Can too short periods of abstinence lead to asthenozoospermia?

Patient's question:

Three days after intercourse, we went for a pre-pregnancy check-up. My husband's semen analysis results showed asthenozoospermia with a sperm motility rate of 33%. My husband said that during the test, he had a very small amount of ejaculation. Doctor, could this be due to temporary asthenozoospermia caused by too short a period of abstinence? Or would it be better to retest after abstaining for a week to make a judgment?

Doctor's answer:

Hello, low sperm vitality affects fertility. Common causes of asthenozoospermia include: 1. Incomplete maturation or damage and thinning of the testicular spermatogenic epithelium, leading to 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 negatively affect sperm activity and survival due to changes in pH, oxygen supply, nutrition, and metabolism. If antisperm antibodies are present, they can cause sperm agglutination, rendering them non-motile. It is recommended that you visit a specialized hospital for examination and receive treatment under the guidance of a doctor.

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