A 33-year-old man who has been trying to conceive for one year finds out that his male infertility is due to weak spermatozoa and dead spermatozoa.

(Disclaimer: This article is only for popularization of science, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: Male infertility is defined as the failure of the female partner to conceive naturally within one year due to the male partner’s factors in a couple of childbearing age who have a regular sexual life and do not use contraception. Our patient was infertile for 1 year without contraception and never impregnated the female partner, which is male infertility. According to the patient’s semen analysis, he was diagnosed with weak and dead spermatozoa. After one cycle of treatment with oral medication and lifestyle improvement, the patient’s sperm indicators improved, and he was able to get his partner pregnant in the first month of trying to conceive. Basic information] Male, 33 years old [Type of disease] Male infertility [Hospital] Henan Provincial Hospital of Traditional Chinese Medicine [Date of consultation] July 2020 [Treatment plan] Kidney tonic traditional Chinese medicine (roasted Epimedium + leek seed + salt psyllium + salt dodder seed + astragalus + danshen + chuanxiong rhizome + salt baji tian + cow’s knee + xianmao + wine huangjian) + medication (also less capsule + less abdominal stasis particles + vitamin C tablets + vitamin E soft capsule + coenzyme Q10 soft capsule). Soft capsule + coenzyme Q10 capsule + disodium adenosine triphosphate tablets + zinc gluconate tablets + abdomen by blood stasis capsule + Qianglong yi kidney capsule) 【Treatment cycle】 medication for a cycle (3 months) 【Treatment effect】 sperm indicators have improved, the spouse is pregnant a. Initial interview The patient and his wife came to us because of the childlessness of the couple for 1 year without contraception, after detailed questioning and examination, found that the patient and his wife, although the examination, but the male did not have sex. After detailed examination, it was found that although the patient and his wife had undergone various examinations, the female was the main focus and the male did not undergo infertility-related examinations, such as semen analysis and reproductive system inflammation examinations. After questioning the patient, we found that he had no obvious symptoms, so we performed the relevant tests. The results of semen analysis: incomplete liquefaction, sperm density: 17.63 million/ml, grade A: 6.67%, grade B: 7.37%, sperm motility: 23.51%, dead sperm rate: 70%, total number of effective sperms: 0.5880×10^6, and the examination after coming to our clinic: mycoplasma (-), chlamydia (-), and it was found that the patient did not have any inflammation of the reproductive system but had low percentage of sperms and dead sperms. It was found that although the patient had no inflammation in his reproductive system, the percentage of spermatozoa was low and the rate of dead spermatozoa was high. On the whole, the culprits of this patient’s infertility for one year were weak spermatozoa and dead spermatozoa. Because of the patient’s weak and dead sperms, and his spouse’s tubal problems, the right side is not clear, and the left side is clear but very poor, we decided to observe the treatment effect by medication after communicating with the patient. So began drug treatment, the patient orally tonifying the kidneys and spermatogenesis traditional Chinese medicine, mainly composed of roasted Epimedium, leek seeds, salt psyllium (decoction), salt dodder, astragalus, danshen, rhizoma ligustici, salt bacopa montana, hyssop, lemongrass, wine huangjing, with the return of the lesser capsule, the lesser abdominal blood stasis particles, vitamin C tablets, vitamin E soft capsule, coenzyme Q10 capsule, adenosine triphosphate disodium salt tablets, zinc gluconate tablets, oral intake of 2 and a half months later After 2 and a half months of oral intake, the patient started to take Shaobayu Yiyu capsule and Qianglong Yikang capsule orally for 15 days for a total of 1 cycle of treatment. After 1 cycle of treatment, the patient’s semen analysis was reviewed: complete liquefaction, sperm density: 98.19 million/ml, grade A: 12.85%, sperm motility: 28.91%, dead spermatozoa: 65%, and total number of spermatozoa: 4.1852*10^6. The patient’s spermatogenesis, motility and other indicators were improved through the patient’s post-treatment review results. After 1 cycle of treatment, the patient started to try to conceive, and the examination of the patient’s spouse could start to try to conceive. The patient’s spouse was able to start trying to conceive, and the patient’s spouse became pregnant one month later and gave birth to a baby boy in 2021.8. IV. Precautions Seeing that the patient’s infertility was cured, I was very pleased in my heart. The patient was advised to improve his lifestyle, such as regular work and rest, weight control, moderate exercise, smoking cessation and alcohol restriction, all of which will benefit the infertile male. At the same time, we should pay attention to the sex life of infertile couples, and give guidance on sexual lifestyle according to the specific conditions of both parties, so as to improve the chances of natural conception. Patients should also relax, do not overthink, ensure adequate sleep, and combine work and rest. In addition, it should be noted that the spermatogenesis cycle is long, the treatment cycle is about 3 months, the patient needs to adhere to the medication, do not interrupt the treatment. V. Personal perception With the development of medical technology level, more and more infertility factors have been found, but not all infertility is caused by women, male factors cause infertility accounted for 30% -50%, so men can not escape their responsibility. During the treatment necessary examination or treatment need to cooperate, early examination and early detection of problems, early treatment, is particularly important for the treatment of infertility. In addition, the treatment also needs to pay attention to ease the psychological pressure from all sides, comfort patients, so that they can relax and reduce the pressure. At the same time and patients to share some similar conditions of successful treatment cases, give patients confidence, so that their medical compliance is higher. More conducive to the treatment of their own diseases. Finally achieve a win-win effect. As in the case of this patient, after treatment, his spouse successfully became pregnant.