Patient's question:
The liquefaction time of semen exceeds 60 minutes. Does taking Liuwei Dihuang Wan have any effect? If it does, is it recommended to take it three times a day, with eight pills each time, as specified in the usage instructions?Is there any other method that can be used for treatment, such as Yuangui Wan or similar medications? Additionally, are there any dietary or lifestyle precautions to be aware of?
First question supplement: Thank you very much to Dr. "li1106" for answering my question so quickly. I would like to add one more point—I have had a prostatic fluid test done, and the results showed no issues.
Doctor's answer:
Hello: Abnormal semen liquefaction refers to the phenomenon where semen does not completely liquefy within 30 minutes after ejaculation or does not begin to liquefy until more than one hour has passed. It includes incomplete liquefaction and delayed liquefaction.Methods for treating abnormal liquefaction include the following:
(1) Completely treat primary conditions such as prostatitis or seminal vesiculitis to restore their normal function.
(2) Use physiological saline containing 4% α-amylase to rinse the vagina before sexual intercourse, or inject 1 milliliter into the vagina after intercourse. Alternatively, 50 milligrams of the enzyme can be mixed with cocoa butter to form a 3-centimeter-long suppository, which is inserted into the vagina before intercourse. This method was discovered after someone observed that saliva has the effect of liquefying semen and was inspired by this observation. α-amylase not only promotes semen liquefaction and affects glycogen-containing vaginal or cervical secretions but also serves as an energy source for sperm activity. Therefore, this method has been widely used.
(3) Add normal human seminal plasma to the semen to promote liquefaction. However, it is first necessary to ensure that the seminal plasma does not contain antisperm antibodies, is free of infection, and has been pre-treated with high-speed centrifugation to remove precipitates and undergo three cycles of freezing and thawing.
(4) Ejaculate the semen into a container with culture medium and repeatedly aspirate it using a syringe with 18 or 19 gauge needles until the semen becomes thin. Then, perform two rounds of centrifugation and washing, and finally suspend the sperm in a certain amount of culture medium for artificial insemination.
(5) If the semen has a high viscosity, the divided ejaculation method can be used: the first three emissions are left in the vagina, the penis is immediately withdrawn, and the remaining semen is expelled outside. This is because the later portion of the semen main