What are the causes of male infertility?
Sep 13, 2024
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
The causes of male infertility are diverse; genetic factors and chromosomal abnormalities may also lead to male infertility. Long-term use of certain medications, such as antidepressants and chemotherapy drugs, or exposure to harmful environments, can also impair male fertility. Moreover, the testes are the primary site of sperm production, and any dysfunction in the testes can directly affect sperm generation and quality.
In general, male infertility may be caused by factors such as high mental stress, abnormal development of reproductive organs, hypothyroidism, erectile dysfunction, and prostatitis. If discomfort occurs, it is important to seek medical attention promptly. A detailed analysis is as follows:
1. High Mental Stress
Excessive mental stress can cause men to lose interest in sexual activity and reduce libido, potentially leading to decreased sperm count or reduced sperm motility, thereby contributing to male infertility. Maintaining a regular daily routine, balancing work and rest appropriately, and avoiding excessive fatigue may help alleviate this condition.
2. Abnormal Development of Reproductive Organs
Reproductive organ malformations are usually caused by genetic defects or abnormalities. Abnormal development may result in an empty or underdeveloped scrotum on one side, impairing normal testicular function and sperm production. This may also lead to infections, urinary abnormalities, and ultimately male infertility. It is recommended to follow medical advice and use medications such as progesterone soft capsules, dydrogesterone tablets, and clomiphene citrate capsules for treatment.
3. Hypothyroidism
Hypothyroidism is typically caused by autoimmune damage or abnormal iodine intake. It may lead to reduced levels of thyroid hormones in men, resulting in lower sperm production, significantly decreased sperm activity, and reduced concentration. These changes may cause the aforementioned symptoms, along with others such as cold intolerance and fatigue. Treatment may include medications such as levothyroxine sodium tablets, calcium carbonate and vitamin D3 tablets (I), and hydrocortisone tablets, used under the guidance of a qualified physician.
4. Erectile Dysfunction
Erectile dysfunction is often caused by multiple factors, including high mental stress and organic diseases. Because physiological functions are compromised, sperm quality may be affected—such as reduced sperm motility and increased rates of abnormal morphology—leading to male infertility. Symptoms may also include insomnia, vivid dreams, and difficulty achieving or maintaining an erection. It is recommended to follow medical advice and use medications such as Liuwei Dihuang Pills, sildenafil citrate tablets, and vardenafil hydrochloride tablets for treatment.
5. Prostatitis
Prostatitis is caused by pathogen infection or endocrine system disorders. It may lead to conditions such as asthenozoospermia (low sperm motility) or failure of semen to liquefy, thus interfering with fertilization and causing male infertility. Additional symptoms may include fever and chills. Treatment should follow medical guidance and may involve medications such as doxazosin mesylate tablets, tamsulosin hydrochloride sustained-release capsules, and terazosin hydrochloride tablets.
During treatment, maintaining healthy lifestyle and dietary habits is essential to support recovery.
