What are the common causes of dead sperm?

Patient's question:

I have been married to my wife for many years, and we have not used any contraception, but we have never been able to conceive. After checking at the hospital, I found out that I have dead sperm syndrome. Why would someone suddenly develop dead sperm syndrome? What are the main causes? What are the common reasons that can lead to dead sperm syndrome?

Doctor's answer:

The cause of blood loss in necrospermia is as follows:
1. Systemic factors: Long-term malnutrition, smoking, drug abuse, excessive mental stress, and frequent sexual activity.
2. Local factors: Orchitis of the second-level neuron of the parotid gland, testicular tuberculosis, and varicocele.
3. Autoimmune factors: Sperm and seminal plasma may produce antibodies that counteract their own sperm, leading to male infertility. Ejected sperm may self-aggregate and fail to penetrate cervical mucus.
4. Congenital growth and development abnormalities, such as bilateral cryptorchidism and congenital testicular hypoplasia.
Necrospermia refers to a condition where sperm viability increases, and a detailed semen analysis reveals that dead sperm account for more than 40%. It is one of the important causes of male infertility.

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