How to treat male infertility well

Patient's question:

Hello doctor, we have been married for many years and have not had any children. When I went to the hospital for a check-up, it was found that I have male infertility. How should male infertility be treated?

Doctor's answer:

It is recommended to first undergo a thorough test of sex hormones and a detailed ultrasound examination of the reproductive organs. If the sex hormone results are normal and the testicular volume is also normal, treatment can proceed. Alternatively, a blood test can be performed to reflect the spermatogenesis within the testes. It is suggested that normal sex hormone levels indicate a high possibility of spermatogenesis function within the testes.
Testicular biopsy can also be conducted. If spermatogenic cells are present in the testes, there is hope for treatment. However, if it is a case of Sertoli cell-only syndrome, with no spermatogenic cells present, there is no hope, and the only option would be to use sperm from a sperm bank for conception. Infertility conditions can be prone to recurrence, requiring long-term medication.

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