How should male infertility be treated?

Patient's question:

Previously, my wife had blocked fallopian tubes, so we couldn't have children. Now, more than half a year after the surgery, there's still no sign of pregnancy. A few days ago, I went for a check-up, and the doctor told me it was my problem—I have male infertility. I feel very desperate. Could you please tell me: How is male infertility treated?

Doctor's answer:

Generally, if a couple has not used contraception for more than a year and remains infertile, they should undergo a thorough examination. The male partner should have a semen analysis performed after a 3-5 day abstinence period. The female partner should have her hormones checked using electrochemical luminescence during the 3-5 days of her menstrual period, and a colposcopy should be conducted 3-5 days after the menstrual period ends. Dynamic digital hysterosalpingography and 4D vaginal ultrasound should also be performed. These tests usually can diagnose the issue. If the cause remains undetermined, further detailed examinations using hysteroscopy or laparoscopy may be necessary. Infertility can be stabilized, but the treatment process is generally slow, and relapse is common after treatment. Therefore, it is crucial for patients to actively cooperate with their doctor's medication plan during treatment. Additionally, patients should avoid prolonged sitting or riding and pay close attention to personal hygiene. We hope that male patients can recover as soon as possible.

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