Can men with asthenozoospermia get pregnant naturally?

Patient's question:

The doctor said there is a bit of asthenozoospermia, but it doesn't affect pregnancy.

Doctor's answer:

Hello: In asthenozoospermia, sperm lack forward motility and struggle to pass through the cervical canal and uterine cavity to reach the fallopian tubes for fertilization with the egg, resulting in reduced fertility. Common causes of asthenozoospermia include: 1. Incomplete maturation or damage to the spermatogenic epithelium in the testes, leading to poor sperm quality and weak motility; 2. Low seminal fluid volume; 3. Seminal plasma abnormalities, such as inflammation in the epididymis, seminal vesicles, or prostate, which can create an unfavorable environment for sperm activity and survival in terms of pH, oxygen supply, nutrition, and metabolism. If antisperm antibodies are present, they can cause sperm agglutination, rendering them non-motile. It is recommended that you visit a specialized hospital for a detailed examination to confirm the diagnosis and receive appropriate treatment. Wishing you good health!

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