Damp-Heat in Low Jiao
Symptoms: alcohol and diet leads to this condition, generally overweight, sperm count is low, may be sperm deformities, Damp/Heat symptoms (scanty urine, fullness in hypogastrium.
Acupuncture: BL 28 & Ren 3 (diuresis), SP 6, 9, BL 23, 32, Ren 2
Qi and Blood Deficiency
Symptoms: worry, over-thinking, stress, chronic illness, impotence, low sperm count, short sperm life, slow mobility.
Acupuncture: Ren 4, 6, ST 36, SP 6, BL 23, HT 7
Kidney Yang Deficiency
low libido, weak ejaculation, impotence, seminal emission, low sperm count, slow motility, coldness, fatigue, pale bright face, copious clear urine.
Acupuncture: tonify, Ren, Du, Shu, Moxa, BL 23, Du 4, Ren 4, SP 6
Kidney Yin Deficiency
Symptoms: seminal emission, slow mobility, low count, thick sticky semen from Heat or lack of fluids, nights sweats, anxiety, irritable, fidgety.
Acupuncture: Ren 4, KI 3, 6, BL 52, LR 3
Liver Qi Stagnation
Symptoms: Liver meridian blockage in the local area (genital) makes it difficult to ejaculate, related with impotence and low libido.
Acupuncture: tonify and sedate, Ren 4 & 2 (invigorate Yang), BL 23 & SP 6, LR 3 & PC 6, GB 34 (tendons), ST 36, Ren 12
Treatment in Western Medicine:
Hormone replacement.
For hypogonadism caused by testicular failure, doctors use male hormone replacement (testosterone replacement therapy, or TRT). TRT can restore sexual function and muscle strength and prevent bone loss. In addition, men receiving TRT often experience an increase in energy, sex drive and sense of well-being. If a pituitary problem is the cause, pituitary hormones may stimulate sperm production and restore fertility. Testosterone replacement therapy can be used if fertility isn't an issue. A pituitary tumor may require surgical removal, medication, radiation or the replacement of other hormones.
Assisted reproduction.
Although there's often no effective treatment to restore fertility in a man with primary hypogonadism, assisted reproductive technology may be helpful. This technology covers a variety of techniques designed to help couples who have been unsuccessful in achieving conception.
In boys, testosterone replacement therapy (TRT) can stimulate puberty and the development of secondary sex characteristics, such as increased muscle mass, beard and pubic hair growth, and growth of the penis. Pituitary hormones may be used to stimulate testicle growth. An initial low dose of testosterone with gradual increases may help to avoid adverse effects and more closely mimic the slow increase in testosterone that occurs during puberty.