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 (ASAB) can immobilize or adhere sperm to cervical mucus, making it difficult for them to pass through the cervix. They can also inhibit the activity of sperm acrosomes, making it harder for sperm to penetrate the cumulus oophorus, corona radiata, 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 isolation therapy: Use condoms for 6–12 months, suitable for women.
2. Immunosuppressive therapy: Primarily uses steroid hormones. Current recommendations include levamisole, which acts on macrophages and lymphocytes to eliminate ASAB.
3. Traditional Chinese Medicine (TCM): Take Co-Ge-Li-Ji (10 bottles), Xiao-Biao-Ti (10 bottles), and Co-Bi-Bi (12 bottles) for 3 months in a row, with a 90% cure rate.
4. Vitamin E can reduce antigen production and accelerate antibody elimination. Products like Zheng Ling Jing and Gai Xiong Wan (10 bottles) are effective. ATP shows significant efficacy for ASAB-positive asthenozoospermia, while zinc sulfate and sodium selenite have a certain therapeutic effect on ASAB-positive oligozoospermia.
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.