What are the common causes of male oligospermia?

Patient's question:

I've been married for a long time, but haven't had any children. After examination, it was found that I have oligospermia. What are the common causes of male oligospermia?

Doctor's answer:

Your condition is characterized by severe oligoasthenozoospermia, and the common causes include:
(1) Congenital testicular dysgenesis or cryptorchidism leading to impaired spermatogenesis
(2) Varicocele and hydrocele of the tunica vaginalis
(3) Inflammation of the reproductive tract
(4) Immunosuppression and endocrine disorders
(5) Chromosomal abnormalities, especially sex chromosome aberrations, severely interfere with sperm density, motility, and other parameters
(6) Factors such as drugs affecting spermatogenesis, pesticides, heavy metals, radiation, smoking, and alcohol intoxication can inhibit sperm production. However, in a small subset of patients, despite thorough examinations, no identifiable cause for the oligozoospermia is found, which is referred to as idiopathic oligozoospermia.

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