Post Date December, 03 2023
Semen cannot be as pure as pure water
As we all know, water should be more pure and clean, but male semen is not a good thing like water, which means that there is no sperm or less sperm, and azoospermia should be the leading role in male infertility. Many male friends are infertile because of azoospermia. Not only is the body being hurt, but the heart is also in constant pain. Let's take a look at what experts say.
Sperm is produced by the testes and enters the epididymis for storage. After maturation, it passes through the seminal tract and, together with the seminal plasma, forms semen. The seminal tract includes the output tubules of the testes, epididymis, vas deferens, and urethra.
Azoospermia refers to the phenomenon where the ejaculated semen, after centrifugation and sedimentation, cannot be seen under a microscope as the "seed" - the trace of sperm. Where has the "seed" gone?
There are two reasons for the absence of sperm in semen: firstly, there is no sperm production at all; The second is that even if there is sperm production, if there is a "blockage in the pipeline", it cannot be ejaculated with the semen. Specifically, there are mainly the following reasons:
Testicular factor dysgenesis
Congenital absence of testicles, undeveloped testicles, or underdeveloped testicles, among which the more common is cryptorchidism. When a normal fetus develops to 8 months, the testicles should enter the scrotum. If they do not enter the scrotum, they are called cryptorchidism. If the bilateral cryptorchidism, especially the high cryptorchidism, or one side of the cryptorchidism and the other side of the testicle also have lesions, azoospermia can occur.
Testicular infection
Bilateral orchitis, including viral mumps accompanied by bilateral orchitis, especially infection before puberty leading to azoospermia.
Testicular blood circulation disorders
Surgery, trauma, inflammation, etc. in the scrotum and inguinal region can cause blood supply disorders to the testes, resulting in decreased testicular spermatogenic function.
Long term radiation exposure can damage the seminiferous tubules and cause testicular atrophy. According to statistics, azoospermia can occur after 7 weeks after a single exposure of 100-600 liters; Stop irradiation and the sperm only began to recover after 5 months.
Drugs and Chemicals
Long term use or excessive dosage of certain drugs can affect the spermatogenic effect of the testes, such as Malilan (Baixiaoan) in the treatment of chronic myeloid leukemia; Phenylbutyrate nitrogen mustard (Liuke Ran) for the treatment of Hodgkin's disease; Cyclophosphamide (Andersen) for the treatment of rheumatoid arthritis, nephrotic syndrome, and glomerulonephritis; Colchicine (colchicine) for treating gout; Phenylphenytoin sodium (Dalantine) and other drugs for treating epilepsy. Chronic alcoholism, as well as long-term exposure to chemicals such as arsenic, aluminum, benzene, and amines, can affect the spermatogenic function of the testes.
Varicocele
This disease can cause an increase in local testicular temperature, obstruction of testicular venous reflux, reduction of testicular oxygen supply, obstruction of toxic substance excretion, inhibition of testicular endocrine function, interference with testicular normal metabolism, and ultimately lead to testicular spermatogenesis disorders.
Obstruction of vas deferens
Normal testicular spermatogenic function is a prerequisite; But this condition alone is not enough, and it also requires a "smooth pipeline".
What are the treatment methods for oligospermia?
There are many reasons for oligospermia, and patients should choose the appropriate treatment method based on their own situation during treatment. There are several commonly used treatment methods in clinical practice:
1） Drug treatment: A lot of spermatozoa are caused by urinary system infection, so antibiotics can be used for anti-inflammatory treatment.
2） Surgical treatment: Oligospermia caused by organic lesions, such as varicocele, is not effectively treated with medication, and clinical treatment often involves surgical treatment.
3） Integrated traditional Chinese and Western medicine treatment: This method has achieved good results in treating oligospermia caused by endocrine and other reasons, which is faster and more thorough than the simple use of medication treatment.
