Male infertility is currently one of the key diseases affecting men's health and also a trigger for marital breakdown. So, how is male infertility treated? Currently, there are several treatment methods for male infertility that have proven effective in clinical practice:
1. Treatment of genitourinary inflammation: It is now recommended to combine antibiotics with anti-inflammatory drugs for better results.
2. Immunotherapy: Surgical removal of localized damage sites in the reproductive ducts reduces the production of anti-sperm antibodies, while using immunosuppressive agents can achieve good therapeutic effects.
3. Endocrine therapy: Mainly uses long-acting testosterone enanthate to treat hypogonadism caused by low gonadotropins; bromocriptine for hyperprolactinemia; clomiphene for oligospermia, and combined use of HCG and HMG for treating gonadotropin deficiency.
4. Artificial insemination: Various physical and biochemical techniques are used to process semen to enhance sperm fertilization capabilities, leading to husband's sperm artificial insemination (AIH). Cryopreservation of semen is applied to provide donor sperm for artificial insemination (AID) for azoospermic patients, although there are many complex issues regarding the selection of donors in actual applications.
5. Surgical treatment: In recent years, microsurgical techniques have been used to treat male reproductive system diseases, marking a significant advancement in the diagnosis and treatment of male infertility. Widely used in clinical settings are: microsurgical anastomosis of the vas deferens, and microsurgical anastomosis between the epididymal duct and the vas deferens.
6. Treatment of unexplained infertility: Apart from male infertility where causes are clearly identified and treatments are available, there are still many cases with unclear reasons or ambiguous diagnoses, including oligospermia and asthenospermia, collectively referred to as unexplained male infertility. The treatment methods for such conditions are numerous but their efficacy uncertain. Treatments include hormones, antibiotics, thyroid hormones, vitamins, trace elements, amino acids, and traditional Chinese medicine, supplemented by advice to patients to avoid smoking and alcohol, prevent mental stress and over-fatigue, maintain normal nutrition and regular living habits.
These six points mentioned above are common treatments for male infertility. If you are facing this issue, it is advisable to seek timely treatment at a reputable specialized hospital to restore your vitality as soon as possible.
Experts in infertility from the Yangtze River Hospital in Shanghai remind us:
Male infertility is a complex and challenging problem, but pessimism should not be adopted. When diagnosing, it is essential to first identify the cause of infertility and then proceed with cause-based treatment. Avoid "taking random medications" due to anxiety. Both doctors and patients should not rush for quick results because the spermatogenic cycle in humans lasts 72-80 days, and drugs aimed at improving spermatogenic function should generally be maintained for over a year. Generally speaking, semen quality will show significant improvement 7-9 months after treatment begins. For absolute infertility cases where surgery or drug treatment is not feasible, artificial insemination should be considered to address fertility issues. Encouragingly, with advancements in medical science, particularly in reproductive medicine technology, some previously untreatable infertility cases may now hope for effective treatment.