Patient's question:
My husband has low libido, which is because he has very few sperm. But I got pregnant twice last year and this year. He has also taken medicine bought from a pharmacy, but it hasn't been effective. Please ask what kind of medicine can treat oligospermia.Guangxi Ding Ding
Doctor's answer:
HelloThere are many specialized hospitals that treat such issues.
The normal volume of semen expelled by a healthy male in a single ejaculation is typically 2-3 milliliters. If it is less than 1 milliliter, it is referred to as oligozoospermia.
Oligozoospermia can cause sperm to lose vitality, leading to infertility. Statistics show that infertility caused by oligozoospermia accounts for 1.8% of male infertility cases.
Why does oligozoospermia occur? The main reasons include:
1. Testicular dysfunction and endocrine disorders, which can lead to incomplete development of the epididymis, prostate, and seminal vesicles, resulting in insufficient semen production.
2. Urinary and reproductive system infections, such as prostatitis, seminal vesiculitis, and epididymitis, which can reduce semen volume.
3. Seminal vesicle tumors or cysts, urethral stricture, urethral diverticula, or reproductive tract surgery that damages the spermatic ducts can also decrease semen volume.
4. Excessive frequency of ejaculation is also one of the causes of oligozoospermia.
Your description of oligozoospermia is quite vague. If the first three possibilities can be ruled out and the issue is solely due to frequent ejaculation, then there is no need for treatment. Simply reducing the frequency of sexual activity and masturbation may be sufficient.
If treatment is required, it should be symptomatic. If it is caused by hypogonadism, human chorionic gonadotropin (HCG) can be administered through intramuscular injections every other day. If it is caused by conditions like prostatitis or seminal vesiculitis, antimicrobial therapy can be used. If it is due to organic diseases of the reproductive system, surgical treatment may be necessary. As long as the male reproductive system is treated and ejaculation frequency is controlled, oligozoospermia can be resolved without affecting fertility.