Male
Infertility only accounts for about 1/3 of infertility cases, another 1/3 female
infertility and 1/3 both female and male infertility. The definition of male
infertility is inability to conceive after actively trying for more than
12 months without woman’s fertility issues. The most common causes of male
infertility are as follows:
o Abnormal
sperm production or function due to different
problems, such as undescended testicles, genetic defects, health problems such
as diabetes, or infections such as mumps, Enlarged veins in the testes
(varicocele) can increase blood flow and heat, affecting the number and shape
of sperm.
o Problems
with the delivery of sperm due to sexual problems,
such as premature ejaculation; semen entering the bladder instead of emerging
through the penis during orgasm (retrograde ejaculation); certain genetic
diseases, such as cystic fibrosis; structural problems, such as blockage of the
part of testicle that contains sperm (epididymis); or damage or injury to the
reproductive organs.
o Overexposure
to certain environmental factors, such as pesticides and
other chemicals, radiation, or to certain medications, such as anabolic
steroids, or marijuana. In addition, frequent exposure to heat, such as in
saunas or hot tubs, can elevate core body temperature, impairing sperm
production.
o Damage
related to cancer and its treatment, including radiation or
chemotherapy. Treatment for cancer can impair sperm production, sometimes
severely. Removal of one testicle due to cancer also can affect male fertility.
o Risk
Factors, such as age over 40, tobacco use, alcohol use, overweight, underweight
and lack of exercises.
o Chinese medicine causes: kidney
deficiency; blood and Qi deficiency; damp heat toxins; blood and Qi stagnation;
and phlegm retention.
Clinical Features
The
male infertility is inability to conceive after actively trying for 12 months
without female fertility issues present. The most common symptoms are:
o Late puberty
o Impotence
o Ejaculating too soon
o Inability to ejaculate
o Take hot bath or steam baths
regularly
o Never pregnant a woman before
Diagnosis
o 12
months active unprotected sex unable to conceive woman without female fertility
issues present.
o Sperm Production: After 3 days without sex,
semen volume <1.5ml, or greater than 8ml; Semen liquefaction insufficient 1
hour after ejaculation; sperm motility <60%; sperm movement is < grade III;
Sperm deformity >30%; Semen WBC >10.
Chinese Medicine Treatment
Our
clinic is focusing on the treatment of male sexual dysfunction and sperm
abnormalities in infertility:
o Kidney Qi Deficiency: Sperm density is <60*10/ml. Low sex drive.
Herbal treatment: Wu Zi Yan Zong Wan and Zuo Gui Wan. With premature
ejaculations add Lian Zi Rou, Jin Ying Zi.
o Kidney & Liver Yin
Deficiency: Insufficient semen liquefaction 1 hour after ejaculation. Semen
contain puss particles. Herbal Treatment: Zhi Bai Di Huang Wan. With puss particles add
Pu Ji Xiao Du Yin.
o Blood and Qi Deficiency: Sperm
motility < III,low semen volume. Herbal
Treatment: Yu Lin Zhu.
o Damp Heat Toxins: Sperm
Motility <60%, sperm deformity >30%, prostatic fluid and semen shows RBC,
reduced lecithin, abdominal/ perinea pain, urine appears white at the end and
painful urination. Herbal Treatment: Pu Ji Xiao Du Yin and Ba Zeng San.
o Cold Blood Stagnation:
Perinea and testicle pain and coldness, cloudy urine. Herbal Treatment: Gui Zhi
Fu Ling Wan.
Inability to Ejaculate
o Kidney Yang Deficiency: Low
sex drive, soft erection. Herbal Treatment: Zuo Gui Wan and You Gui Wan.
o Kidney Yin Deficiency: Long
strong erection without ejaculation, anxiety with insomnia, stress and easy to
anger. Herbal Treatment: Zhi Bai Di Huang Wan.
o Blood & Qi Deficiency: Normal
intercourse without ejaculation, heart palpitation, Insomnia, dull pain in
lower back. Herbal Treatment: Gui Pi Tang.
o Phlegm Retention: Intercourse
without ejaculation, insufficient semen liquefaction, overweight, fatigue. Herbal
Treatment: Cang Fu Dao Tan Wan.
