Post Date December, 03 2023
Q: What diseases or factors can cause male infertility? How to treat it?
Professor Yang Xuehui: Male infertility is often the result of multiple diseases or factors, mainly including: congenital reproductive organ development abnormalities, such as hypospadias, short penis, etc; Genetic diseases such as Y chromosome DNA sequence abnormalities and sperm production defects; Endocrine diseases, such as pituitary diseases, hyperthyroidism, hypothyroidism, diabetes, etc; Reproductive system infections, such as prostatitis, seminal vesiculitis, epididymitis, etc; Varicocele; Sexual dysfunction; Mental and psychological factors, etc.
Because male infertility is associated with multiple diseases and factors, its treatment is inevitably a complex process. Firstly, it is necessary to do some necessary examinations and tests to clarify the cause of the disease before symptomatic treatment can be carried out; Secondly, it is necessary to adhere to scientific and foot treatment in order to achieve ideal results; Third, patients should establish an optimistic and confident attitude in order to improve semen quality and thereby cure infertility.
Q: What tests should be done for general male infertility? After being diagnosed with asthenospermia, what additional tests are needed to determine the cause?
Professor Yang Xuehui: If male infertility is to be diagnosed, the examinations involved are very complex, such as general physical examination (systemic and reproductive organ examination), routine laboratory examination (semen analysis, prostate fluid examination, etc.), endocrine examination, Doppler ultrasound examination (to confirm varicocele), X-ray examination (to determine the location of vas deferens obstruction), immunological examination, testicular biopsy, chromosome karyotype analysis, etc.
After the diagnosis of asthenospermia, further examination should be performed to clarify the cause before doctors can treat the condition. For example, further color Doppler ultrasound blood flow imaging of spermatic veins should be performed to determine whether there is varicocele and venous blood reflux. This factor is the most common cause of oligospermia and weak sperm. In addition, antisperm antibodies should also be tested. Factors such as varicocele, inflammation of the reproductive tract, and damage to the testis and epididymis can cause autoimmune reactions, leading to positive antisperm antibodies, which can lead to asthenospermia and immune infertility. After blood sampling and examination, the etiology can be determined and symptomatic treatment can be given.
Prostatitis: An Unnegligible Cause of Male Infertility
Q: There are many patients with chronic prostatitis who are infertile after marriage. When they go for a checkup, they find that their sperm vitality is insufficient and semen liquefaction is not good. Does this indicate that prostatitis can lead to infertility?
Professor Yang Xuehui: The causes of male infertility are complex. According to relevant data, infertility caused by reproductive system infections such as prostatitis accounts for 30%. When inflammation occurs in the prostate gland, the secretion of prostate fluid decreases, resulting in a decrease in semen volume, which interferes with the survival and activity of sperm. At the same time, it decreases the activity of enzymes in prostate fluid, increases semen viscosity, and prolongs liquefaction time. In addition, the presence of inflammation can also change the pH value of semen and cause the body to produce anti sperm antibodies, leading to sperm death. Prostate fluid contains a large amount of bacteria and bacterial toxins due to inflammation, which can consume nutrients in seminal plasma, thereby affecting sperm survival.
It should be pointed out that male infertility is the result of a combination of multiple factors. Therefore, although male infertility is related to prostatitis, the examination and treatment of other causes cannot be ignored.
Q: How to treat male infertility caused by prostatitis?
Professor Yang Xuehui: In the treatment of male infertility caused by prostatitis, first of all, according to the etiology, we use the interventional ablation technique of the lumen to place the therapeutic probe in the prostate urethra, form a closed circuit around the prostate, and directly push the bactericidal drug into the deep layer of the lesion, solving the problem that it is difficult for drugs to break through the lipid envelope of the prostate; At the same time, under the action of concussion and electrochemical effects, the permeability of the prostate lipid envelope increases. The electrochemical reaction in the electric field increases the pH value to 12 to 14, causing necrosis and liquefaction of the diseased tissue, which is discharged from the body with the treatment catheter, achieving the goal of sterilization and anti-inflammatory.
In addition, doctors will develop personalized integrated traditional Chinese and Western medicine treatment plans based on the individual and etiological factors of patients, regulate the internal environment of yin and yang in the human body, regulate male reproductive ability, and enable them to produce healthy sperm, improve sperm quality, and improve sperm survival rate. And the use of syndrome differentiation therapy from tonifying the kidney and generating essence, clearing heat and dampness, promoting blood circulation and resolving stasis, and other aspects of conditioning, achieving ideal results. Shenzhen Fuhua Integrated Traditional Chinese and Western Medicine Hospital has summarized a set of very scientific and complete treatment plans during many years of clinical diagnosis and treatment, enabling many infertile patients to realize their father's dream.
Laparoscopic treatment of varicocele has significant effect
Q: Many infertile men have problems with varicocele, cryptorchidism, and many are born. How does this type of infertility affect fertility?
Professor Yang Xuehui: We know that sperm production and development require a specific temperature environment, which is generally 1-2 ℃ lower than body temperature. Diseases such as varicocele and cryptorchidism can cause local temperature increases in the testis, leading to sperm production disorders or abnormal quality. Cryptorchidism affects the spermatogenic function of the testis because the testis is located in the inguinal canal or abdominal cavity, and the local temperature is several degrees higher than the temperature in the scrotum; Varicocele, venous blood reflux, and local congestion in the internal spermatic veins also increase the temperature of the testis, which is one of the reasons for infertility caused by varicocele.
Q: How to treat male infertility caused by varicocele and cryptorchidism?
Professor Yang Xuehui's answer: For infertility caused by diseases such as cryptorchidism and varicocele, laparoscopic minimally invasive treatment can be used. Shenzhen Fuhua Integrated Traditional Chinese and Western Medicine Hospital currently uses Storz laparoscopic minimally invasive technology to perform high ligation of varicocele and cryptorchidism exploration and treatment, avoiding various injuries and discomfort caused by surgery. It has the advantages of small trauma, light pain, rapid recovery, and high safety, without damaging surrounding tissues and nerves; Able to handle bilateral lesions at one time; The most important reason is that compared to previous operations through the inguinal canal, it can effectively avoid postoperative recurrence due to abdominal surgery; The postoperative treatment was satisfactory and the fertility rate was high.
Does spermatorrhea affect male fertility "The phenomenon of semen spillage during sleep is called nocturnal emission, which is a common physiological phenomenon among adolescent males. However, many people render nocturnal emission terrifying.". In clinical practice, we often encounter this type of patient who comes to see a doctor with a sad face and says that they dreamt last night. They regard human semen as someone's "vitality" and "essence", and after dreaming, it can harm the body.
