Post Date April, 15 2023
Male infertility inspection items: male infertility refers to those who have cohabited for more than 2 years without taking contraceptive measures, have no birth, have normal female examination, and abnormal male examination. For men, the biggest worry is infertility.
According to statistics, about 15% of married couples are infertile, of which about 50% are male. Therefore, for infertile couples, not only women need to undergo necessary examinations, but also men need to undergo the same examinations, so as to identify the cause of infertility as soon as possible and carry out targeted treatment.
Mumps and orchitis easily lead to infertility
When the testis is found to be uneven in texture and irregular in shape during physical examination, it usually indicates that there are scars. About half of the patients with bilateral orchitis have mild testicular atrophy. If atrophy occurs in one testicle, it will have less impact on fertility and will not affect sexual life after marriage; If both testicles are involved, it is likely to lead to infertility. It is reported that only 5% of patients are still fertile.
One of the characteristics of mumps virus is that it not only acts on glands, but also on nerve tissue and pancreas, Especially for testicles ". Patients with combined orchitis can account for 1/5-1/4 of patients with mumps. Among them, 2/3 are unilateral diseases and 1/3 are bilateral. The duration of the disease lasts for 3 to 5 days, and the severe cases can be up to 2 weeks. After puberty, orchitis occurs, and the epithelial cells and interstitial cells of the testicular seminiferous tubules are damaged irreparably by the virus, and the severe cases are testicular atrophy. In addition, adult male bilateral parotitis orchitis can also lead to hypogonadism, azoospermia and a significant reduction in sperm count Less, sometimes less than 4 million/ml.
What is the cause of male infertility
Generally, couples are about 80% - 85% pregnant in the first year of marriage, and about 10% - 15% pregnant in the second year. When they are infertile for more than 3 years, they must be vigilant. The vast majority of infertile patients have not been infertile for many years because of their marriage. They have no other discomfort, and only found abnormalities in the physical examination and laboratory examination of relevant aspects.
According to the standard of the World Health Organization, male infertility is one year, which means at least 12 months of life without contraception. Women are not pregnant yet. Primary male infertility refers to that a man never impregnates a woman. Secondary male infertility refers to a man who once made a woman pregnant. Generally speaking, male secondary infertility has a higher probability of restoring fertility than primary infertility.
