What are the symptoms of vas deferens blockage?

Patient's question:

I've noticed that recently, after having sex with my wife, my ejaculation has been particularly low. It seems like there's less volume than when I was younger, and it's getting even less. I went to the hospital for some tests, and the result was that my vas deferens is blocked.

Doctor's answer:

Symptom one is that the patient may have a history of reproductive system infections, surgeries, or injuries.
Symptom two is that during physical examination palpation, there may be varicoceles or epididymal nodules, thickening, beaded changes, or absence of the vas deferens.
Symptom three is that the patient's routine semen analysis may show azoospermia or a low sperm count.
Symptom four is that for patients with a history of infertility, there may be reduced sexual climax, incomplete sensation, or symptoms such as painful or weak ejaculation.

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