I concentrated my energy during intercourse but there was no movement in my belly. Could it be caused by "the husband not having sex"? Doctors explain in detail the two major causes of male infertility
I concentrated my energy during intercourse but my belly didn’t move. Could it be because my partner didn’t move?
If a couple encounters difficulty in seeking a child, may it be caused by male erectile dysfunction? Dr. Xie Kunlin, the attending physician of the Department of Urology at Chi Mei Hospital, pointed out that there was a 38-year-old male patient who had been unable to conceive after being married to his wife for one year. After examination, it was found that his hormones were lower than the standard value, so he was first given hormone adjustment medication; unexpectedly 3 Months later, the wife still showed no signs of pregnancy. After consultation, she discovered that her husband was often “unable to lift his head” at critical moments, resulting in repeated missed opportunities to conceive.
The wife said that in order to increase the chance of pregnancy within 3 months, the couple did not have sex on weekdays. Instead, they “concentrated their energy” and calculated the dates in order to use the essence during the key ovulation period. Unexpectedly, the husband always fails to harden on critical days, causing the wife to turn disappointment into anger, making the husband “stressed out”. After Dr. Xie Kunlin administered oral medication and intervened through low-energy extracorporeal shock wave therapy, the man said goodbye to his erectile dysfunction problem, and his wife became pregnant successfully a few months later.
Is infertility the key to declining birthrate? Doctors explain in detail the two major causes of male infertility
In response to the above case, Dr. Xie Kunlin explained that if a man and a woman continue to have regular and non-contraceptive sexual intercourse for one year but still fail to conceive, it can be called “infertility”. According to a report published by the World Health Organization (WHO) in April this year, about 17.5% of adults in the world are infertile, which means that 1 in every 6 couples may suffer from infertility; and fertility problems are more common in high-income families. slightly higher in low- and middle-income countries (17.8%) than in low- and middle-income countries (16.5%).
Dr. Xie Kunlin pointed out that male and female factors are equally responsible for couples’ infertility problems, each accounting for 1/3; while the remaining 1/3 is caused by problems on both sides or the cause is unknown. Male infertility has gradually received more attention in recent years. Many studies have found that male sperm quality has indeed declined significantly over the past few decades. The factors behind it include environmental toxins, changes in work and lifestyle, low testosterone concentration, and varicocele, etc., which may all be related to Related to decreased sperm motility.
In addition to sperm quality, clinically, there are also patients who experience obstacles in the first step of conception and are unable to successfully deliver sperm into the female body, which is the so-called “sexual dysfunction”. Dr. Xie Kunlin said that erectile dysfunction and ejaculation disorders (premature ejaculation, delayed ejaculation, retrograde ejaculation, etc.) may be the reasons for men’s repeated setbacks in bed and pregnancy. Even if the sperm quality is excellent but the intercourse is not smooth, there is still the possibility of infertility.
“The quality of sperm is like ’training soldiers’, while sexual behavior is like ‘sending soldiers to the front line’. Even if the soldiers are well-trained and have high combat effectiveness, if they are not sent to the front line to fight on the battlefield, it is natural that they will suffer repeated defeats!”
Is erectile dysfunction a cause of infertility? Tension in the relationship and greetings from elders will aggravate the condition.
Dr. Xie Kunlin explained that in terms of “erectile dysfunction”, the factors behind it are multiple and complex, and they can be roughly divided into two major causes: “organic” and “psychogenic.” Organic refers to structural or body function problems, including chronic inflammation of the prostate, low testosterone concentration, etc. This is also an important key disease in male infertility, and it also affects male sperm and sexual performance. The two are additive. More likely to increase the chance of infertility.
The psychogenic part can be regarded as the “pressure” that every infertile couple carries. Whether it comes from the couple’s own expectations or repeated setbacks, or the “constant concern” of the elders of both parties’ families, it is huge and continuous, further causing men to have too much psychological pressure every time during critical days or even during daily sexual intercourse. Prolonged or premature ejaculation.
Dr. Xie Kunlin pointed out that a foreign study on men in infertile couples found that 1 out of every 6 men in infertile couples had erectile dysfunction or premature ejaculation problems; and the severity of erectile function was positively correlated with the depression index, while ejaculation disorder was related to Prostate inflammation is even more related to fear and worry index. Some studies have also reported that about 21% of infertile men have premature ejaculation. After continuous tracking, it was discovered that these men with erectile and ejaculation difficulties may improve naturally without medication or treatment after the child is born.
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In addition, the “ejaculation frequency” during pregnancy preparation is also a focus of concern for infertile couples. Sperm quality is generally best 3-7 days after abstinence. Some studies have pointed out that men with oligozoospermia (ie, low sperm count) are in best condition 1 day after abstinence, and the quality begins to decline after 4 days. However, even through large-scale integrated analysis of research in this area, the length of abstinence time remains unclear. However, if the quality of the couple’s “only launch once a month” is like the above-mentioned case, it will definitely not be the most ideal.
Therefore, Dr. Xie Kunlin has the following reminders and suggestions for infertile men with sexual dysfunction:
Solve erection problems. Men with infertility have a higher risk of sexual dysfunction, which is also the first problem that hinders successful conception; diseases such as insufficient testosterone concentration and chronic inflammation of the prostate may affect sperm quality and sexual dysfunction, so patients You should consult a urologist as soon as possible to solve erection problems, such as through drug or physical low-energy extracorporeal shock wave therapy intervention.
Appropriate sexual behavior. There is no need to “concentrate” or deliberately reduce the frequency of sexual intercourse during pregnancy preparation. It is recommended to maintain an appropriate frequency of sexual intercourse. This will not only help maintain sperm quality, but also reduce the uneasiness and tension during sexual intercourse on critical days.
Partners communicate fully. Couples can chat at a timely manner to reduce the impact of emotional uneasiness on pregnancy preparation. Appropriate changes in mood and environment can also help conceive.
Finally, Dr. Xie Kunlin calls on men who are preparing for pregnancy and have signs of infertility or sexual dysfunction to seek assistance from a urologist to find out whether there are underlying diseases and resolve them to increase the chance of successful pregnancy. If there are conflicts and frictions between husband and wife, both parties should fully communicate, or clarify the psychological and sexual causes through partner or individual psychological consultation, which will help make the journey of seeking a child smoother.
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