There is no significant physical discomfort and sexual intercourse is possible. Previously, he had been examined several times at the local people’s hospital for low sperm and low vitality, and no improvement was seen with the treatment. His wife was physically fit, her menstruation was regular and no abnormalities were found in the gynecological examination.
Physical examination.
The external genitalia were well developed, the left and right testes were normal in texture and size, the epididymis was not abnormal, and there was no varicose veins in the spermatic cord.
Auxiliary examination.
Prostate fluid routine WBC (white blood cell) 2+, lecithin vesicles 2+, PH 6.8, sex hormones are normal.
Semen.
1 ml, 20 min liquefaction, PH 7.6, sperm concentration (density): 3.12 million/mL, grade A 1.79%, grade B 10.53%, grade C 2.63%.
Tongue and pulse.
Slightly red tongue, slightly greasy coating, fine pulse.
Diagnosis.
1, oligospermia ;
2, weak spermatozoa;
3, chronic prostatitis
Treatment.
1.Prostate Tong Yu capsule
2.Strengthening sperm decoction plus 15 doses of products to resolve blood stasis and promote sperm circulation, one dose daily
3. Detoxification and blood circulation herbal suppositories, administered via rectum.
12/01/2011 Re-examination: semen 2.0 ml, complete liquefaction at 30 minutes, PH 7.8, sperm concentration: 4.92 million/ml, 25.0% grade A, 19.44% grade B, 6.32% grade C. Acrosomal enzyme 44.2. The acrosomal enzyme was 44.2. The tongue was light red, the moss was slightly greasy and yellow, and there was discomfort of ejaculation.
Treatment.
1, prostate Tongchu capsule.
2, nano-silver antibacterial gel nano-anus, once a night
3, strong essence decoction with 30 doses of flavor, one dose daily.
On February 11, 2011, the semen was rechecked: 1.5 ml, complete liquefaction in 20 minutes, PH 7.8, sperm concentration 8.34 million/ml, viability: 27.87% grade A, 4.92% grade B, 6.56% grade C. Prostate fluid WBC 1+, lecithin vesicles 3+. Tongue light with thin coating. Inflammation is minimal and damp-heat is mild. Strengthen the kidney to promote sperm production.
Treatment.
1.Prostate Tong Yu capsule
2.Locked Yang Kidney Capsules
3. 30 doses of Strong Essence Decoction with added flavor, one dose daily.
On March 16, 2011, the semen was retested: 3.5 ml, complete liquefaction in 20 minutes, PH 7.3, sperm concentration 51.95 million/ml, viability: 50.26% of grade A, 17.67% of grade B, 13.16% of grade C. He complained of rapid ejaculation during intercourse. No discomfort for the rest.
Treatment.
1.Refill the decoction of sperm strengthening product.
2. Guided conception.
No follow-up consultation since then.
He is now a father.