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 checking, it was found that I have low sperm count. What are the common causes of low sperm count in men?

Doctor's answer:

1. Varicocele: It causes a decrease in local temperature of the testis, enhances vascular active substances, and interferes with testicular spermatogenesis. The degree of varicocele is not proportional to sperm quality.
2. Undescended testis: Undescended testis can interfere with semen quality. About 60% of unilateral undescended testis will lead to infertility. If sperm density is low and the individual has an undescended testis, urgent treatment is required.
3. Urinary tract infection: Chronic infection of accessory reproductive glands can interfere with various laboratory indicators in semen.
4. Autoimmunity: Perinatal immunology tests have found that male autoimmune can interfere with fertility. Antisperm antibodies can interfere with sperm production and transport.

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