Patient's question:
Clinical Description: Current Medical History: Today, PESA was performed, and the puncture was smooth. Sperm count was 1-3 per HP, with many abnormal sperm heads. In multiple fields of view, one C-grade sperm was observed.History of Treatment and Effects: No treatment has been administered.
Help Needed: What does the above case mean? Please help me explain, thank you. What should I do? Where should I go for better medical treatment?
Doctor's answer:
Analysis of the condition: Hello, your current condition is oligospermia, accompanied by poor sperm motility.Suggestions: The reasons for decreased sperm motility include the following: After sperm are produced in the seminiferous tubules of the testes, they first enter the epididymis and then travel through the vas deferens to the seminal vesicles. The seminal vesicles secrete seminal fluid, which contains essential nutrients for sperm survival. If bacteria in the urethra frequently enter the prostate, seminal vesicles, vas deferens, epididymis, and testes through the ejaculatory duct, they can cause inflammatory lesions, leading to conditions such as prostatitis, seminal vesiculitis, vas deferensitis, and epididymitis.
When bacteria multiply in the reproductive tract, they secrete harmful substances that damage sperm. Additionally, bacterial reproduction consumes a large amount of nutrients, reducing the essential nutrients for sperm survival and disrupting the environment necessary for sperm to thrive, thereby lowering sperm motility. Bacterial multiplication also releases large amounts of acidic byproducts, which lower the pH of the male reproductive tract, causing sperm to undergo acidosis. Furthermore, bacterial reproduction consumes a significant amount of oxygen, leading to sperm death due to hypoxia.
Therefore, early treatment of reproductive system infections is crucial to prevent sperm motility from declining due to bacterial proliferation.