Treatment methods for male infertility

　　Case

　　The frowning Xiaowen couple sat opposite the doctor, holding medical records and a thick stack of examination reports in their hands. Xiaowen said anxiously: "Doctor, we have been married for eight years and have no children. My wife's various examinations are basically normal. The doctor said there was something wrong with my semen and also found a left varicocele.

　　In the past few years of marriage, I have been seeing doctors constantly, all the money I earned has been put into it, and I have also asked the elderly on both sides for help. Although I took a lot of medicine, it had no effect, and the semen became worse and worse, and now only a few are left. sperm , it seems that my hope of giving birth is really slim.

　　“A doctor once advised me to have surgery to treat varicocele, but we were still undecided. Besides, we didn’t feel any pain or discomfort. We kept putting it off for many years. It seemed that varicocele was the end of my life. Can you tell me in detail what kind of problem varicocele is? How big of an impact does it have on fertility? ”

　　Is it infertile to have varicocele?

　　“Patients with varicocele can feel a bunch of rope-like things in the scrotum, which some people describe as 'earthworm-like', caviar-like, and other cystic, compressible shapes. In severe cases, you can directly 'see' the local fullness and swelling of the scrotum, and further diagnosis can be made through B-ultrasound examination. This is male a common disease , the incidence rate in the general population is about 15%, and among male infertile patients, the incidence rate of varicocele can be close to 40%.

　　Varicocele fertility depends on the degree of testicular damage

　　“The key to judging the fertility of patients with varicocele is to check the degree of testicular damage, which can be judged through simple testicular examination and semen analysis. For those with infertility and varicocele, if the semen test results are normal, surgical treatment can be temporarily ignored, and routine semen tests should be performed regularly every 3 to 6 months. As long as there is no significant change in semen quality, you can continue to observe and look for other infertility factors. ”

　　Xiao Wen took over the conversation: "Then please help me check to see if my condition is serious. In addition, the semen analysis reports of the past few years are here, as well as the semen test results that have just come out. ”