Poor sperm quality, how should I treat it?

Patient's question:

My sperm motility is 46.26%. The vitality is 32%. Ureaplasma urealyticum is positive, and the bacterial culture shows Corynebacterium. How should I be treated?

Doctor's answer:

There are many causes of asthenozoospermia, including inflammation, varicocele, and decreased testosterone levels. Your ultrasound report indicates left testicular hydrocele, which can also cause asthenozoospermia.
Recommendation: It is recommended to complete further examinations, including checking sex hormone levels and performing a varicocele ultrasound. Additionally, it would be best to address the testicular hydrocele to improve the spermatogenesis environment.

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