Patient's question:
Because of the matter of having a child, I always argue with my wife. I have been married to my wife for several years, and she has never been pregnant. I know it's my problem; I have male infertility.Doctor's answer:
The causes of male infertility can be summarized as follows:1. Chromosomal abnormalities. Common examples include male pseudohermaphroditism, Klinefelter syndrome, and XYY syndrome.
2. Endocrine disorders. The cause is a lack of gonadotropins. Common examples include selective hypogonadotropic hypogonadism, also known as Kallmann syndrome; selective LH deficiency and FSH deficiency; adrenal cortical hyperplasia; hyperprolactinemia, etc.
3. Reproductive tract infections are relatively common. In recent years, with the increasing incidence, the prevalence and severity of reproductive tract infections such as prostatitis, epididymitis, orchitis, and urethritis have increased, severely affecting male fertility.
4. Obstruction of the spermatic ducts. This affects the transport of sperm.
5. Abnormal spermatogenesis in the testes. This is common in cryptorchidism. Physical and chemical factors such as toxins, magnetic fields, high temperatures, and trauma can all cause impaired spermatogenesis in the testes.
6. Abnormal sperm structure and seminal plasma abnormalities. These affect sperm motility, capacitation, and the acrosome reaction.
7. Immunological infertility. Both autoantibodies to sperm produced by men and anti-sperm isoantibodies produced by women can cause male infertility.
8. Male sexual dysfunction. Conditions such as erectile dysfunction, premature ejaculation, anejaculation, and retrograde ejaculation can all lead to male infertility.