How to treat male infertility and can it be resolved?

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: How should male infertility be treated? Can it be resolved?

Doctor's answer:

Generally, if a couple has not used contraception for more than a year and remains infertile, they should undergo a thorough examination. The male should have a semen analysis performed 3-5 days after ejaculation. The female should have her hormones tested using electrochemical luminescence 3-5 days after her menstrual period, and a colposcopy should be conducted 3-5 days after the menstrual period ends. Dynamic digital hysterosalpingography and four-dimensional color Doppler ultrasound of the vagina should also be performed. These tests usually can diagnose the issue. If the cause remains undetermined, further detailed examinations using an electronic hysteroscope or laparoscope may be necessary. Infertility can be stabilized, but the treatment process is generally slow, and relapse is common after treatment. Therefore, during treatment, it is essential to actively cooperate with the doctor and use medication appropriately.

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