How should male infertility be treated better?

Patient's question:

I and my wife have been working hard in a foreign place for many years. Now we have a house and have saved some money. We plan to have a little piglet this year, but since last autumn until now, my wife hasn't been pregnant. We went to the hospital for a check-up and found that the problem is with me. I don't even know what to do now. Please ask: What is the best treatment for male infertility?

Doctor's answer:

Male infertility is caused by many factors, including both physiological and environmental ones, which suggests that the treatment of male infertility should focus on identifying the root cause.
Principles of medication:
1. For infertility caused by genitourinary tract infections, antibiotic anti-inflammatory treatment should be the primary approach, supplemented by medications to reduce sperm vitality.
2. For azoospermia, oligospermia, and idiopathic infertility, endocrine treatment with sex hormone drugs should be the foundation.
3. For individuals with low sperm vitality, medication to reduce sperm vitality should be the primary treatment.
4. For infertility caused by varicocele, vas deferens obstruction, cryptorchidism, or urethral anomalies (e.g., upper or lower urethral fissure), surgical treatment is recommended, supplemented by endocrine drugs and other supportive therapies.

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