Does asthenospermia mean that you can't have children to breed? Although it is difficult to conceive, there are still opportunities.
First of all, we should adjust our lifestyle. Quit smoking and drinking, work and rest regularly, stay up less and exercise more. Pay attention to taking more vitamin E and trace elements such as zinc and selenium. Eat more seafood in your diet.
Improving lifestyle may be effective for mild to moderate asthenospermia.
If it is severe asthenospermia, drug treatment is needed according to the cause. If there are primary diseases such as chronic prostatitis and epididymitis, the disease should be treated first; If it is due to primary gonadal insufficiency and insufficient hormone level, it is necessary to supplement the corresponding androgen. You can also use various drugs to improve sperm quality under the guidance of a doctor.
Generally, it takes 72 days for testis to produce sperm and 15 days for epididymis to mature, which adds up to about 3 months. Therefore, drug treatment generally takes 3 months as a course of treatment.
If after 3~6 months of standardized treatment, the sperm quality has not improved significantly, or the sperm quality has improved, but the pregnancy is not successful, you can consider using assisted reproductive technology (IVF).
Good pregnancy! ( 12)
Tell me about my clinical experience: A few days ago, I met a patient who had been married in Ningbo for 2 years and had no children. His wife is nearly two months pregnant.
At the first visit, the sperm motility rate was only 5.6%, the sperm motility rate A+B was only 2.8%, and the sperm abnormality rate was 99%. B-ultrasound: varicocele on the left side. Physical examination showed that both testicles were about 16 ml, and the left varicocele was 1-2 degrees. Tongjing decoction is the main prescription for promoting blood circulation and removing blood stasis, supplemented by prepared aconite 10g, cinnamon 10g, licorice 3g, and Chinese patent medicines for tonifying kidney and benefiting essence. The first prescription is two weeks.
Follow-up visit: Sex hormones, anti-sperm antibodies, mycoplasma and chlamydia are normal. Because it is inconvenient for patients to go to Shanghai clinic from Ningbo, they need to take medicine for a long time, so 56 pieces of Herba Epimedii and Herba Cistanches are added to it.
After taking Chinese medicine for eight weeks, check the semen again. The survival rate was 9.9% and A+B was 2.2%. It is planned to add Cornus officinalis and green tangerine peel for another eight weeks. The patient took Chinese medicine for more than three months, and his wife was pregnant. Semen reexamination showed that the sperm viability was 9.9%, A+B was 9.9%, and the sperm abnormality rate was 94%. The patient asked to continue to recuperate and take medicine in order to have a second child in the future.
The World Health Organization has released the fifth edition of semen routine normal index, and the requirement for normal value is getting lower and lower. More than 30 years ago, the number of normal sperm per milliliter was more than 60 million, with a survival rate of more than 70% and an abnormality of less than 30%. At present, as long as the standard reaches 654.38+0.5 million per milliliter, the survival rate is 40%, and the deformity does not exceed 96%, it is normal.
In fact, these indicators are formulated according to the requirements of assisted reproductive centers. It is not prepared according to general clinical requirements. What if 94% of people in society are deformed?
Because IVF can be performed by single sperm puncture, only a few "normal" sperm are needed, and the technology is quite advanced, but this technology inevitably has genetic risks.
From this case analysis, it can be seen that the treatment of infertility does not necessarily require sperm quality to reach the standard in order to achieve fertility. We found that in many cases, fertility can be achieved with a little improvement.
I once met a patient who was originally azoospermia. After more than six months of treatment, a small amount of sperm appeared. After more than two months of treatment, the sperm per milliliter is only 2 million, with 60% vitality and A+B45% vitality, and the woman is pregnant. It seems that sperm may not reach normal value before giving birth. Because the index of semen is artificially set, it is only higher than the normal index that there are more chances to have children.
First of all, let's understand the three elements of fertility: sperm quality, sexual relationship between husband and wife and the woman's ability to conceive.
Male sperm quality includes the amount of semen per ejaculation, liquefaction, total sperm count, sperm concentration, sperm motility rate, sperm number moving forward, sperm morphology and so on. The better the quality of sperm in all aspects, the greater the chance of successful delivery.
The sexual relationship between husband and wife, especially the frequency of sexual life, has a great influence on fertility. Men's erectile function is the foundation. If the man's erectile hardness is poor, even normal sexual intercourse can't be done, then the sperm quality is no matter how good, the woman can't get pregnant. To maintain a vigorous frequency of sexual life, living once every two days can maximize the pregnancy rate.
Then there is the woman's ability to conceive. Abnormal menstruation, normal ovulation, tubal nowhere, abnormal endometrial thickness during ovulation and abnormal sex hormones will all affect the ability to conceive. The woman's age is a very important factor affecting fertility. Women in their twenties have the strongest fertility. After the age of 30, women's fertility will become lower and lower. The fertility of a 35-year-old woman is 50% that of a 25-year-old woman. Therefore, the woman's ability to conceive is also very important.
To sum up, if it is pure severe asthenospermia, as long as there are active sperm, there is no problem with male sexual function and frequency of sexual life. The woman is young, healthy and pregnant, and there is still a chance of natural childbirth.
Text: Dr. Yue Zengbao from Guangxi Beihai Hospital of Traditional Chinese Medicine/Chief Physician Wang Chuanhang from the Department of Andrology, Beijing China-Japan Friendship Hospital.
Severe asthenospermia is actually fertile. I suggest you make your sperm more energetic by conditioning. If treatment or conditioning fails. It may be necessary to use medical technology to assist pregnancy through assisted reproductive technology. At present, assisted reproductive technology is very developed, and severe asthenospermia can be conceived through IVF technology.
Men should avoid some environments that are harmful to sperm, such as sauna, smoking and drinking, which will directly harm sperm. Secondly, men should pay more attention to diet. Some foods will kill male sperm, and there is a reason for lack of sperm and weak sperm. Generally, it is caused by semen infection, semen liquefaction disorder, abnormal semen pH value, high semen viscosity and abnormal sperm development.
Asthenospermia refers to a sperm, only half of which can exercise vigorously, or very few sperm can move fast, so it is called asthenospermia. Generally speaking, asthenospermia is divided into four stages. If it is mild or moderate, it can be treated. If it is severe asthenospermia or azoospermia, the probability of natural pregnancy is also low. If it is not treated in time during the mild and moderate period, it will eventually become infertile patients.
Finally, it is suggested that men make some efforts in diet in daily life, especially considering pregnancy. Among the common foods, we should eat more seafood, which is rich in protein, and it is best to achieve a balanced nutrition. Secondly, coke, celery, bean products, garlic and alcohol can kill sperm, so men must pay more attention to avoid the tragedy of sperm motility decline.
After treatment, patients with asthenospermia need to strengthen maintenance in their daily life to maintain the vitality of sperm and prepare for a smooth pregnancy.
How to get pregnant with asthenospermia?
1, actively prevent and treat diseases: in many cases, other diseases will also induce sperm and semen abnormalities, causing fertility problems. Some reproductive system infections, prostate diseases, systemic diseases and sexually transmitted diseases will threaten male reproductive health.
2. Stay away from harmful environment: High-radiation and toxic chemical plants will undoubtedly have adverse effects on male fertility, so it is necessary to avoid staying in such an environment for a long time.
3. Develop good living habits: quit smoking and drinking, do not eat greasy and spicy food, avoid noise pollution, and develop good work and rest habits.
Warm reminder: If you have asthenospermia, you must go to a professional hospital for treatment in time. When pregnant again, in order to ensure the sperm to return to normal state, routine sperm examination can also be carried out to ensure that the sperm is normal.
Male fertility needs to provide sperm. No sperm or poor sperm quality can guarantee that women can successfully conceive. Some couples have been married for many years without children, and the woman did not find any problems when she went to the physical examination. Later, it was found that the man's feelings were seriously weak and he could not have children. So, what about severe asthenospermia?
What about severe asthenospermia? Can staying up late lead to asthenospermia?
Not necessarily, but the sperm quality of people who often stay up late or have irregular schedules is definitely not good. Night is the best time for penis and semen to rest and adjust. If you often stay up late, then his sexual function and sperm quality are certainly not much better. Of course, people with strong physique may not see it, but with the growth of time and age, it will happen sooner or later. So pay attention to sleep, others are forbidden to drink and eat less spicy food.
For men with severe asthenospermia, the following habits should be maintained at the same time.
My husband and I didn't plan to have children for a few years before we got married. We both felt young and pregnant, but we didn't deliberately use contraception. I've been married unconsciously for 10 years, and my relatives are asking me every day. At this time, I began to doubt whether the couple had fertility problems.
We went to the hospital for a comprehensive examination. At first, we thought it should be my own little problem. Only after the examination did I know that my husband was asthenospermia. What a bolt from the blue! The tall and mighty husband actually found out the weak sperm!
After this investigation, my wife and I started a long road of treatment. My husband actively cooperated with the doctor and began to quit smoking and drinking. After 1 year's efforts, his semen quality has not improved, and we still failed to get pregnant and gave birth to a son and a half.
At an accidental party, my best friend learned about IVF. Through the introduction of girlfriends, our husband and wife added doctor WeChat to learn more about the process and cost of IVF, as well as the conditioning schemes and precautions before many test tubes in the test tube. After a period of comparison, I finally chose to be the third generation IVF. The laboratory there is very high-end and the doctors are very skilled. It is really a rare good hospital in China.
After we signed the contract, we started a more comprehensive inspection under the guidance of the consultant. The doctor said that our husband and wife meet the conditions of IVF and can enter IVF treatment in the next cycle. Hearing the news, we were so happy that we didn't sleep a wink all night.
The doctor arranged the injection to promote the discharge and officially entered the IVF treatment process. After injecting ovulation-promoting 1 1 day, 8 embryos were made from 10 eggs. After 23 pairs of screening, 4 men and 4 women were transplanted, which was really exciting. Finally, my husband and wife decided to transplant a male embryo.
I went home to rest for two months and came back to the hospital for an examination. The endometrium reached 8mm, which was lucky enough to meet the transplant criteria. Menstruation 12 days to fly to Guangzhou to prepare for transplantation. I was a little nervous on the day of the operation, but it went well. On the ninth day of transplantation, the doctor said happily: Congratulations, I am pregnant once!
Now, I have been pregnant for more than three months, and our family is still immersed in happiness. I'm very careful every time I have a prenatal check-up. I believe I can grasp every step, and my little baby will come to our home healthily! Baby, love you!
Of course, there are also natural births.
Asthenospermia should first check whether there are reproductive system diseases, such as prostatitis and varicocele, and treat them in time. Lack of trace elements such as zinc, copper and magnesium, smoking, drinking and drugs, tight underwear, hot bath, sauna, sedentary and long-term high temperature of testicles will also lead to the decline of sperm quality.
Suggestions: Keep the reproductive system healthy, exercise more, quit smoking and drinking, keep a good attitude, have a regular sexual life (long-term non-ejaculation will also lead to lower sperm quality), don't stay up late, supplement zinc and calcium to avoid testicular hyperthermia.
After conditioning for about 3 months, the sperm quality will be improved. If you can't conceive naturally, you need to use artificial assisted reproductive technology. Now the technology of artificial insemination and IVF is very mature, and infertility can be achieved.
At present, there are also artificial insemination tools in China-pregnant Mabang pregnancy aid device, which can be operated by both husband and wife at home to improve the success rate of pregnancy.