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 has severe oligospermia, and the common causes of oligospermia 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, insecticides, heavy metals, radiation, smoking, and alcohol intoxication can inhibit sperm production. However, in a small subset of patients, despite thorough examinations, no cause for the oligospermia can be identified, which is referred to as idiopathic oligospermia.

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