What are the common causes of male infertility?

Patient's question:

The physical examination by the unit revealed that there was a problem with my sperm, which is likely to cause me to be infertile. But I'm only 70 years old this year, how did I get this disease? I'm really pessimistic now. Please ask: What are the common causes of male infertility?

Doctor's answer:

The causes of male infertility are varied and complex, involving a combination of 150 clinical diagnoses and their corresponding manifestations. Semen abnormalities are the leading cause, which can be further divided into azoospermia (no sperm), oligospermia (low sperm count), poor sperm quality, low motility, and sperm malformations, among others. Next are sexual dysfunctions and genital abnormalities or disorders, such as erectile dysfunction, premature ejaculation, cryptorchidism, hydrocele, varicocele, and congenital absence of testes. There are many factors that can lead to male infertility, including organic issues: premature ejaculation, erectile dysfunction, sexual dysfunction, obstruction of the spermatic ducts that interferes with sperm delivery, and abnormal testicular sperm production, among others. There are also potential sperm-related problems: dead sperm, no sperm, and others, all of which may cause infertility.

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