Male infertility science

  The selfless love of parents for their children is far better than the love of children for their parents, so in the past, people respected officials who were dedicated to the welfare of the people as parental officials, and called their care for the people as loving the people as their children. For male infertility patients, we have modern medical technology, such as the three axes (drugs, artificial insemination and IVF technology, IVF technology has three more generations), and a weapon (microsurgery for male infertility), but more than that, we need a parental heart.  Case 1: A young man who has been married without contraception for less than a year and whose lover is within 35 years of age, but whose semen checklist shows a low or weak sperm status, the patient was particularly nervous and said after sitting down that he had been treated externally with drugs for nearly a year and had spent more than 10,000, and that the purpose of his visit today was to prescribe some good drugs. Because the patient had not taken contraception for less than a year after marriage, he was still in the eugenic stage, so he was advised to pay attention to his lifestyle and not to use more expensive spermogenic drugs for the time being.  Case 2: Male infertility patient, 38 years old, semen routine has been showing oligozoospermia, before coming to our hospital has been using spermatogenic drugs for 5 years, almost every hospital to repeat the same process, the first day to open a semen laboratory test, the next day the index abnormalities prescribed drugs, before and after the cost of drugs spent nearly 100,000, but still did not achieve the purpose of fertility, because the patient has been using drugs for too long, so the patient is recommended to choose assisted reproduction Because the patient has been on medication for too long, the patient was advised to choose assisted reproduction.  Case 3: A young male, married without contraceptive measures just six months, the family is anxious to have children, outside the hospital recommended direct IVF, the patient heard that our IVF technology is the national leader, so ready to come to our hospital for treatment. Because the patient does not have a history of concurrent disease, so the author suggested that the patient can be observed, less than six months, the patient’s spouse successfully pregnant.  Second case analysis: For male infertility patients, we have modern medical technology, such as drugs, artificial insemination, IVF technology and microsurgery for male infertility, but we also need a parental heart. Science and humanities are the two wings of human civilization, science and technology is the first productive force, science and technology is the human stand out in the natural world, become the spirit of everything, the master of the earth, creating great material wealth, greatly improved the life of mankind, including the progress of medical technology of male infertility is also the same, there is no modern reproductive medicine in the past, how many people can not fulfill the dream of parenthood, how many tragedies, Han Wu Di But without humanism, the role of technology will now go in the opposite direction. Modern Germany has advanced modern technology and a tradition of thinking (Goethe, Kant and Hegel were all excellent German talents), but provoked two world wars and sent thousands of Jews into gas chambers, incinerators, modern Japanese imperialism is the same, caused the modern Western advanced technology, but committed a heinous crime in China, only in Nanjing randomly slaughtered nearly 300,000 compatriots, the recent Malaysia Airlines incident, although there are advanced Boeing aircraft, but still hundreds of innocent lives into the bottom of the four thousand, male infertility treatment is the same, although there are modern medical technology, but also need a humanistic spirit The same applies to male infertility treatment, although there is modern medical technology, but also needs a humanistic spirit, but also needs a parental heart, otherwise it faces the problem of over-medication.  Last year, a representative mentioned that it is not easy for foreigners to see a doctor in Beijing, it takes two weeks to register a number and less than five minutes to see a doctor. Think about a half-day on 4 hours, 240 minutes, if you look at 24 patients, a patient an average of 10 minutes, look at 48, an average of 5 minutes, but really in large hospitals to see a doctor even less than five minutes, many patients do not have a medical background, from the house to the house 5 minutes of time is difficult to put and figure out, on the other hand, the disease has a very complex, not the first step to open a laboratory test, the second part of the index abnormalities on the prescription of drugs The problem can be solved, I also have a headache for this, but the good thing is that there are not many common problems in outpatient clinics, so I put all the problems into categories, prepare the paper data, and then according to a look two listen to three questions process, first look at the information and the answer to the corresponding questions, to prepare, the second step in accordance with the order and content of the information to explain, the third step patients have questions and then ask questions, which is equivalent to extend the time to see the doctor. In the current limited medical resources, especially the limited quality of medical resources, patients can see the disease in a short time (patients can analyze their own laboratory tests, the next step to note what matters, the next step how to treat) is very critical, the author believes that this is the human spirit of the existing conditions, otherwise less than 5 minutes of time that becomes the first step to open the laboratory tests, the second part of the process of prescribing drugs.  Combined with the analysis of cases: Case 1: tests and drugs are only part of the doctor’s diagnosis and treatment of disease, see the doctor is never a list of drugs, for male fertility, must be combined with the medical history, the World Health Organization provides that both men and women do not take contraceptive measures, normal sex life, due to male factors 1 year is defined as male infertility. The patient does not have a history of infertility, should be in the eugenics stage, there is generally no need to use a large number of drugs to improve the semen indicators. If the clinician has not understood the definition and diagnosis of male infertility, he or she still needs to seriously figure it out; if he or she has understood the problem, he or she needs to strengthen the humanistic training.  Case 2: As already mentioned, medication, artificial insemination or IVF are also the three axes of medical treatment of male infertility, if empirical medication is taken, the course of treatment should be at least 1 to 2 spermatogenic cycles, that is, 3 to 6 months, empirical treatment is not effective, generally need to consider assisted reproductive technology, the patient has been on medication for 5 years, should have chosen assisted reproductive technology, and there is no special drug for male infertility The patient has been on medication for 5 years and should have opted for assisted reproductive technology long ago.  Case 3: The patient has no history of infertility, but is anxious to have children, should be in the eugenics stage, pay attention to adjust the lifestyle can be, do not use more expensive spermatogenic drugs, not to mention the problem of in vitro fertilization.  Three Summary Science and humanity are the two wings of human civilization, male infertility treatment, we must not only have modern fertility technology, but also a parental heart.