What is the reason for insufficient semen vitality?

Patient's question:

Friend's semen vitality is not enough
Is there any way to improve it?
Previously, I had seen a traditional Chinese medicine doctor
But it didn't work

Doctor's answer:

Hello: Have you ever had a semen analysis?
Commonly used medications include:
① ATP (adenosine triphosphate): 20mg intramuscular injection, once daily. It is more effective for cases with chronic genital inflammation and can significantly improve sperm motility.
② Pentoxyfilline: 200–600mg per dose, three times daily, for 3–6 months. It shows significant improvement in sperm forward movement.
③ Vitamin A: Cod liver oil pills, 2–3 pills per dose, three times daily, for 3 months. Vitamin A is essential for promoting sperm production.
④ Vitamin E: 50mg per dose, once daily, for 3 months. Vitamin E deficiency can cause degeneration of seminiferous tubules in the testes, leading to impaired spermatogenesis. Vitamin E can inhibit the oxidative products of prostaglandins that cause inflammation of male accessory glands, thus preventing reduced sperm motility.
⑤ Chinese herbal medicine options include Shengjing Decoction: Goji berries 15g, Tribulus terrestris, Rubus fructus, Schisandra chinensis, Plantago depressa (), Mulberry leaves each 9g, Angelica sinensis, Rehmannia glutinosa each 12g, Polygonum multiflorum, Codonopsis pilosula each 15g, Astragalus 18g, Epimedium brevis 12g, Dipsacus asper 15g, Tangerine peel 9g. Take one decoction daily, decocted in water and taken orally. It significantly improves sperm viability, motility, and density. A total of 168 cases were treated, with a total effective rate of 94.6%.

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