How to judge prostatitis and asthenozoospermia?

Patient's question:

Hello, I had a prostate fluid test with white blood cells 7-12 and 55% phospholipid bodies. The ultrasound showed a cyst at the head of the right epididymis. Am I suffering from prostatitis? And my semen test showed A+B grade sperm at 38%. What kind of help do you need: How did I get prostatitis? If I do, what medication should I take? For asthenozoospermia, what medication should I take?

Doctor's answer:

Hello: Normal male sperm motilityA should be >25% or A+B >50%. In asthenozoospermia, sperm lack the ability to move forward and find it difficult to penetrate the cervical canal, uterine cavity, and reach the fallopian tube to combine with the egg, thus leading to reduced fertility. Common causes of asthenozoospermia include: 1. Incomplete maturation or damage and thinning of 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 affect pH, oxygen supply, nutrition, and metabolic processes, all of which may impair sperm motility. If anti-sperm antibodies are present, they can cause sperm agglutination, thereby reducing their motility. It is recommended that you visit a hospital for further examination to identify the underlying cause and receive targeted treatment to improve sperm quality. Wishing you good health!

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