What to do if sperm cannot be produced

Many male friends are actually very worried about the situation of not being able to produce sperm. Generally speaking, the reason for not being able to produce sperm is difficulty in ejaculation or erectile dysfunction. In this case, it is recommended that you go to the hospital for examination. If it is serious, you need to take medication. However, if you are just physically tired, you can take some conditioning.

1. Oral medication method

The advantages of oral medications are: non-invasive, easy to use, effective, and easily accepted by most patients. They are currently used as the first-line treatment for erectile dysfunction. However, certain specific contraindications should be noted, such as sildenafil contraindicated in combination with nitrate drugs.

Oral medications can be divided into the following categories based on their mechanism of action:

Central inducers: mainly act on the central nervous system to induce erection, such as apomorphine and testosterone preparations.

Peripheral inducers: mainly act on peripheral induction of erection, such as yohimbine, phentolamine, etc.

Central nervous system regulators: improve the internal environment of the central nervous system, enhance erection, mesothelin and phentolamine, etc.

Peripheral regulators: improve the local/systemic environment and enhance erection, such as sildenafil and mesotrione.

2. External medication method

The trade name of the topical drug currently on the market in China is Bifar, which is a cream made of 1mg of prostaglandin E1 and a special transdermal agent. The drug is absorbed through the urethra and transferred into the cavernous body of the penis, inducing penile erection by increasing the cAMP concentration of the smooth muscle of the cavernous body of the penis. Clinical studies have shown that the clinical efficacy of dripping 0.3-1.0mg of Bifar cream through the urethra 10-20 minutes before sexual intercourse is about 70%. Side effects include penile swelling and pain, urethral burning, etc., and there are no systemic side effects.

3. Vacuum Erection Device and Constriction Ring Method

The vacuum negative compression constriction ring device is suitable for patients who do not want to use drug treatment or contraindicate drug treatment. When using it, the hollow cylinder is placed on the base of the penis to absorb blood into the cavernous body of the penis through negative pressure, and then a rubber band is tied to the base of the penis to block venous reflux to maintain penile erection. Side effects include: penile pain, numbness, cyanosis and difficulty in ejaculation. Advantages: non-invasive, economical, and can be used repeatedly. Disadvantages: more troublesome to use.

4. Penile corpus cavernosum injection therapy

Patients who have failed one or more first-line treatments, have poor efficacy, or have significant side effects may also use penile cavernous body injection therapy as a second-line treatment method based on patient preference. The main methods include: injecting vasoactive drugs into the cavernous body to induce erection and complete sexual intercourse, which was widely used in the past, but the efficacy varies greatly, the side effects are large, the cost is high, and the treatment discontinuation rate is high.

Vasoactive drugs directly relax the smooth muscle of the corpus cavernosum of the penis and cause penile erection. Commonly used drugs include prostaglandin E1 (marketed drugs include Caverject, Caesar, etc.), poplar alkaloids and phentolamine. Recently, prostaglandin E1 is more commonly used. It can be given alone or in combination with other drugs. It is effective, safe and reliable for most patients, but the discontinuation rate is relatively high.

Side effects include pain at the injection site (about 30%), abnormal erection, and possible cavernous fibrosis after long-term use. Abnormal erection is the most serious complication, so this treatment must be used under the guidance of an experienced doctor. This treatment is contraindicated for patients with sickle cell anemia and other patients who are prone to abnormal penile erection. Once abnormal erection occurs, emergency treatment should be taken. The advantages of this treatment include: accurate efficacy, safety, and rapid onset of action. Disadvantages include: invasive treatment and high cost.

5. Surgical treatment

1. Vascular surgery

Including penile artery reconstruction and venous ligation, it is suitable for the treatment of vascular ED in some young people, but the surgical indications need to be strictly controlled. Generally, these patients need special examinations. The current reported short-term success rate of vascular surgery is between 40%-70%, but the long-term effect is not good.

2. Penile prosthesis implantation

Penile prosthesis implantation surgery is a semi-permanent treatment method that assists penile erection and sexual intercourse by implanting an erection device into the corpus cavernosum of the penis. It is suitable for patients with severe ED who have failed to respond to various treatment methods. This invasive treatment method is an irreversible final treatment option. In addition to considering surgical complications (infection, erosion, and collateral damage, etc.) and mechanical complications before surgery, the patient's affordability must also be considered. The complication rate is about 5%-10%.

Chinese food that's as effective as Viagra

1. Walnut

Malaysian researchers say that walnuts, which people usually like to eat, have significant aphrodisiac effects.

Based on the results of a study conducted over the past two years, researchers at the University of Malaya have concluded that pills made from walnut extracts can be used as a substitute for Viagra. Chinese medicine believes that the University of Malaya study's discovery that walnuts have aphrodisiac effects is not surprising, because Chinese medicine books have long recorded that they can "tonify the kidneys and strengthen the brain." Contemporary Chinese medicine often uses walnuts as medicine or as a food therapy to achieve the purpose of tonifying the kidneys and strengthening the brain.

2. Leek

Leek is not only tender and delicious, but also rich in nutrition. The Compendium of Materia Medica says that leeks nourish the liver and the gate of life, and treat frequent urination, incontinence, etc. Leeks are known as "yang-raising grass" in the pharmacopoeia because of their outstanding effects of warming and nourishing the liver and kidneys, and promoting yang and consolidating essence. Leek seeds are irritants, which have the effects of consolidating essence, promoting yang, nourishing the kidneys, treating belts, and warming the waist and knees. They are suitable for diseases such as impotence, incontinence, and polyuria. Grind leek seeds into powder, take 15 grams each morning and evening, and take with boiled water, which is effective in treating impotence.

3. Dog meat

Dog meat tastes sweet and salty, and is warm in nature. It has the effects of benefiting the spleen and stomach, nourishing and strengthening yang. According to the Compendium of Materia Medica, dog meat has the effects of "calming the five internal organs, lightening the body and strengthening qi, benefiting the kidneys and stomach, warming the waist and knees, strengthening qi and strength, replenishing the five fatigues and seven injuries, and replenishing blood vessels". Stewing dog meat with black beans and drinking the meat soup can treat impotence and premature ejaculation. Stewing dog meat with cooked aconite and ginger can warm the kidneys and strengthen yang, dispel cold and relieve pain. However, it should be noted that dog meat is warm in nature, and eating too much can cause internal heat. Those with heat ulcers and excessive yang and fire should not eat it.

4. Loach

Contains high-quality protein, fat, vitamin A, vitamin B1, niacin, iron, phosphorus, calcium, etc. It tastes sweet and is neutral in nature. It has the effects of nourishing the middle and replenishing qi, nourishing the kidneys and producing sperm. It has a good effect on regulating sexual function. Loach contains a special protein that promotes sperm formation. Adult men can nourish and strengthen their bodies by eating loach regularly.

5. Shrimp

Shrimp is delicious, and has high tonic and medicinal effects. According to traditional Chinese medicine, it tastes sweet and salty, is warm in nature, and has the functions of strengthening yang, benefiting the kidneys, replenishing essence, and promoting lactation. It can be used as a tonic food for those who have been ill for a long time, are short of breath and weak, and have no appetite. People who often eat shrimp have the effect of strengthening their bodies.

6. Lamb

Mutton is a good tonic in winter. The "New Compendium of Materia Medica" says that mutton can "replenish deficiency and fatigue, increase energy, strengthen the yang channel, and stimulate appetite and strengthen strength." Cooking mutton, eating the meat and drinking the soup can cure men's five fatigues and seven injuries, as well as stomach deficiency and impotence, and has the effects of warming the middle and removing cold, warming and replenishing qi and blood, and promoting lactation and curing leukorrhea.

7. Eggs