Men's infertility is not an independent disease, but a more complex clinical syndrome.Generally, it means that he has lived together for more than 3 years and did not take contraceptive measures.10%of the married couples in my country have infertility, 60%of the female factors, about 40%of the man, and 10%for the common reasons for both sides.
The cause of the disease is complicated, and many diseases or factors can cause male infertility.According to the results of semen examination, it can be classified as no sperm, severe semi -sperm, semi -sperm, sperm, sperm normal infertility, polygenosis, and sperm disorder.The focus of the treatment of this disease is to find the specific cause of the pathogenic, treat the cause, and the treatment effect is different.For those with absolute infertility (such as sperm -free), the clinical manifestations of sperm sperm artificial sperm must be performed:
1. The couple have lived together for more than 3 years after their marriage (some scholars believe that for more than 2 years), and they fail to get pregnant without contraceptive measures.
2. Congenital diseases caused by endocrine diseases and chromosomal abnormalities are manifested as disorder of sexual maturity, insufficient masculine, breast hyperplasia, testicular atrophy, low sexual desire, premature ejaculation and impotence.
3. Congenital abnormalities of testicles: no testicles, cryptorchidal and testicular development.
4. Excellent veins: scrotum is painful, and the scrotum can be touched in the veins of the group, Valsalva test (+).
5. Reproductive pipe infection.
6.
Diagnose based on
1. History of medical: The history of diseases, damage and surgery, sexual life and marriage history, drug and physical and chemical factors contact history, urinary tract symptoms, and women's gynecological examination.
2. Physical examination: Including the general situation of the whole body, the examination of the nervous system reproductive system, the focus is on the reproductive organs, the most important of which is the size and texture of the testicular.
3. Semen examination: 3-7 days of abstinence, collect semen with masturbation or in vitro exclusion method, and check within 1 hour.
Normal reference value: 2-6ml of precision, gray or pale yellow, completely liquefied in 5-20 minutes, pH7.2-7.8 sperm density is 50 million-10 billion/ml, sperm activity> 60%, sperm vitality> 75%(> Level 6), sperm malformation rate<30%，精子总数>130 million/Elimination each time.The sperm number <20 million/ml has poor fertility.
