Patient's question:
Thank you for your answer: I would like to ask, if sperm does not liquefy within half an hour, is it infertility or subfertility? Does not liquefying mean unable to get pregnant? Then how should it be treated?Doctor's answer:
Hello, after normal semen is expelled outside the body, under the action of coagulase secreted by the seminal vesicles, it becomes thick and jelly-like. Within 10 to 20 minutes after ejaculation, it liquefies under the action of fibrinolysin secreted by the prostate, becoming relatively thin. The liquefaction time is less than 30 minutes. Liquefaction abnormality refers to the phenomenon where semen fails to completely liquefy at least 30 minutes after ejaculation or does not begin to liquefy until more than an hour has passed. It includes incomplete liquefaction of semen and delayed liquefaction of semen, which are commonly referred to as incomplete liquefaction of semen.The following traditional Chinese medicine treatments can be referenced:
1. Spleen and Kidney Yang Deficiency Type
Clinical Manifestations:
- Sperm density is excessively high, > 150 million/mL;
- Sperm motility is good, and morphology is normal;
- Slightly low scrotal temperature or a feeling of coolness in the testicles;
- Intolerance to cold, sore lower back and knees;
- Abdominal distension, poor appetite, loose stools, and clear, long-lasting urine.
- Pale tongue with thick white greasy coating, and deep or slow, fine pulse.
Treatment Principle:
Warm and tonify the spleen and kidneys, and transport fluids to distribute essence.
2. Yin Deficiency with Scorching Essence Type
Clinical Manifestations:
- Sperm density is excessively high, > 150 million/mL;
- Painful ejaculation or a sluggish, obstructive sensation during ejaculation;
- Insufficient yin fluids after severe or prolonged illness, or during the later stage of a feverish disease;
- Tinnitus, restlessness, flushed face, and red cheeks;
- Night sweats and insomnia;
- Dry stools, and yellow, short, dark urine.
- Red tongue with little or thin yellow coating, and thready, (obstructive) pulse.
Treatment Principle:
Nourish yin, clear heat, and replenish fluids to fill essence.