question:

I've been married for over a year, and my husband and I have never used contraception, but we haven't been able to get pregnant. When I went to the hospital for a check-up, everything was normal—my periods, ovulation, and so on—it wasn't my problem. The doctor asked my husband to get a semen analysis done, and the results showed low sperm motility at only 45%, as well as poor sperm liquefaction. The doctor prescribed some medication for us to take first.

Doctor's answer:

Hello: The factors or causes of male infertility are often related to abnormal semen, such as azoospermia, necrospermia, oligospermia, abnormal sperm morphology, and semen liquefaction disorders caused by reproductive system diseases. Additionally, obstacles in the spermatic duct, abnormal ejaculation function, and erectile dysfunction can prevent normal sexual activity and affect conception. It is recommended that you visit a formal urological hospital for examination. Combined with detailed laboratory tests, the specific cause can be identified, and treatment should be followed according to medical advice. Wishing you good health.

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