Patient's question:
Semen analysis results show:A sperm: 20%, B: 16%, C: 5.33%, D: 36%
A + B: 36%
A + B + C: 41.33%
Motility and vitality are both abnormal. What kind of assistance is needed:
If sperm motility and vitality are both abnormal, how should it be treated? Thank you
Doctor's answer:
Hello: These two conditions are very related. One is varicocele, where the testicles are affected due to impaired venous blood (edema) caused by venous blood. Additionally, elevated levels of prostaglandins and 5-hydroxytryptamine in the venous blood can also lead to reduced sperm motility.Advice: It is recommended to undergo embolization treatment: This method involves selectively or superselectively injecting embolizing agents such as gelatin sponge, spring steel wires, or sclerosants into the spermatic veins through a catheter to block the dilated veins. Catheter embolization for varicocele has advantages over traditional surgical ligation, including non-surgical, lower costs, and less pain. It can prevent postoperative complications such as scrotal edema and hematoma. However, its success rate is lower than that of surgical ligation.