How to determine if a semen analysis is normal

Patient's question:

Not taking any contraceptive measures, I have never been pregnant. I am currently undergoing tests for "Four infertility tests" and "Six sexual hormones tests," but the results have not come out yet. My husband has had a semen analysis done. Experts, please help me analyze my husband's semen test results first.

Doctor's answer:

Hello: The normal sperm vitality rate in men should be above 70%, withA sperm motility >25% or A+B >50%. In asthenozoospermia, sperm lack the ability to move forward, making it difficult for them to pass through the cervical canal, uterine cavity, and reach the fallopian tubes to fertilize the egg, thus leading to reduced 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. Seminal plasma abnormalities, such as inflammation in the epididymis, seminal vesicles, or prostate, which can negatively affect sperm motility and survival due to changes in pH, oxygen supply, nutrition, and metabolism. If antisperm antibodies are present, they can cause sperm agglutination, rendering them inactive. It is recommended that patients seek further examination in a specialized hospital to identify the underlying cause and receive targeted treatment to improve sperm quality.

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