Treatment principles for male infertility, commonly used Western medicines, and types of infertility requiring surgical treatment.

1.5.3. What principles should be followed to cure male infertility?

When treating male infertility, patients should generally adhere to the following principles:

(1) Change bad lifestyle habits and improve physical fitness.

Patients should quit smoking and drinking, avoid spicy foods, and maintain a healthy lifestyle.

Establish good routines, strengthen nutrition, and engage in moderate physical exercise.

(2) Couples should cooperate to live a moderate, effective, and harmonious life.

Sexual activity. Treatment of infertility should not be rushed; both partners should...

Close cooperation and consistent monitoring of the wife's ovulation period are essential.

Increasing the frequency of intercourse before and after conception may increase the chances of getting pregnant.

(3) Follow the doctor's instructions for reasonable treatment of infertility.

For difficult-to-treat diseases, it is crucial to avoid taking tonics based on hearsay. Consult a specialist.

Under the guidance of a doctor, appropriate treatment should be administered. Patients suitable for surgery should undergo [further treatment].

Patients undergoing surgical treatment or who are suitable for drug therapy should adhere to their prescribed medication regimen.

Medication. If necessary, advanced methods such as artificial insemination may be used. If absolutely necessary...

If treatment is hopeless, adoption procedures can be completed according to legal processes.

[154. What Western medicines are available for treating male infertility?]

There are many Western medicines for treating male infertility, but the root cause should be addressed.

Use according to different indications and under the guidance of a doctor; never use blindly. Their classification is as follows:

(1) Drugs that enhance sperm motility and prolong sperm life:

Arginine: It is a substance required for sperm metabolism. Take 4 grams orally every day.

Adenosine triphosphate (ATP): Provides essential nutrients for sperm cell metabolism.

Energy, increases sperm motility, once daily, intramuscular injection of 20g.

Milligrams.

Kallikrein: Kallikrein plays a crucial role in the metabolism of the human body.

It participates in sperm production and enhances sperm motility. Take 600 IU orally once daily (international standard).

40 IU (International Units) or 40 IU (International Units) intramuscularly, 3 times a week.

(2) Medications that regulate and stimulate the human spermatogenesis process:

Clomiphene: an anti-estrogenic drug, suitable for use with serum FSH and LH levels.

Oligospermia patients with low or normal levels of FSH and LH.

Not suitable for patients with high sperm count or azoospermia.

Taxmoxifen: belongs to the anti-estrogenic class.

Medication suitable for unexplained infertility and reproductive tract inflammation.

Or patients with long-term infertility caused by varicocele.

Gonadotropin-releasing hormone (LHRH): Suitable for patients with idiopathic oligospermia.

(3) Medications for treating reproductive tract infections:

Most are antibiotics, and the most effective drugs can be selected based on the type and location of the pathogen causing the reproductive tract infection.

1.5.5. Some cases of male infertility can only be treated surgically.

Some male infertility patients have organic lesions.

It cannot be resolved with medication and can only be treated surgically. The main types are as follows:

(1) Genital malformations or developmental abnormalities: Common examples include

Undescended testis, urethral stricture, urethral fistula, hypospadias, epispadias, severe Peyronie's disease, etc.

(2) Obstructive azoospermia: including obstruction of the vas deferens and spermatic cord.

Obstructive azoospermia caused by congenital absence of the scrotum; vas deferens segment

Segmental hypoplasia; iatrogenic injury or ligation of the vas deferens; congenital stenosis of the ejaculatory duct orifice, etc.

(3) Varicocele: The incidence of varicocele in male infertility is as high as 20%–35%.

High ligation of the spermatic vein can restore fertility in some patients.

(4) Organic sexual dysfunction: including those caused by severe penile dysfunction.

Severe trauma, pelvic fracture, vascular factors (such as venous fistula)

Erectile dysfunction caused by neurological diseases, and some

Retrograde ejaculation caused by organic lesions.

In general, the prerequisite for the correct treatment of male infertility is

The diagnosis is clear and accurate. Before treating male infertility, the cause should be identified in order to provide targeted treatment.

156. Sperm have "six fears".

(1) Avoidance of tobacco and alcohol: Smoking and excessive drinking can significantly reduce sperm count.

Enemy. Nicotine in cigarettes can lower the level of sex hormones in men.

It secretes hormones and has a direct killing effect on sperm. (Long)

Excessive alcohol consumption can cause 70% of sperm to become underdeveloped or lose their vitality.

(2) Fear of hunger: Some men are picky eaters and dislike eating certain foods.

Eating animal-based foods over a long period of time will decrease the zinc content in the body.

Zinc deficiency in men can lead to decreased libido and sexual function, as well as a decrease in sperm count.

33. Sensitive to heat: The scrotum is the testicle's "temperature regulator".

The temperature of the "instrument" is usually 1-2 degrees Celsius lower than body temperature. Only...

Under normal circumstances, the testes can produce normal sperm. If...

Men who have a habit of taking hot baths may experience a decrease in sperm production.

(4) Avoid frequent intercourse: Frequent sexual activity can reduce the amount of semen in each ejaculation.

The sperm count in the semen is reduced. If there are fewer than [a certain number of sperm per milliliter of semen]...

With 20 million children, the chances of getting pregnant would be very low.

(5) Fear and worry: Disagreements between husband and wife due to trivial family matters, and mutual...

Accusations, where both parties are constantly depressed or troubled, can directly affect...

It affects the body's nervous and endocrine systems, causing disorders in testicular spermatogenesis and leading to infertility.

(6) Fear of drugs and X-rays: Some drugs are harmful to sperm.

Damaging effects, such as those from nitrofurans and hormones, can induce spermatogenesis.

Growth disorders, sperm chromosome damage or breakage; receiving high doses

Radiation exposure can cause sperm chromosome abnormalities.