Is it good to treat oligospermia and asthenozoospermia?

Patient's question:

Married for several years, we have never had children. After checking at the hospital, it was found that I have asthenozoospermia. I would like to ask what precautions should be taken when this disease affects fertility? Is asthenozoospermia easy to treat?

Doctor's answer:

In cases of asthenozoospermia, sperm lack the ability to move forward, making it difficult for them to penetrate the cervical canal, the uterine cavity, and reach the fallopian tubes to fertilize the egg, thus leading to impaired fertility. Common causes of asthenozoospermia include: 1. Incomplete maturation or damage to the spermatogenic epithelium in the testes, resulting in poor sperm quality and weak motility; 2. Low seminal fluid volume; 3. Variations in seminal plasma, such as when the epididymis, seminal vesicles, or prostate are inflamed, altering the pH, oxygen supply, nutrients, and metabolic processes, which can either favor or hinder sperm movement and survival. If antisperm antibodies are present, they can cause sperm agglutination, thereby reducing their motility. Asthenozoospermia affects male fertility, as insufficient sperm vitality hinders the fertilization of oocytes.

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