Patient's question:
Got married not long ago, having sex daily, sometimes twice a day in the morning and evening. Not sure if it's too frequent, causing me to have dysuria and hematuria.Doctor's answer:
Your issue is not overly frequent, but rather likely caused by 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 can see is actually a mixture of prostatic and seminal vesicular fluid. Since the sperm in your testicles cannot be expelled due to blocked vas deferens, they are not found in the semen. Diagnostic procedures like vasography and ultrasound can locate and identify the obstruction, allowing for microsurgical reanastomosis, which is theoretically the best treatment option. 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.