Patient's question:
Patient Gender: I have occasional dull pain in my left testicle. The doctor at the hospital prescribed some anti-inflammatory medication.Doctor's answer:
Hello, antisperm antibodies, can cause sperm to become immobilized or adhere to cervical mucus, making it difficult to pass through the cervix. They can also inhibit the activity of sperm acrosomes, making it harder for sperm to penetrate the corona radiata, cumulus oophorus, and zona pellucida surrounding the egg, thereby obstructing sperm-egg fusion or leading to embryonic death and miscarriage, severely affecting both male and female fertility.Treatment:
1. Immunological diagnosis therapy: Use condoms for 6–12 months, suitable for women.
2. Immunosuppressive therapy: Primarily uses steroid hormones. Current recommendations include the use of levamisole, which acts on macrophages and lymphocytes to eliminate ASAB.
3. Traditional Chinese Medicine (TCM): Oral administration of Xi Tong Gai Lie Ji (10 bottles), Xiao Dang Tian (10 bottles), and Xi Tong Bi (12 bottles) for 3 months can lead to a 90% cure rate.
4. Vitamin E can reduce antigen production and accelerate antibody elimination. Products like Zheng Ling Jing (10 bottles) and Gai Xiong Wan (10 bottles) are effective. ATP shows significant efficacy in mild oligospermia with ASAB positivity. Zinc sulfate and sodium selenite have a certain therapeutic effect on oligospermia with ASAB positivity.
5. Assisted reproductive technologies: Artificial insemination with husband’s sperm (AIH), artificial insemination with donor sperm (AID), in vitro fertilization, preimplantation genetic diagnosis (PGD), and intracytoplasmic sperm injection (ICSI), among others.