Patient's question:
Detailed medical condition and consultation purpose: It's that it doesn't liquefy every time, what should be done to make it liquefy?Current general condition: Still the same.
Doctor's answer:
Hello, there are several methods for treating semen liquefaction issues:（1）Completely treat the primary diseases such as prostatitis and seminal vesiculitis to restore their normal function.
（2）Use physiological saline containing 4% α-amylase to rinse the vagina before sexual intercourse, or inject 1 milliliter into the vagina after intercourse. Alternatively, 50 milligrams of this enzyme can be mixed with cocoa butter to form a 3-centimeter-long medicated suppository, which is inserted into the vagina before intercourse. This method was discovered because someone observed that saliva has the effect of liquefying semen and was inspired by it. α-amylase not only promotes semen liquefaction and affects vaginal or cervical secretions containing glycogen but can also serve as an energy source for sperm activity. Therefore, this method has been widely used.
（3）Add normal human seminal plasma to the semen to promote liquefaction. However, it is first necessary to ensure that this seminal plasma does not contain anti-sperm antibodies, is free of infection, and has been pre-treated with high-speed centrifugation to remove precipitates and undergo three cycles of freezing and thawing.
（4）Ejaculate the semen into a container with culture medium and repeatedly aspirate it with a syringe equipped with 18 or 19 gauge needles until the semen becomes thin. Then, perform two rounds of centrifugation and washing, and finally suspend the sperm in a certain amount of culture medium for artificial insemination.
（5）If the semen has a high viscosity, the divided ejaculation method can be used: the first three emissions are left in the vagina, the penis is immediately withdrawn, and the remaining semen is expelled outside. This is because the later semen primarily contains seminal vesicle secretion, which has a higher viscosity.