Patient's question:
Male infertility, how is the treatment better?Doctor's answer:
Hello: The treatment of infertility should be carried out after comprehensive and systematic examination and diagnosis of both male and female partners, targeting the cause, and adopting a combination of traditional Chinese and Western medicine treatments.（1）Treatment for male infertility:
Abnormal semen: If there is azoospermia or oligospermia, the primary disease should be actively treated. Hormones, traditional Chinese medicine, and acupuncture can also be used.
Sperm transport disorders: Such as vas deferens obstruction, urethral fistula, hydrocele of the spermatic cord, or varicocele, surgical treatment can be performed; if caused by sexual dysfunction, symptomatic treatment should be given.
（2）Treatment for female infertility:
Ovulation disorders: Medications are commonly used to promote ovulation. For example, clomiphene is taken starting from the 5th day of the menstrual cycle, once daily, with a dose of 50mg per time, 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 fertilization is hindered, active treatment should be given for conditions such as vaginitis, cervicitis, tubal obstruction, or trichomoniasis. Surgical treatment may be required for certain 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, potentially leading to pregnancy.
（3）Treatment for infertility caused by factors affecting both partners:
Infrequent sexual intercourse reduces the chance of conception; excessive frequency of sexual intercourse may dilute semen and impair sperm development, also affecting conception.