Patient's question:
Patient Age: 28Detailed Condition and Purpose of Consultation: Weak sperm, but no idea where to start
Duration of Current Illness:
Medical History: 6 months
Auxiliary Examinations: Sperm test
Doctor's answer:
Hello, for the treatment of asthenozoospermia, the key is to identify the underlying cause and treat the genital lesions that cause it. Medications are typically used to enhance the energy required for sperm motility, participate in sperm metabolism, and stimulate sperm activity. 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 vitality.
② Pentoxyfilline: 200–600mg per dose, three times daily, for 3–6 months. It shows significant improvement in sperm forward motility.
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 atrophy of the seminiferous tubules in the testes, leading to impaired spermatogenesis. Vitamin E can inhibit the oxidative products of prostaglandins that cause male accessory gland inflammation, thus preventing reduced sperm motility.
⑤ Chinese herbal medicine options include Shengjing Decoction: Goji berries 15g, Tribulus terrestris, Rubus fragrans, Schisandra chinensis, Plantago asiatica (), Mulberry 9g, Angelica sinensis and Rehmannia glutinosa 12g each, Polygonum multiflorum and Codonopsis pilosula 15g each, Astragalus 18g, Epimedium 12g, Dipsacus asper 15g, and Tangerine peel 9g. Take one decoction daily, decocted in water and taken orally. It significantly improves sperm viability, motility, and density. Treatment of 168 cases showed a total effective rate of 94.6%.