Comprehensive Analysis of Men's Health Issues: Sexual Dysfunction and Infertility

Other Sexual Dysfunctions

Premature Ejaculation

Premature ejaculation refers to the inability to ejaculate before or immediately upon penetration during intercourse, followed by penile flaccidity. It is often caused by psychological factors. To avoid premature ejaculation, it's essential to eliminate anxiety and fear associated with it, and improve sexual techniques, such as choosing to have intercourse in the morning or using a double condom.

Anejaculation

In contrast to premature ejaculation, during intercourse, the penis remains erect but orgasm is not achieved. Anejaculation can have organic causes, psychological factors, or a lack of sexual knowledge.

Retrograde Ejaculation

Orgasm is achieved during intercourse, but no semen is ejaculated from the urethra. In this case, semen flows backward into the bladder. It is often caused by organic lesions.

Nocturnal Ejaculation

Ejaculation without sexual intercourse or masturbation is called nocturnal emission. It often occurs during sleep at night, hence the name "wet dream."

Boys enter puberty around 13-15 years old, and factors such as wearing tight underwear can cause reflexive nocturnal emissions. Nocturnal emissions are a normal physiological phenomenon and there's no need to panic. Nocturnal emissions are irregular, so it's difficult to say how many times a month is considered normal. If you experience frequent nocturnal emissions while having regular sexual activity or while awake, you should see a doctor for examination.

Male Infertility

Family planning not only involves planned control of population growth and advocating for fewer births and better births, but also addresses the fertility problems of infertile couples.

Couples of reproductive age who have regular sexual intercourse after marriage, without using any contraception, and have not conceived or given birth for more than a year are considered infertile. If the cause is solely due to the male partner,

this is called male infertility.

Causes of Male Infertility

(1) Sperm Production Disorders

Congenital testicular hypoplasia, mumps complicated by orchitis, cryptorchidism, etc., can all lead to sperm production disorders.

(2) Vas Deferens Obstruction

Congenital absence of the vas deferens, epididymal tuberculosis, and vas deferens tuberculosis can cause obstruction of the vas deferens, hindering sperm passage.

(3) Sperm Inability to Enter the Vagina

Hypospadias, impotence, premature ejaculation, etc., can all lead to ejaculatory disorders.

(4) Semen Abnormalities

Normal semen: 2-6 ml, pH 7.2-8.0, sperm density greater than or equal to 20 million/ml, sperm motility: forward-facing sperm greater than or equal to 50%, or rapidly forward-facing sperm greater than or equal to 25%, normal morphology sperm greater than or equal to 30%. Insufficient semen volume (less than 1 ml), azoospermia, and high semen viscosity can all lead to infertility.

(5) Immune, Nutritional, and Metabolic Factors

Male sperm causing female antisperm antibodies, thyroid disease, diabetes, nutritional imbalances, excessive anxiety, etc., can all lead to infertility.

Treatment of Infertility

If a couple has regular sexual intercourse after marriage and has not used contraception, and the wife has not become pregnant after more than a year, or has had a pregnancy but did not deliver a live baby due to miscarriage, premature birth, or stillbirth, then both partners should go to the hospital for examination and receive treatment according to the cause.

Artificial Insemination

Artificial insemination is an assisted reproductive technology that uses non-sexual intercourse methods to place sperm into the female reproductive tract at an appropriate time, allowing the sperm to naturally combine with the egg to achieve pregnancy. There are two types of artificial insemination:

(1) Husband's Sperm Artificial Insemination

Artificial insemination using the husband's semen is suitable for cases where the husband has oligospermia, abnormal sperm motility, erectile dysfunction, ejaculatory dysfunction, or retrograde ejaculation.

(2) Donor Sperm Artificial Insemination

Artificial insemination using the semen of a voluntary donor is suitable for cases where the husband has azoospermia, necrospermia, or carries adverse genetic factors.

"In-Vitro Fertilization"

"In-Vitro Fertilization" is a common term; the baby does not grow in a test tube. "In-Vitro Fertilization" actually refers to embryo transfer, which involves retrieving mature eggs from the ovaries using methods such as laparoscopy or ultrasound guidance, fertilizing them outside the body, and then implanting the fertilized egg into the mother's uterus to develop into a fetus. "In-Vitro Fertilization" is suitable for conditions such as blocked fallopian tubes in the wife or azoospermia in the husband.