About 15%among the married couples, of which about 50%of the men are.Therefore, for the infertile couples, not only women need some necessary examinations, but men also need to do some examinations to find out the cause of infertility as soon as possible in order to be targeted.
1. History.It is important to correctly collect the medical history. Truthful reflecting the following situations: ① Occupation and work: whether there is contact with poison (lead, mercury, phosphorus), radiation, whether high temperature operations, contact time and whether there are protection measures; nutritional status; adverse hobbies (whether there are bad hobbies (whether there are bad hobbies (whetherSmoke, alcohol) and so on.② Started medical history: Have you suffered from gonorrhea, mumps, tuberculosis, epididymitis, pyelonephritis, cystitis or spinal cord injury, difficulty in urination, decreased diabetes or parathyroid function;③ Marriage and sexual living conditions: including attitudes to sexual life, sexual intercourse and frequency; whether nocturnal emission, premature ejaculation, etc., whether there are masturbation habits before marriage; how is the relationship between husband and wife, the health of his wife, whether the sexual life is coordinated, etc.;The time, the time of cohabitation and whether to take contraceptive measures.④ Staying and treatment: The results, collection time and methods of men's semen; what is the treatment, what is the effect; the woman's inspection.⑤ Family History: Family in the family, patients with infertility, gender malformations, genetic diseases, tuberculosis and other patients.
2. Auclear analysis of chromosome.For external reproductive organs, testicular dysplasia, and unknown sperm -free.
3. Men's infertility physical examination.Including the whole body and reproductive organs.Specifications are the same as internal medicine. In particular, we must pay special attention to development, nutrition and mental conditions, but the focus is on the examination of reproductive organs.The inspection content includes: ① Penis: Pay attention to whether there are serious phimosis, hardline, inflammation, tumor or abnormal development.② urethra: There are no fistula, lower fissure, hardships, or narrow.③ Prostate: The size of the anal diagnosis can be checked, whether there is hard constraints, pension, and massage the prostate solution for examination.④ Testicles: Measure its size, palpation hardness, whether there are hard constraints, tenderness, and pension, whether it is cryptor test.⑤ Sacrifice: Touch the hardness of the vollarization tube, whether there is nodules, tenderness, or not.
4. Laboratory inspection.Except for the semen examination as a compulsory item, the rest should be selected depending on the specific situation of the patient: ① Semen analysis: This helps to understand male fertility, which is a must -check item for infertility.The inspection content includes color, quantity, liquefaction time, pH, sperm count, activity, survival rate and form, etc.② Exposure of in vitro heterogeneous insemination: Even if conventional semen analysis is completely normal, sometimes it is still not possible to represent the insemination ability of sperm.In vitro heterogeneous insemination experiments can more accurately estimate the essence of sperm, which is very valuable to judge men's fertility.Commonly useful is the heterogeneous insemination experiment of human sperm penetrating hamster eggs, with sperm of normal fertility as a control.③ The prostate liquid examination: Normal is milky white, alkaline, and the tiny, folding lecithin particles full of vision under high -power mirrors, a little epithelial cells, starch samples and sperm, the number of white blood cells "10.When there is inflammation, the number of white blood cells increases, and even if it is seen in pile of pus, the lecithin particles are significantly reduced.
5. Immunology examination.Detecting sperm coagulation antibodies or braking antibodies in serum or slurry in the sperm condensing test or braking test.Although there are many types of detection methods, it should be selected according to local conditions.
6. Doppler ultrasound examination.Help to confirm the varicocele.
7. X -ray check.In order to determine the obstructive area of the vascular pipeline, vasters, epididymal angiography, seminal vessels, or urethral angiography can be used.Patriarchs with high -secaied prolactin ledis (positive, side positions) of butterfly saddle saders to determine the absence of pituitary adenoma.
8. Endocrine examination.You can understand the function of the hypothalamus-pituitary-testicular axis, and the testosterone level can directly reflect the function of the intermediary cells by releasing hormone-pituitary-testicular axis.If necessary, you can determine thyroid hormone, adrenal corticosteroids or prolactin.
9. Teste biopsy.For sperm non -sperm or sperm, directly check the sperm function of the testicular sperm tubular and the development of interior cells. The synthesis and metabolism of local hormones can be stained by immunohistochemistry.
Treatment of male infertility, medication is also very particular about medication
Nowadays, the pressure of society is increasing, and there are more and more families. There are many reasons for infertility, especially male infertility, treating male infertility, and medication.
To improve the treatment effect of male infertility, the most important thing is to be diagnosed first.There are many causes of male infertility. Be sure to distinguish the cause first. Only by determining the cause can it be effective and proof.Some can be treated, some cannot be treated at all; some can be cured in a short time, and some take a longer time; some need to pay attention to certain problems, and some need to pay attention to specific methods & hellip; & hellip;Obviously treated.
After the testimony, the key is to pay attention to continuous treatment.When the correct treatment plan is determined, the treatment cannot be effective immediately. Some treatment may be used to use testosterone, cloemen, etc., and the number of sperm may be reduced, which is often normal.In the process of taking our precious treasure capsules, although there is no sperm reduction process, due to the differences in inspection, it cannot be judged from a one -time inspection and the treatment effect. It often takes some time.We know that sperm from sperm cells to mature sperm often requires a long 75 days, so it is impossible to see the curative effect immediately. When taking it, you must pay attention to adhere to a course of treatment.
In fact, the speed of traditional Chinese medicine for male infertility is not slow.Many people believe that the treatment of traditional Chinese medicine is slow. This is a misunderstanding. Traditional Chinese medicine has obvious advantages in treating sperm vitality, decreased sperm, and decreased sperm activity.
We know that the above situation does not have very special Western medicines, and there is no curative effect that can be seen to see the shadow.On the contrary, the effects such as promoting Jingbao Capsules are very reliable, and as long as we meet the indicators of use, most of them can achieve the expected effect.
For some taboos, we must follow the doctor's instructions and strictly follow the doctor's doctor's advice.For example, smoking, drinking and other habits such as drinking, staying up late, bathing and bathing in poor living habits, you must pay attention to correction to avoid affecting the treatment effect.
What are the causes of male infertility
Under normal circumstances, the couple gets about 80%to 85%of her pregnancy in the first year, and about 10%to 15%of the couple in the second year will be pregnant.Most infertility patients came to the doctor because of the infertility of many years of marriage. There were no other discomfort. It was only discovered that abnormalities were discovered during the medical examination and laboratory inspection of relevant parties.
Men's infertility, according to the standard of the World Health Organization, is 1 year, referring to the history of infertility life at least 12 months without conceiving the woman.Primary men's infertility means a man never conceive a woman.Secondary men's infertility refers to a man conceived a woman.Generally speaking, men's non -breeding is more likely to recover from primary infertility.
At present, infertility has become a common condition.The normal value of sperm has been reduced from 60 million per milliliter to 20 million per millilate.
The cause of men's infertility disease is very complicated, and the World Health Organization is divided into 16 categories.There are mainly the following aspects:
After the reproductive organs infected with the pathogenic bacteria of male reproductive organs, the existence of inflammation will affect the normal secretion of the gland and the decline in raw sperm function, and reduce the shape of the sperm, vitality and survival period, which will lose fertilization and lead to infertility.Most patients have symptoms such as acute orchiditis, epididymitis, prostatitis, urethritis, and abnormal structure of reproductive organs.In severe cases, it can cause vasters, narrow epididymia, and even obstruction, so that sperm cannot be passed smoothly, entering women's body with eggs.
Exmedos of varicocele refers to the expansion of the vine intravenous veins of the sperm. It will be blocked by the blood flow of the testicles, the temperature rises, the metabolic disorders, and the harmful substances cannot be discharged in time, causing the testicular disorder, causing less sperm and sperm deformityThe decrease in vitality causes infertility.
Immune function is abnormal that men produce anti -sperm autoimmune.Human semen contains a variety of antigens. If there are urethritis, prostatitis, epididymitis, orchitis, the blood test barrier will be destroyed, and an immune response will occur, resulting in anti -sperm antibodies.Anti -sperm antibodies can cause sperm to lose, resulting in less essence and sperm -free, and prevent the combination of sperm eggs.
(Editor in charge: Wang Shaohua)
