Patient's question:
I got married recently, and we have sex every day, sometimes twice a day in the morning and evening. I'm not sure if it's too frequent, which has led to me having dysuria and hematuria.Doctor's answer:
Your issue is not overly frequent; it should be caused by poor personal hygiene, leading to urinary and genital tract infections. The presence of blood in the semen indicates that the inflammation has affected the seminal vesicles. The absence of sperm in the semen you discharge but the ease of retrieving sperm from your testicles suggests a typical case of obstructive azoospermia caused by an ascending infection.The semen you see being discharged is actually a mixture of prostatic and seminal vesicular fluid. Since the sperm in your testicles cannot be expelled due to blocked vas deferens, they are not found in the semen. Using vasography and ultrasound to locate and determine the obstruction site, followed by microscopic surgery to re, is theoretically the best treatment approach. However, from a cost-effectiveness perspective, IVF is simpler and more effective. Since you can easily obtain sperm from your epididymis or testicles, you should proceed with it promptly.