Introduction
Shi Changchun graduated from the Sichuan School of Reproductive Health and studied at the Ministry of Medicine of Peking University.After graduation, he has been engaged in male reproduction -urology work, with a solid medical theoretical foundation and rich clinical work experience.
Male infertility and men are good at treating various reasons.In particular, there is a unique treatment plan for the treatment of sperm -free, lack of essence, and weak essence caused by the causes of iconic veins, endocrine disorders, infections, obstruction, etc., and the treatment effect is well -recognized in the industry and patients.More than ten provincial papers such as treatment "and" field effects to treat prostate diseases ".
Hospital where expert is located: Beijing Tianlun Hospital
What does male infertility mean?What types of types?
Director Shi Changchun: Modern medicine believes that male infertility refers to the situation where the couple's marriage or living together for more than one year, normal behavior and no contraceptive measures, and their wives or female partners fail to give birth.The cause of the cause is in the man's disease, and we call it infertility.There is also a method of distinction: divided into two types: male infertility and male.Male infertility means that the husband can make his wife pregnant, but the fetus cannot survive, such as miscarriage, dead fetus, etc.; And male infertility means that the husband cannot make his wife pregnant.However, at present, the medical community no longer distinguish between the above two situations, but referred to the female infertility caused by the man as a male infertility.The infertility of WHO (World Health Organization) is defined as: at least 12 months of infertility life history, but not conceived.At present, the definition of mainland China is: at least 2 years of inacular life history and failure to conceive their wives.
There are various classification methods for male infertility in medicine.Some people divide male infertility into young sperm disease, weak sperm, deformity sperm, sperm -free, etc.; Others are divided into sexual dysfunction infertility, semen abnormal infusion, and semen abnormalities, semen abnormalities, and semen, and semen, and semen abnormalities, and semen abnormalities, and semen abnormalities, andNo sperm disease, etc.The above classification method is either on the surface or too vague.To this end, WHO proposes a classification method based on the cause diagnosis of the cause. This classification method is currently the most authoritative diagnosis and classification method in the world./ Or ejaculation dysfunction (2) Immunomician cause (3) Reasons of unknown (4) Simple sperm plasma abnormalities (5) Medicine source (6) Systemic cause (7) Congenital abnormalities (8) acquired sex testicles in the day after tomorrow(9) Varicular veins (10) Male paranexical glands infection (11) Endocrine etiology (12) Features of specialty sperm (13) Featured weak sperm symptoms (14) Featured malformation sperm (15) obstructionSexual -free (16) specialty sperm -free.
Men's fertility ability has an impact on the success of the woman's conception. How to judge the fertility of men?
Director Shi Changchun: Men's fertility must have the following basic conditions: ① to have a perfect hypothalamus, pituitary, testicular, and accessories system;It has normal semen output channels; ④ The reproductive system has normal blood operation and nerve domination, which can perform sexual life.Any exception in these conditions can cause male infertility.
At present, most people believe that there are two main types of indicators in judging male fertility: ① Main indicators: less than 6 million / mL; half an hour of sperm activity is less than 50 %; 6 -hour sperm activity rate is less than 20 %; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm; sperm;The difficulty test is less than 3 cm; the deformity sperm is greater than 30 %.② Auxiliary indicators: Sperm numbers are 600 to 15 million / mL; half -hour sperm activity rate is 50 % to 70 %; 8 -hour sperm activity rate is less than 20 %; sperm climbing tests are 3 to 5 cm; 1 hour is not liquefied; the pH value is greater than greater than the value of the pH than the value of the pH.8.9 or less than 7.0; the amount of semen is greater than 8ml or less than 1 mL.
According to the above indicators, male fertility can be divided into level 3: 0 fertility levels: indicate that there are two main indicators and 1 auxiliary indicators in the semen; or although there is a main indicator, the auxiliary indicators are more than two or more items.By.At this time, the diagnosis of infertility can be established.Grade 2: Each indicator of semen is normal, indicating that fertility is normal.Grade 1 of fertility: between level 0 and level 2, it means that fertility is low, but there is the possibility of fertility.