The causes of oligospermia are complex. The main reasons include varicocele, chromosomal abnormalities, cryptorchidism, reproductive tract infection, autoimmune diseases, endocrine abnormalities, the influence of exogenous factors and abstinence. wait.
If oligospermia is caused by infection, anti-infective treatment will be effective; if the body’s endocrine function is abnormal, endocrine regulation will be necessary; if spermatogenesis is enhanced, the drug treatment usage is clomiphene 25 to 50 mg, taken for 3 to 6 months. Testosterone propionate, 25 mg intramuscularly, once a week, for 3 to 6 months. Since sperm production and maturation require testosterone to maintain, supplementing exogenous testosterone may have a certain promoting effect on spermatogenic function. However, low doses of testosterone can inhibit the hypothalamus and pituitary gland, affecting spermatogenesis. Some people are very sensitive to testosterone. Therefore, if a decrease in sperm count or male breast hyperplasia is found after 3 months of medication, the medication should be discontinued immediately.
Testosterone propionate 50 mg, intramuscular injection 3 times a week, 12 weeks as a course of treatment. During testosterone injection treatment, the patient\’s sperm count actually decreases. Once the medication is stopped, the sperm count will increase significantly. This treatment method that causes the sperm count to first decrease and then increase is called \”rebound therapy\”. Some patients get their wives pregnant after the rebound.
Bromocriptine is a specific drug that inhibits prolactin secretion. Oligospermia patients with hyperprolactinemia can take bromocriptine orally, 2.5 to 5 mg per day, and continue to take it for 3 months after the blood prolactin level drops to normal.
Human chorionic gonadotropin can promote the production of testosterone by testicular interstitial cells, thereby enhancing spermatogenesis. Human chorionic gonadotropin 2000-3000 international units is injected intramuscularly, 2-3 times a week.
Zinc deficiency can reduce pituitary gonadotropins and cause abnormal function of the enzyme system in the prostate fluid, thereby affecting semen liquefaction. Zinc deficiency can also denature the cap-like top of the sperm head and the sperm surface membrane. , which reduces the sperm\’s ability to move and penetrate the egg\’s zona pellucida, causing infertility. Zinc supplementation can be taken orally as zinc sulfate tablets, 22 mg each time, twice a day, for 1 to 3 months. You can also take 0.5% to 1% zinc sulfate orally, 20 ml each time, 3 times a day. It is suitable to take it after meals to avoid irritation to the stomach. Essence decoction, Qinggan Zishen drink, etc. need to be added or subtracted according to the patient\’s condition.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao