Does wanting a second child affect sperm quality?

Patient's question:

I am 48 years old this year and want a second child. After abstaining from sex for thirteen days, will the quality of sperm be affected? Will it reduce the chances of conception?

Doctor's answer:

Hello, the reasons that can lead to low sperm motility include:
1. Incomplete maturation or damage and thinning of the seminiferous tubule epithelium, resulting in poor sperm quality and weak motility.
2. Low seminal fluid volume.
3. Variations in seminal plasma, such as inflammation in the epididymis, seminal vesicles, or prostate, which are all unfavorable for sperm activity and survival. If antisperm antibodies are present, they can cause sperm agglutination, thereby reducing their motility.

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