What are the possible causes of male infertility?

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 (the second half of last year) until now, my wife hasn't been pregnant. We went to the hospital together for a check-up and found that it's my problem. I don't even know what to do now. Please ask: What are the possible causes of male infertility?

Doctor's answer:

Hospitals treating male infertility will collect a detailed and comprehensive medical history, which is an important basis for confirming the diagnostic approach. Generally, the inquiry should cover aspects such as marital fertility history, sexual history, past medical history, and family medical history. A thorough examination includes height, weight, body shape, degree of obesity, and male infertility screening, such as congenital testicular malformations, injuries, and developmental abnormalities. Additionally, a digital rectal exam may be performed to collect prostatic fluid for laboratory testing. Infertility can be alleviated, but the treatment period is usually long, and relapse is common after treatment. Therefore, active cooperation with the doctor's medication plan is essential during treatment.

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