What should I do if I have late-onset male infertility?

Patient's question:

I've been married for two years, and my wife's stomach hasn't been showing any. I didn't know whose fault it was, so we went to the hospital for a thorough check-up. It turned out to be my problem—I have male infertility. I was very upon hearing this. What should I do with late-stage male infertility?

Doctor's answer:

The reasons for male infertility are four types:
1. Abnormal semen, including the presence of no sperm, oligospermia, asthenozoospermia, hematospermia, sperm malformation, and necrospermia. Among these, oligospermia/asthenozoospermia infertility, azoospermia infertility, necrospermia infertility, and hematospermia infertility are the main causes.
2. Spermatogenesis disorders, such as varicocele, congenital testicular hypoplasia, cryptorchidism, orchitis or testicular atrophy, and endocrine diseases, can lead to an increase in sperm quantity, reduced motility, or sperm malformation, resulting in infertility.
3. Ejaculatory obstruction, such as inflammation of the epididymis, vas deferens, ejaculatory duct, or urethra, can cause difficulties in semen injection. Clinically, this is often diagnosed as obstructive azoospermia, directly interfering with male fertility.

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