Patient's question:
I have been married to my husband for four years, and we still don't have any children. I have had a thorough check-up and there are no abnormalities. My husband has also had a detailed examination of his testicles, kidneys, and prostate, all of which are normal. However, the semen analysis revealed poor sperm motility and sperm that don't move upwards. What should we do?Doctor's answer:
Your husband's condition has weak sperm syndrome, where the sperm lack the ability to move forward and struggle to reach the fallopian tubes to combine with the egg, resulting in reduced fertility. The common causes of weak sperm syndrome include:1. Incomplete maturation or damage and thinning of the seminiferous epithelium in the testes, leading to poor sperm quality and weak motility;
2. Low seminal fluid volume;
3. Variations in seminal plasma, such as when the epididymis, seminal vesicles, or prostate are inflamed, altering the pH, oxygen supply, nutrients, and metabolic processes, which can either favor or hinder sperm movement. If anti-sperm antibodies are present, they can cause sperm to clump together, thereby losing their motility.