Does sperm viability also cause infertility?

Patient's question:

Since last year, I have wanted to have a child, but I haven't been able to do so. I also visited a traditional Chinese medicine doctor for treatment for a while, but it didn't have much effect. Later, I had a semen analysis done as recommended by the doctor, and surprisingly, I found that my sperm vitality rate was low. Can a low sperm vitality rate also cause infertility?

Doctor's answer:

Generally, if the sperm vitality rate is below 70%, it will interfere with conception. Severe low sperm vitality can lead to infertility. In cases of asthenozoospermia, sperm lack the strength to move forward, making it difficult for them to penetrate the cervical canal, uterine cavity, and reach the fallopian tubes to fertilize the egg, thus resulting in reduced fertility. Common causes of asthenozoospermia include: 1. Incomplete maturation or damage to the spermatogenic epithelium in the testes, leading to poor sperm quality and weak motility, 2. Low seminal fluid volume, 3. Variations in seminal plasma.

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