What should I pay attention to after suffering from bilateral epididymitis two years ago?

Patient's question:

Two years ago, I had bilateral epididymitis, and later the semen analysis showed no sperm. Recently, I had a color Doppler ultrasound! I am taking traditional Chinese medicine. Is there still hope for me?

Doctor's answer:

If sperm cannot be found in a routine semen analysis, it may be azoospermia. However, the diagnosis of azoospermia requires three tests for confirmation. If it is indeed azoospermia, taking traditional Chinese medicine is ineffective. It is necessary to determine whether it is obstructive or non-obstructive azoospermia. The best approach is to undergo a testicular biopsy. Epididymitis tends to recur frequently, requiring long-term medication. For male patients, it is essential to seek medical attention at a professional and reputable hospital immediately. Treatment should be considered based on the results of a thorough examination. Additionally, it is important to quit smoking and drinking and maintain good personal hygiene.

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