Patient's question:
I and my wife have been married for many years without having children. We went to the hospital for check-ups together, and the results showed that my wife is normal, while I have male infertility. Now we are very anxious and don't know what to do. Does male infertility require surgery?Doctor's answer:
Hello, if the unilateral vas deferens is blocked, it has little impact on fertility. However, if both sides are blocked, the inability to normally expel sperm will lead to infertility.1) Urinary and reproductive system infections: Such as epididymitis, prostatitis, seminal vesiculitis, or epididymal and vas deferens tuberculosis, which can cause vas deferens obstruction, more commonly at the connection between the epididymis and vas deferens.
2) Injuries: Such as hernia repair surgery, varicocele surgery, or spermatic cord tumor surgery, which can damage the vas deferens; hydroceles or spermatocele surgery can damage the epididymis; prostate surgery can cause obstruction of the ejaculatory duct; or even without direct injury, postoperative infections, adhesions, or scar formation can compress or obstruct the vas deferens.
3) Tumors: Such as epididymal tumors, seminal vesicle tumors, or prostate tumors, all of which can cause vas deferens obstruction.
4) Congenital abnormalities: Such as the absence of the head, body, or tail of the epididymis, a partial or complete absence of the vas deferens, the vas deferens not connecting with the epididymis, or underdevelopment of the epididymis, vas deferens, or seminal vesicles.
Guidance:
It is recommended that you undergo a detailed examination at the hospital to identify the cause and receive symptomatic treatment. Additionally, in daily life, pay attention to maintaining local hygiene and cleanliness, ensure adequate rest, and strengthen exercise. It is also recommended to take Jinghuosu to comprehensively improve sperm quality, the number of normal-shaped sperm, motility, semen volume, semen liquefaction, and other sperm indicators, thereby increasing the success rate of pregnancy. Wishing you good health!