Two-child clinic

Since the implementation of the “two-child” policy, many couples who have passed the age of 40 are eager to have another child. If they find that they are uncomfortable, most families will attribute the reason that women are too old and men have to themselves. "Competence" is full of confidence. Dr. Deng Junhong, director of the men's speciality department of the Guangzhou First People’s Hospital, reminded that senior couples want two children and both men and women should check again to assess their fertility and escort healthy babies, especially men who take drugs for a long time. Sperm quality or damage, want to have a "second child", it is best to consult a specialist in advance.

People's middle-aged sperm quality will decline

Mr. Gao and Mrs. Gao had previously had a daughter and the process was very smooth. After the “two-child” policy was released, Mr. Gao, 42, and Mrs. Gao, 36, wanted to chase a child. After several "man-made" activities, Mrs. Gao still had no movement in her stomach. Her mother-in-law thinks that it is not possible for a wife to be “aged” and that her husband confuses her mouth several times because of “two children”. In desperation, Mrs. Gao went to the hospital for an examination, and all the results were basically qualified. Mr. Gao was dumbfounded. Is it really his own problem?

Director Deng Junhong explained that “women in their 30s and 40s want to have a second child. Most of them will do pre-pregnancy tests. On the contrary, there are not many men in their 40s who want to have a second child to do inspections.” In the traditional concept, many men think that when they give birth to their first child, they have “no stress” and “energetic”, and the birth of two children is naturally a matter of course. The reality is that people are middle-aged, with reduced physical activity and physical fitness, as well as various bad living habits such as drinking and smoking. Various diseases also begin to invade, and the quality of sperm is affected, which can easily lead to failure of conception.

"In the case of Mr. Gao, if you want to have a second child and your wife has no problem with the inspection, then the man must check it." Because there are many factors causing infertility, on the one hand, the proportion of normal sperm is increasing with age. Vitality will also decline; in addition to external environmental stimuli, car exhaust, factory emissions, etc., smoking and drinking, ionizing radiation, sauna bathing, bathing with hot water, etc., will affect the quality of sperm.

Antihypertensive drugs "injury" to adjust when pregnant

Age is increasing and physical function is declining. Some men are ill due to various reasons. Some diseases may affect the quality of sperm, and some drugs that treat diseases will also be “injured”. In this case, you still want to What should I do to regenerate a baby?

"This type of special male group, before preparing to have a second child, it is best to look for a specialist, to stabilize the condition as early as possible under the guidance of a doctor, to minimize the use of drugs that affect sperm."

Director Deng Junhong introduced that British scientists analyzed the sperm of more than 5,000 men in Scotland and found that obese men have worse sperm quality than men with normal weight. According to relevant studies, it is found that diabetes and its complications cause damage to spermatogenesis, mainly due to slowing or impaired proliferation of spermatogenic cells, reduced number of spermatogenic cells, and reduced diameter of seminiferous tubules.

Although drugs can alleviate the pain caused by the disease, there are some drugs that can damage the testes and affect sperm quality. Such as the treatment of high blood pressure thioridazine, stilboldidine and other drugs can reduce the amount of male ejaculation or even ejaculation. The use of some estrogens, progestins, and testosterone propionate can inhibit the secretion of pituitary gonadotropins and inhibit the spermatogenesis of the testes. Some topical drugs such as surfactants, etc., will also "injury."

"If you rely on drugs for long-term decompression, be sure to evaluate the effects of the drugs you are taking on sperm before preparing your baby, stop or replace drugs that have little effect on spermatozoa, and then 'create' 3 months later. Some take antipsychotic drugs. Boys, it is best to stop the drug six months later, the condition is stable and then consider second child. Even men taking other drugs, you want to prepare a second child, it is best to consult a specialist in advance, and fertility assessment."

Fertility assessment for men to check these

After several unsuccessful attempts to create a man, many men were excused for self-esteem. They feared that their wife felt that they were “not able to” and had refused to come to the hospital for specialist examinations. Deng Junhong reminded that it is best to come to a specialist as soon as possible to check the cause, but also try to avoid the birth of a defective fetus.

Deng Junhong said that the doctor will first have a basic understanding of the male's age, marriage history, past medical history, and surgical history in the interview. Specialized physical examination mainly includes examination of the testis, epididymis, vas deferens, and semen examination. The examination of semen mainly includes parameters such as semen volume, total number of spermatozoa ejaculate, sperm density, total sperm motility, forward movement, sperm survival rate, and sperm morphology. Patients with abnormal semen parameters, especially semen leukocytosis, urinary tract secretion patients should also be tested for mycoplasma and chlamydia.

According to the patient's physical examination and semen detection, if the patient has cryptorchidism, varicocele, tumor, hydrocele, vas deferens obstruction and other performance, it is recommended that ultrasound testing, including scrotal ultrasound and transrectal ultrasound. For those who have no semen or a small amount of semen, they can assist in the diagnosis of retrograde ejaculation or partial retrograde ejaculation based on post-ejaculation urine centrifugation.

â–  Health reminder

These foods can improve sperm quality

Deng Junhong reminded that men who want to have a second child want to have healthy “seeds”. They must manage their mouths, quit smoking and abstinence, strengthen physical exercise, and avoid long-term tension in their lives. Especially in summer, the temperature begins to rise, the body is hot, try to drink less coffee, milk tea and other depressant foods, eat more green and healthy foods, and selectively eat some “Yi Jing” foods to increase sexual desire and enhance sperm motility.

Zinc-rich foods: The amount of zinc in plant foods such as beans, peanuts, millet, radish, and Chinese cabbage is relatively high. In addition, beef, chicken liver, eggs, lamb chops, and pork contain more zinc, and animal foods. Among them, oysters contain the most abundant zinc.

Animal viscera: This kind of food contains a large amount of cholesterol, about 10% of which is adrenocorticotropic hormone and sex hormones, and proper consumption of such foods has a certain effect on enhancing sexual function.

Slip-and-stick foods: According to relevant studies, it is confirmed that arginine is an essential component of sperm formation and can enhance the ability of sperm to play an important role in maintaining the normal function of the male reproductive system. Fish, sea cucumber, cuttlefish, octopus, wood pine fish, sesame seeds, peanuts, walnuts and other foods are rich in arginine.

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