What are the causes of male infertility?

Patient's question:

I often feel sleepy, dizzy, and have lower back pain. A month ago, I had a thorough check-up of my sperm and found that the sperm motility was low. Now, we have been trying to conceive for almost two years, but we still don't have a child. My wife has also been checked and there are no issues, but what are the causes of male infertility?

Doctor's answer:

Hypothesis of the condition: The causes of male infertility are diverse, including common factors such as intergenerational inheritance and congenital abnormalities, endocrine disorders, infectious infertility in the reproductive tract, sperm transport and loading disorders, physical and chemical environmental and occupational factors, as well as unexplained infertility.
Advice: It is recommended that both partners undergo thorough examinations at a regular hospital. Keep the relevant examination records for follow-up visits. It is suggested that your husband have a routine semen analysis, with the assumption that the normal morphology rate is within the expected range.

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