Patient's question:
Hello, I had a prostatic fluid examination with white blood cells 7-12, lecithin corpuscles 55%, and a color ultrasound showing a cyst in the head of the right epididymis. Am I likely to have prostatitis? Additionally, my semen analysis 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 use?Doctor's answer:
Hello: Normal male sperm motility (A) should be >25% or A+B >50%. In asthenozoospermia, sperm lack the ability to move forward, making it difficult for them to penetrate the cervical canal and uterine cavity, directly reaching 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 affect pH levels, oxygen supply, nutrition, and metabolic processes, all of which may hinder sperm motility. If antisperm 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!