Patient's question:
Got married recently, having sex daily, sometimes twice a day in the morning and evening. Unsure if it's too frequent, causing me to have dysuria and hematuria.Doctor's answer:
Your issue is not due to excessive frequency, but rather poor personal hygiene, leading to urinary and genital tract infections. The presence of blood in the semen indicates that the inflammation has affected the seminal vesicles. The absence of sperm in the semen you discharge but the ability to easily retrieve sperm from your testicles suggests a typical case of obstructive azoospermia caused by an ascending infection.The semen you see being discharged is actually a mixture of prostatic and seminal vesicular fluid. The sperm in your testicles cannot be expelled due to blocked vas deferens, which is why they are not found in the semen. Using vasography and ultrasound to locate and identify the obstruction, followed by microscopic surgery to re, is theoretically the best treatment approach. However, from a cost-effectiveness perspective, in vitro fertilization (IVF) is simpler and more effective. Since you can easily obtain sperm from your epididymis or testicles, you should proceed with it promptly.