How to treat male infertility with dead sperm?

Patient's question:

When I was diagnosed with necrospermia at the hospital, I have been undergoing treatment ever since. However, it has been over three and a half months since the treatment started, and the re-examination still shows no improvement. How should men with necrospermia be treated effectively?

Doctor's answer:

Azoospermia refers to a condition where the sperm density in the semen of adult males is less than 20 million per milliliter. Due to the natural fluctuations in sperm density within a certain range, confirming azoospermia typically requires at least two semen analyses, using semen samples collected after abstaining from sexual activity for 3 to 5 days. There are several causes of azoospermia, such as undescended testicles, varicocele, endocrine disorders, deficiencies in vitamins and trace elements, infections by pathogenic microorganisms, and the effects of medications, among others. In most cases of azoospermia, the cause can be identified through careful medical history inquiries, detailed physical examinations, and the collaboration of laboratory tests. However, in some cases, the underlying cause remains unclear.

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