Does male infertility require psychological counseling?

Patient's question:

Very afraid of cold, always feel cold hands and feet.. Also very lacking in energy, not very efficient in doing things,, often feel back and waist pain... Libido has decreased a lot.. Frequent night urination.. Feel the mouth is very bland, nothing tastes good.. Feel very annoyed when working...

Doctor's answer:

The treatment primarily focuses on warming the kidneys to boost yang and nourishing the kidneys to benefit them. Medications for the male reproductive system should not be used in an extreme manner. When treating yang deficiency, yang should be sought within yin; when nourishing yin, yin should be sought within yang. While tonifying the kidneys, attention should also be paid to concomitant symptoms: if qi deficiency is present, add herbs that replenish qi; if blood deficiency is present, increase herbs that nourish blood; if damp-heat or blood stasis is present, support with herbs that clear heat and resolve dampness, as well as herbs that activate blood circulation and remove stasis. Acupuncture, massage, and qigong can also be combined to enhance efficacy. Male infertility patients should avoid smoking, limit alcohol consumption, avoid excessive emotional tension, refrain from overexertion, and maintain regular daily routines.

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