Patient's question:
Hello, last year's check revealed antisperm antibodies. I haven't had coitus for several months now, and whenever I do, my menstruation becomes irregular. I don't know if the antisperm antibodies have disappeared. How can I quickly treat antisperm antibodies?Doctor's answer:
Antisperm antibodies are a type of immunological infertility. Antisperm antibodies are a complex pathological product, affecting both men and women, with their exact causes or etiology not yet fully understood. The sperm and seminal plasma of men are considered specific antigens for women. Upon contact with blood, they can trigger immune reactions in both men and women, leading to the production of corresponding antibodies that hinder the combination of sperm and eggs, resulting in infertility. The aforementioned conditions fall under the category of sperm immunological infertility. Female patients with positive antisperm antibodies often have a history of reproductive system inflammation such as endometritis, vaginitis, and tubulitis before the onset of their condition, which is particularly common in cases of tubal blockage infertility. These patients frequently have a history of sexual intercourse during menstruation, postpartum lochia retention, or abnormal vaginal bleeding. Even if pregnancy occurs, the fertilized egg may be affected by the disease or weakened, making it highly susceptible to atrophy or death during the embryonic stage, leading to spontaneous abortion. For immunological infertility, isolation therapy and immunosuppressive therapy are employed. Currently, Western medicine uses corticosteroids such as prednisone to suppress immune reactions. Another method involves washing sperm before artificial insemination in men.Medical Advice: Traditional Chinese Medicine treats patients with positive antisperm antibodies through holistic regulation with herbal medicine. It is worth noting that for patients with positive antisperm antibodies, it is recommended to consistently use condoms during intercourse for 3 to 6 months to avoid contact between the female reproductive tract and sperm. Condoms should only be discontinued after the titer of antisperm antibodies in the body decreases or disappears, which may then lead to pregnancy. It is advised to seek early treatment to avoid missing the optimal age for conception.