Patient's question:
I have been married to my husband for five years. We started trying to conceive a year ago, but haven't been able to get pregnant. Because I had an abortion before marriage, I was worried about my own issues, so I got checked six months ago and there were no problems. That means it's my husband's issue, and I want to find out.Doctor's answer:
Hello, there are many reasons for male infertility, mainly including the following aspects:1. Abnormal semen: Such as azoospermia (no sperm), or a low sperm count with reduced motility and abnormal morphology.
2. Reproductive organ infections: Repeated urinary tract infections, such as urethritis, seminal vesiculitis, orchitis, epididymitis, and prostatitis, can damage reproductive organs and affect semen quality.
3. Testicular abnormalities: Undescended testicles not only cause infertility but can also lead to malignancy; damage to the primordial germ cells during fetal development due to adverse environmental factors; and acquired testicular injuries.
4. Obstruction of sperm transport: Tuberculosis of the epididymis and vas deferens can block the vas deferens, preventing sperm from passing through. Sexual dysfunctions such as impotence and premature ejaculation also prevent sperm from entering the female vagina.
5. Hydrocele: Hydrocele compresses the blood circulation of the testicles, which can lead to testicular infection or atrophy.
6. Endocrine factors: Male endocrine disorders, such as thyroid and adrenal dysfunction, low testosterone levels, or elevated follicle-stimulating hormone (FSH) or prolactin, can cause oligospermia or azoospermia, leading to infertility.