Sexual Health
What are the eight taboos to improve semen quality in the treatment of critical infertility
Post Date November, 16 2024
Male infertility is not an independent disease, but a clinical syndrome. Its etiology is single, and the disease results caused by multiple factors, and the diagnosis and treatment are quite complex.
Definition: male infertility
WHO definition: male infertility refers to those couples who have cohabited for one year after marriage and have not taken any contraceptive measures, and who cause female infertility due to male reasons.
Multi-center research reports show that 20% of infertility is caused by men, 38% by women, 27% by couples with problems at the same time, and the other 15% by unexplained infertility (so-called idiopathic infertility). Therefore, it can be considered that the male factor infertility rate is more than 50%.
WHO believes that infertility is a global problem affecting men and women. At present, the incidence rate of infertility in developed countries fluctuates between 10% and 20%, and that in the United States is about 15%. The situation in China is also not optimistic. According to the statistics of 19595 couples newly surveyed by the Guangdong Provincial Institute of Family Planning in 2005, the incidence of infertility among first married couples of childbearing age in Guangdong Province is 14.7%.
Improving semen quality is the key to treating infertility
Y is nearly 40 years old this year, and his wife has not seen pregnancy. There is no problem with female examination. Y examination shows no definite disease and abnormality, only abnormality in sperm quality and quantity. At present, most male infertility in clinical practice is due to unknown reasons.
From the perspective of treatment, male infertility mainly focuses on improving semen quality, eliminating factors affecting semen quality (infection, immunity, semen varices, etc.), and eliminating obstruction of seminal tract. Treatment methods can be divided into drug treatment, surgical treatment and assisted reproductive technology. Therefore, for Y, it is generally recommended to continuously use the drug for 3-6 months, and the effective person can continue to use it, so that the sperm number reaches the ideal index or the wife is pregnant; If there is no improvement after 3-6 months of taking the medicine or the fertility function still cannot be restored, artificial insemination can be carried out after in vitro sperm treatment; For severe oligospermia that is not effective in treatment, empirical drug treatment should not exceed 12 months. It is recommended to select the second generation of test-tube infants as soon as possible. It is worth mentioning that for some infertility of unknown etiology in western medicine, traditional Chinese medicine can be used to treat it as a whole according to syndrome differentiation, so as to achieve natural pregnancy; For those who really need to implement assisted reproductive technology, it can also increase the success rate of pregnancy, which is also the consensus gradually reached by domestic and western andrology experts.
