What is male infertility?

Patient's question:

I recently don't know what's going on, my lower body is very uncomfortable, and I'm not getting morning erections anymore. What is male infertility?

Doctor's answer:

The incidence of male infertility is about 10%. Among them, factors solely related to the female account for approximately 50%, factors solely related to the male account for about 30%, and shared factors between both account for around 20%. Clinically, male infertility is divided into two categories: sexual dysfunction and normal sexual function. The latter can be further classified based on semen analysis results into azoospermia, oligospermia, asthenozoospermia, asthenospermia, and normozoospermic infertility. In recent years, with the increasing public awareness of human reproductive issues and the rapid development of male research, the detection rate of male infertility has gradually risen, attracting high attention from male researchers.
In addition to congenital testicular malformations and developmental disorders, the potential external harm of male infertility is often overlooked—namely, men's underwear. The scrotum contracts to regulate the testicular temperature, keeping it about 2 degrees lower than body temperature. Only when the testicular temperature is around 2 degrees lower than body temperature is it optimal for testosterone secretion, which is essential for sperm production.
Especially with the popularity of tight-fitting men's underwear, most front designs are double-layered, enclosing the scrotum and penis together. Prolonged wear leads to the hip area being exposed to a long-term high-temperature and humid environment, becoming a breeding ground for viruses and bacteria. Prolonged high-temperature and humidity in the hip area is a potential cause of common male diseases such as prostatitis, varicocele, seminal vesiculitis, and scrotal eczema. Prostatitis, varicocele, and seminal vesiculitis are prevalent conditions contributing to male infertility.

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