Patient's question:
Married for a year, no children, two hospitals have conducted four semen tests each, none of which found spermDoctor's answer:
Hello, the fructose content in seminal plasma is low, but the pH value of the semen is weakly alkaline, which is quite contradictory. If the fructose value is high, epididymal obstruction should be considered. If the fructose content is low, it suggests seminal vesicle obstruction. Considering the semen volume, I believe the likelihood of epididymal obstruction is higher. I recommend a seminal vesicle. If there is no obstruction, a vas deferens-epididymal anastomosis surgery can be considered. The surgery can be performed together, but the recanalization rate after anastomosis is not more than 80%. Even if the anastomosis is successful, only a few people can achieve natural conception. I suggest trying the surgery first, as the surgical damage is minimal. If it is not successful, there is still the option of IVF. Of course, you can also choose IVF directly!