Patient's question:
[Medical Description: A few days ago, I had a semen analysis done at the county hospital. The results showed a sperm vitality rate of 35%, with motility rates of a: 0%, b: 25%, c: 10%, and d: 65%. The liquefaction time was 60 minutes. During the examination, the doctor found a lump in the testicles. An ultrasound revealed a cyst in the head of the epididymis. An 11x8mm anechoic area was detected in the right epididymis head, and a 4x4mm anechoic area was found in the left epididymis head, with thin and smooth walls. There are no symptoms nothing special. Treatment history and effectiveness: I have been taking traditional Chinese medicine to improve sperm quality for just a few days and do not yet know the results.Desired help: I want to find a major hospital to get treated as soon as possible and quickly have a child!]
Doctor's answer:
[Analysis of the condition: Within 1 hour after ejaculation, the percentage of motile sperm should be above 70%. If the motile sperm percentage is below 50%, it is considered abnormal, referred to as low sperm motility, or asthenozoospermia. If sperm have completely no motility, it is termed necrospermia. Low sperm motility and necrospermia are among the important causes of male infertility. Sperm motility directly reflects sperm quality. According to WHO recommendations, sperm motility is classified into 4 grades:Grade 0 — Non-motile, no forward movement;
Grade 1 — Poorly motile, weak forward movement;
Grade 2 — Moderately motile, moderate forward movement;
Grade 3 — Well-motile, active forward movement.
[Advice and recommendations:
1. Prolonged abstinence: Long-term abstinence often results in high sperm density, an increased number of non-motile sperm, and poor sperm motility. This is considered normal, so it is recommended to abstain from ejaculation for 5–7 days before the test.
2. Reproductive system infections: Reproductive system infections can alter seminal plasma composition, reducing zinc, magnesium, citrate, and fructose levels while increasing pH, all of which can affect sperm motility.
3. Varicocele: Due to impaired blood circulation in the testes and epididymis, local temperature rises, and toxic substances accumulate, leading to low sperm motility.]