Should I take spermogenic drugs after surgery for obstructive azoospermia?

  Recovery after microsurgery for obstructive azoospermia is quick, usually the urinary catheter can be removed the next day and the patient can be discharged in three to five days. Adverse reactions are also relatively few, and the problem of frequent urination rarely occurs; some patients may feel swelling of the testicles, which usually recovers within a month, and if there is still swelling and pain after a month, it is necessary to review whether it is an inflammatory problem.  If patients have epididymal obstruction for a longer period of time, the spermatogenic function may also be reduced to a certain extent; in addition, some post-operative inflammatory stimuli may also affect the spermatogenic function, which may lead to oligospermia after recanalization. Therefore, postoperative patients should also take spermatogenic drugs. Patients who show oligospermia often take tamoxifen and clomiphene, while patients with weak spermatozoa often use levocanidine, coenzyme Q10, vitamin E, etc. The treatment process can also be combined with zinc supplementation drugs to promote the recovery of semen quality; especially in patients whose semen is found to be recanalized in the review, you can also add drugs to promote recovery and increase the frequency of sexual life to further improve the conception rate, and pregnancy during the medication There will be no effect.  Because the testicle drop may pull the wound, patients should wear tighter underwear after surgery to hold up the testicle, which can help reduce the pull on the wound; and try to do less exercise to avoid affecting the healing of the vas deferens anastomosis; sex should wait until at least one month after surgery, and the number of sexual intercourse should be gradually increased to restore the normal frequency, because active ejaculation (i.e. ejaculation) can also affect the healing.