Reasons why men cannot have children

There are many reasons why men are infertile, mainly because men have too much sex and masturbate too much, which can lead to chromosomal abnormalities and testicular abnormalities. These symptoms are mainly caused by defects in the human body and can easily lead to male infertility. For men who are infertile, we can check the cause, otherwise it will affect men's self-esteem.

1. What are the reasons why men cannot have children?

1.1. Chromosomal abnormalities

Such as hermaphroditism, poor development or abnormalities of reproductive organs, etc., can all lead to male infertility.

1.2. Testicular abnormalities

Testicular abnormalities can be divided into three types: cryptic testis, which can not only lead to infertility but also induce malignancy; damage to the embryonic base due to an unfavorable environment during the fetal period; and early testicular damage, which can be caused by birth injuries during delivery.

1.3. Acquired testicular damage

For example, hernia repair surgery, testicular fixation surgery, and hydrocele surgery can damage the testicular blood vessels, blocking the blood supply and causing testicular atrophy.

1.4. Hydrocele

Hydrocele compresses the blood circulation of the testicles, causing infection or atrophy of the testicles. The incidence of this disease after puberty is 16%-19%.

1.5. Blood supply disorder

Patients with arteriosclerosis and diabetes often suffer from testicular arteriolar disease, which reduces sperm production and growth ability and causes infertility.

1.6. Reproductive organ infection

Infections such as bacteria, protozoa, and viruses can directly damage the testicles, seriously affecting men's spermatogenesis and causing a decrease in sperm activity. In severe cases, it can even lead to infertility.

1.7 Age Factor

The testicular tissue of men begins to undergo degenerative changes around the age of 30, and their fertility gradually declines with age.

1.8 Personal Behavior

Bad behavior habits are also important causes of infertility, such as smoking, drug abuse, alcoholism, chronic alcoholism, bad sleeping habits, and a history of promiscuity, which not only affect men's sexual ability, but are also related to reduced sperm production.

2. What are the symptoms of a man not being able to have children?

2.1. Increased and decreased semen volume

Generally, the normal amount of semen discharged at one time is 2 to 6 ml. Less than 1.5 ml is considered as hyposeminosis, and more than 6 ml is considered as polyseminosis. Increased semen does not mean increased sperm count.

2.2. Abnormal testicular spermatogenesis

Commonly used villous gonadotropin can be injected intramuscularly or clomiphene can be taken orally. Patients with varicocele accompanied by abnormal semen need high varicocele ligation, and patients with cryptorchidism or incomplete testicular descent can undergo testicular descent fixation to promote testicular spermatogenesis.

2.3. Hematospermia

There is blood mixed in the semen. In severe cases, the blood can be seen with the naked eye, which is called "gross blood-spermia"; in mild cases, the blood cannot be seen with the naked eye, but red blood cells can be seen under a microscope, which is called "submicroscopic hematospermia".

2.4. Semen does not liquefy

The symptoms of male infertility are that normal semen is a uniformly flowing liquid. If the in vitro semen does not liquefy or still contains liquefied agglomerates after 60 minutes at room temperature (22-25 degrees Celsius), it is called "semen liquefaction syndrome", which affects the aggregation or movement of sperm, slowing down or inhibiting the normal movement of sperm.

3. How to treat male infertility

3.1. Eliminate the influence of physical and chemical factors

Avoid contact with ionizing and non-ionizing radiation. Minimize contact with metal elements such as cadmium, lead, zinc, silver, and cobalt, and chemicals such as gossypol and dinosepol, and minimize or avoid chemotherapy, antihypertensive drugs, hormones, sedatives, and anesthetics.

3.2 Endocrine therapy

The main applications are long-acting testosterone enanthate for the treatment of hypogonadotropic hypogonadism; bromocriptine for the treatment of hyperprolactinemia; clomiphene for the treatment of oligospermia; and the combination of HCG and HMG for the treatment of hypogonadotropic hypogonadism.

3.3 Treatment of genital tract inflammation

Currently, it is advocated that antibiotics and anti-inflammatory drugs be used in combination for better treatment effects.

3.4 Surgical treatment

In recent years, the application of microsurgery to treat male reproductive system diseases is a major progress in the diagnosis and treatment of male infertility. The following procedures are now widely used in clinical practice: microsurgical anastomosis of the vas deferens and microsurgical anastomosis of the epitestis and vas deferens.