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 women's 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 must be given:
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 essence, gray or pale yellow, completely liquefied in 5-20 minutes, PH7.2-7.8 sperm density is 50 million to 100 million / mL, sperm activity is> 60 %, sperm vitality> 75% (> 6), sperm malformation rate is <30 %, and the total number of sperm is 30 million per sperm.Sperm counts <20 million / mL have poor fertility.
Treatment principles
1. Cause therapy; 2. Endocrine therapy; 3. Non -specific treatment; 4. Surgical treatment; 5. Artificial insemination.
Principles of medication
1. The infertility caused by the infection of the reproductive device is mainly antibiotic antibiotic anti -inflammatory treatment, supplemented by drugs that improve sperm vitality.
2. Sperm -free, younger sperm and specialty infertility, should be used as endocrine therapy for sex hormone drugs.
3. Sperm vitality is mainly the treatment of sperm vitality.
4. Static cable veins, obstruction of the vollar pipeline, umbrella, and urethral cracks leading to infertility. It should be treated with endocrine drugs and other auxiliary drugs.
5. Absolute infertile (such as sperm -free), artificial insemination should be performed.
Efficacy evaluation
1. Cure: The parameters of semen are returning to normal, and the woman is pregnant.
2. Impressure: The semen indicators have basically returned to normal, but the woman has not been pregnant.
3. Not healed: Symptom signs and semen examination have not improved.
Expert tips
Men's infertility is a complex and difficult problem, but should not be pessimistic.The cause of infertility must be found during the diagnosis, and then the cause treatment is performed.Avoid blind treatment of "emergency cure".For the treatment effect, both doctors and patients cannot be in a hurry, because the human essence cycle of human beings is 72-80 days, and the drugs that improve the sperm function should be maintained for at least one year. Generally speaking, the quality of semen should be 7-9 after treatment.The month has improved significantly.For the absolute infertility of surgery or drug treatment, artificial insemination should be given to solve the problem of fertility.Fortunately, with the development of medical science, especially the continuous improvement of reproductive medical technology, the original part of the infertility patients who are considered to be unable to heal can be effectively treated.
(Editor in charge: Internship Liu Suling)
