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"My parents are still young, we will help you to have a baby soon."
"You are too old, so what are you waiting for?" In recent years, with the changes in the natural environment and social pressure, more and more couples of childbearing age have fallen into a "fertility crisis". According to authoritative data, currently among married couples, the incidence of infertility is about 15%, and there is a trend of increasing year by year.
In the traditional concept of fertility, giving birth is the responsibility of women, so the problem of infertility is also accustomed to blame on women. But in fact, World Health Organization clearly pointed out that infertility caused by male factors accounts for 50%.
Having a baby is difficult and not difficult. Correct andrological evaluation can identify approximately 70% of the causes of infertility, many of which can be corrected or removed, allowing the couple to conceive naturally, and even switching to assisted reproductive therapy can greatly improve the success rate.
What is infertility? Why are men advised to check first?
What is infertility? Medically defined as not taking any contraceptive measures for more than one year, having normal sexual life without successful pregnancy.
Under normal circumstances, the woman's infertility needs to check more items, and it is more troublesome, and many inspections must be carried out within a specific period of the menstrual cycle. In comparison, it is more convenient for the man to take out the semen, and there is no harm to the body. If all the indicators of the semen are normal, then consider checking the woman.
What are the factors that affect pregnancy success rate and semen quality?
Sperm are produced in the testis, mature in the epididymis, and output through the vas deferens. A normal adult male has at least 40 million sperm counts per ejaculation.These sperm army can be divided into forward movement , non-forward movement, motionless. The sperm with forward movement can be divided into fast linear forward movement (level a) and slow forward movement of (level b). If fertility were likened to a football game, the A-level sperm was the striker, and the B-level sperm was the midfielder, and those two players were the key to winning the game.
There are many reasons for male infertility , which can be roughly classified into the following four categories: 1. Physical factors: high heat , microwave , noise, radiation , anesthetic gas; 2. Harmful metals, such as boron, mercury , cadmium, lead; 3. Chemical factors such as: bromochloropropane preparations, pesticides , pesticides , vinyl chloride , carbon disulfide .
4.Smoking : smoking can not only induce lung cancer, cause cardiovascular disease , but also affect male fertility. Recent studies have confirmed that smoking can interfere with hypothalamus - pituitary - gonadal axis function, reduce semen quality, lead to oligospermia and asthenozoospermia , and may even induce varicocele , which affects fertility, is one of the main factors in male infertility.
Does the second child also need a reproductive check?
With the liberalization of the domestic two-child policy, many married couples with children hope to add another child to the family. Many men feel that once they have given birth, there is definitely no problem now. First of all, this view is wrong. Although there is no clear medical evidence to prove that there is a clear link between male sperm quality and age, clinical work has found that many middle-aged men often have reduced sperm motility or sperm count.This is often related to the bad living habits of these men, such as smoking, staying up late and drinking alcohol, working in a harsh environment, such as working in a high temperature environment for a long time, and suffering from certain chronic diseases, such as varicocele, epididymitis , Prostatitis , diabetes , etc.
I met a patient in the andrology clinic some time ago. In 2015, I had my first child at the age of 28. In recent years, family conditions have gradually improved. At the age of 34 this year, he wants a second child, but he and his wife have been preparing for pregnancy for half a year. any results. Later, after coming to my clinic, after a systematic fertility examination, the routine semen examination found that the patient was a patient with severe oligospermia and severe bilateral varicocele. After fully informing the pros and cons of the operation, the patient was finally accepted in our department. Under the microscope, the low varicocele ligation operation, and the semen routine semen quality after the re-examination has been significantly improved. I also hope that he can fulfill his dream of having a second child this year.
Varicocele (VC) is a common disease in men, often causing abnormal semen and testicular pain in men. In addition, for patients without fertility needs, the effect of VC on testicular function should also be considered, leading to decreased androgen secretion; for adolescent patients, it will also affect the development of the affected testis, resulting in testicular atrophy. For VC, the medical community generally believes that microsurgery is the most suitable. Our hospital currently has a Leica microscope, which is the most advanced microscope in the world. Now our department routinely carries out varicocele ligation under microscope, which can completely ligate the vein, preserve the internal spermatic artery, and preserve the lymphatic vessels. Improve male fertility, and about 60%-70% of patients have improved semen quality after surgery (more than 3 months after surgery). Overall, VC treatment improved semen parameters, increased fertility, and had little risk of treatment.
always helps, always comforts, sometimes heals. The Andrology Department of Shaw Hospital Affiliated to Nanjing Medical University, sincerely help you get pregnant! If you think this article is helpful to you or your family and friends, please use your hands, thank you for your attention, comments, and forwarding!
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