How should male infertility be treated better?

Patient's question:

Actually, I knew I was infertile last year, but I never dared to tell my wife, afraid she would divorce me. I secretly took many medications and visited many doctors, but it didn't help. Now my wife is forcing me to go to the hospital for a check-up. I'm really troubled. Please ask: What is the best treatment for male infertility?

Doctor's answer:

Male infertility is caused by many factors, including both physiological factors and numerous environmental factors. This suggests that when treating male infertility, it is important to identify the root cause.
Principles of medication:
1. For infertility caused by genitourinary tract infections, the treatment should be based on antibiotic anti-inflammatory therapy, supplemented by medications to enhance sperm vitality.
2. For azoospermia, oligospermia, and idiopathic infertility, the treatment should be based on endocrine therapy using sex hormone drugs.
3. For individuals with low sperm vitality, the treatment should be based on medications to enhance sperm vitality.
4. For infertility caused by varicocele, vas deferens obstruction, cryptorchidism, or urethral duplication, surgical treatment is recommended, supplemented by endocrine drugs and other medications.

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