Patient's question:
Male infertility, how is the best treatment?Doctor's answer:
Hello: The treatment of infertility should be carried out after comprehensive and systematic examinations and diagnosis of both partners, targeting the cause, and adopting a combination of traditional Chinese and Western medicine treatments.（1）Treatment for male infertility:
Abnormal semen: If azoospermia or oligospermia is present, the primary disease should be actively treated. Hormone therapy, traditional Chinese medicine, and acupuncture can also be used.
Sperm transport disorders: Such as vas deferens obstruction, urethral fistula (upper or lower), hydrocele of the spermatic cord, or varicocele, surgical treatment can be performed. If the cause is sexual dysfunction, symptomatic treatment should be administered.
（2）Treatment for female infertility:
Ovulation disorders: Medications are commonly used to promote ovulation. For example, clomiphene is taken starting on the 5th day of the menstrual cycle, once daily, with 50mg per dose, for 5 days as one course. It can be combined with diethylstilbestrol, taken orally at 0.25mg per day from the 5th to 14th day of the menstrual cycle. Alternatively, human chorionic gonadotropin can be administered via intramuscular injection. Traditional Chinese medicine can also be used for syndrome differentiation and treatment or phased adjustment of ovarian function.
Fertilization disorders: If fertilized eggs fail to implant, active treatment should be given for conditions such as vaginitis, cervicitis, tubal obstruction, or trichomoniasis. Surgical treatment may be required for certain anatomical abnormalities.
Immune factors: Some women may have antibodies against sperm, which can agglutinate sperm and prevent them from passing through cervical mucus. In such cases, condoms can be used for more than six months to temporarily prevent the woman’s vagina from coming into contact with the man’s sperm, after which condoms can be discontinued to increase the chance of conception.
（3）Treatment for infertility caused by factors affecting both partners:
Infrequent sexual intercourse reduces the opportunity for conception. Conversely, overly frequent sexual intercourse may dilute semen and impair sperm development, also affecting fertility.