Patient's question:
My husband has low libido 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. What kind of medicine can treat oligospermia?Guangxi Ding Ding
Doctor's answer:
HelloThere are many specialized hospitals that treat such issues now.
The normal volume of semen expelled by a man 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 it is only due to frequent ejaculation, then there is no need for treatment. Simply reducing the frequency of sexual activity and masturbation will suffice.
If treatment is necessary, 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 prostatitis, seminal vesiculitis, or other conditions, antimicrobial treatment can be used. If it is due to organic diseases of the reproductive system, surgical treatment may be required. As long as the male reproductive system is treated and ejaculation frequency is controlled, the problem of oligozoospermia can be resolved, and fertility will not be affected.