Can male infertility be treated and improved?

Patient's question:

I have been married to my wife for two years and we have never used any contraception methods, but we have never been able to get her pregnant. Later, we had a thorough check-up and the doctor said I might be suffering from male infertility. I am quite worried and would like to ask the doctor if male infertility can be treated and improved?

Doctor's answer:

The main causes of male infertility:
① Sexual dysfunction, including premature ejaculation, retrograde ejaculation, nocturnal emission, and anejaculation. Anejaculation accounts for 32.4% of male infertility causes.
② Abnormal semen quality, including oligozoospermia, azoospermia, necrozoospermia, asthenozoospermia, polyzoospermia, hyposemenia, and semen agglutination. Oligozoospermia accounts for 15.4% of male infertility causes.
③ Varicocele, which accounts for 12% of male infertility cases.
④ Immunological factors: Refers to the presence of antisperm antibodies in male serum or seminal plasma, leading to autoimmune reactions against sperm and resulting in immunological infertility.
⑤ Reproductive tract infections, congenital abnormalities, systemic diseases, and unexplained infertility.

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