How should male infertility be treated effectively?

Patient's question:

How should male infertility be treated?

Doctor's answer:

Male infertility is caused by various factors, including both physiological and environmental ones, which suggests that the treatment of male infertility should focus on identifying the root cause.
Principles of medication:
1. For infertility caused by genitourinary infections, the primary treatment is antibiotic anti-inflammatory therapy, supplemented by medications to enhance sperm vitality.
2. For azoospermia, oligospermia, and idiopathic infertility, the foundation of treatment should be endocrine therapy using sex hormone drugs.
3. For individuals with low sperm vitality, the primary treatment is medication to enhance sperm vitality.
4. For infertility caused by varicocele, vas deferens obstruction, cryptorchidism, or urethral anomalies (e.g., epispadias or hypospadias), surgical treatment is recommended, supplemented by endocrine drugs and other supportive therapies.

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