Online consultation for male infertility

Patient's question:

What is male infertility? I am already 45 years old, and I have been married for over a year. I am the only child in the family, and my parents are farmers who place great importance on having children. However, in the past year and a half, neither my wife and I have taken any precautions, and we still don't have a child. My wife has been tested and there are no issues, so is it my problem? What are the symptoms of infertility?

Doctor's answer:

Classification of Etiology
The etiology of male infertility can be classified based on fertility into absolute infertility (azoospermia) and relative infertility (quality issues such as low sperm count or poor motility). According to clinical manifestations, it can be divided into primary infertility and secondary infertility; based on the location of genital organ lesions, it can be categorized as pre-testicular, testicular, and post-testicular.
To diagnose male infertility, the following points must be clarified at least:
① Whether it is male infertility, female infertility, or both parties have infertility factors;
② If it is male infertility, whether it is absolute or relative infertility;
③ Whether it is primary or secondary infertility;
④ If it is male infertility, the exact cause should be identified as much as possible to adopt effective treatment measures targeting the etiology.

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