Symptoms of oligospermia
Release time : 01/18/2025 18:13:27
Oligozoospermia refers to a condition in which the sperm count in semen is below the normal level, capable of fertilizing an ovum. Every spermatozoon has the potential to become an zygote, and oligozoospermia can directly affect male fertility, leading to a decline in male reproductive ability.
The International Health Organization has stipulated that the sperm count in males should not be less than 20 million per milliliter. If it falls below this level, it is categorized as oligospermia, which can have a significant impact on fertility.
In recent years, the incidence of oligospermia in men has been increasing. The causes of oligospermia in men are multifaceted. Experts have pointed out that if oligospermia is discovered in time and treated at a reputable hospital, it can be detected and treated early.
What symptoms does oligospermia have? 1. Chromosome abnormalities: Anomalies in chromosomes severely affect sperm density, motility, and morphology.
2. Semen Leukocytosis: The semen is a medium for the existence of sperm, and if it is abnormal, it also brings adverse effects to sperm, which affect the motility of sperm through influencing the movement of sperm, leading to infertility.
3. Mental Lethargy: Patients with oligospermia often exhibit symptoms such as fatigue, shortness of breath, lack of energy, sluggish speech, poor appetite, emaciation, loose stools, sore back and knees, dizziness, tinnitus, and apathy towards sexual desire.
4. Urinary System Infections: Infections of the accessory reproductive glands, such as seminal vesiculitis, epididymitis, orchitis, prostatitis, etc., can affect various laboratory indicators in semen.
5. Purulent secretions: A physical examination may reveal purulent secretions on the external urethral opening, and there may be localized tenderness.
6. Undescended testis: An undescended testis is one of the important causes affecting the quality of semen.
About 60% of cases with unilateral cryptorchidism are infertile, therefore if sperm density is low and there is a cryptorchidism, treatment should be initiated as early as possible.
Oligospermia is a common symptom of male infertility, causing distress among many men. It has led some to miss out on the title of 'father'. Experts remind that timely treatment for oligospermia can help prevent it. What are the causes of oligospermia? 1. Varicocele: When varicocele occurs, it raises the local temperature in the testes and increases vasoactive substances, thereby affecting spermatogenesis. However, the severity of varicocele does not correlate with sperm quality.
2. Autoimmunity: Reproductive immunology studies have revealed that male autoimmunity can affect fertility, with antisperm antibodies affecting sperm production and transportation, which is also one of the causes of oligospermia.
3. Endocrine abnormalities: Male normal spermatogenesis relies on the normal function of the hypothalamic-pituitary-gonadal axis. Any dysfunction in any one of these components can affect spermatogenesis. Additionally, diseases affecting the thyroid and adrenal glands can also impair gonadal function, leading to oligospermia.
4. Urinary System Infection: Chronic infections of the accessory reproductive glands can affect various laboratory parameters in semen.
5. Chromosomal Abnormalities: Chromosomal aberrations significantly impact sperm density, motility, and morphology, serving as one of the causes of oligospermia.
6. Cryptorchidism: Cryptorchidism is one of the important reasons that affect semen quality and lead to oligospermia.
About 60% of patients with unilateral cryptorchidism are infertile, so if the sperm density is low and there is a cryptorchidism, treatment should be initiated promptly.
7. Other factors: Increased scrotal temperature, radiation injuries, chemical toxicity and medication can all lead to oligospermia.
Oligospermia refers to a condition in which the number of sperm per milliliter is lower than 2 million, indicating an abnormality in semen composition. It signifies that there are less sperm present in the ejaculate, and this can directly affect male fertility, leading to a decline in the male's ability to conceive.
What are the risks associated with oligospermia? 1. Impairment of reproductive health: The term "best-case scenario" refers to the concept of having the most superior sperm and egg combination. However, achieving this goal for patients with oligospermia is challenging.
Pregnancy with oligospermia is somewhat contingent, and even a mild degree of oligospermia results in lower sperm motility compared to normal conditions, which ensures that the quality of the sperm cannot be guaranteed. In this context, from the perspective of genetic optimization, pregnancy does carry certain disadvantages.
2. Low sperm motility: Generally speaking, only the sperm that moves forward can ensure it reaches the fallopian tube to combine with the egg and form a fertilized egg.
However, if oligospermia is present, and sperm mobility is compromised due to factors impacting motility, particularly the inability of forward-moving sperm to reach the egg at the optimal time, it will result in the failure to achieve fertilization.
3. Influence on Female Fertility: Male patients with oligospermia (reduced sperm count) do not necessarily preclude conception, as some patients with severe oligospermia can still conceive, while others may have milder forms of the condition.
Therefore, in many cases, even where the male partner has oligospermia, successful conception can still occur. However, such conception does carry certain risks.
4. Increased Risk of Premature Birth or Miscarriage: Many pregnant women experience premature birth or miscarriage during their pregnancy, which may also be due to poor sperm quality. Therefore, it is important to give sufficient attention to oligospermia.
5. Pituitary Tumors: Pituitary tumors are also a common cause of oligospermia, as the pituitary gland is an important endocrine gland. Tumors in the pituitary can lead to decreased sexual function, testicular atrophy, oligospermia or azoospermia.
6. Testicular spermatogenic failure: Local factors include congenital anomalies of the testes, trauma, inflammation, vascular diseases, and disturbances in scrotal temperature regulation. Systemic factors include endocrine disorders, genetics, nutritional deficiencies, exposure to radiation, and industrial hazards.
Spermatorrhea treatment frequently occurs in many men, which is one of the main causes of male infertility. Men with spermatorrhea are a great disappointment to their families, as they will miss the joy brought by having a baby.
As a man, you'll also miss out on being a "father."
However, with the development of modern medicine, there has been significant progress in treating infertility, allowing many parents who desire children to have their own.
The treatment for oligospermia varies depending on the underlying cause, with common methods including: 1. Endocrine therapy: Endocrine dysfunction is a common cause of oligospermia, and in such cases, administering clomiphene can increase sperm count.
Reports indicate that long-term use can reduce the percentage of normal sperm.
2. Anti-inflammatory treatment: Various acute and chronic testicular inflammations, epididymitis, prostatitis, seminal vesiculitis, etc., are also common causes of oligospermia.
Treatment with Carbapenems is possible. The daily dosage is 4g, divided into 4 doses and continued for one month.
Compound Neomycin, which can penetrate into the prostatic fluid and has good therapeutic effects, is administered twice daily, once per day, for a total of 3 months.
3. Varicocele Repair: Varicocele is the most common cause of oligospermia, with reports reaching up to 39%. Varicocele repair can be performed, and approximately 50% to 80% of patients experience an increase in sperm density within one year post-procedure. This procedure is associated with a pregnancy rate of approximately 30% to 50%.
4. Supplement arginine: Arginine is an essential component for sperm production. In patients with oligospermia, the content of amino acids in semen significantly falls below that of healthy men.
Administering arginine daily at a dosage of 4 grams per day for a continuous period of 10 weeks can enhance sperm count.
5. Supplementation of Microelements: Studies have demonstrated that zinc supplementation has a certain therapeutic effect on oligozoospermia and asthenozoospermia, with a significant increase in sperm count following medication.
Due to the antagonistic effect of zinc and copper, zinc supplementation should be used in conjunction with treatment for high copper levels.
The treatment methods are oral administration of zinc gluconate 50-100mg twice daily for 3 months or zinc sulfate.
Sperm Count Deficiency (SCDF) is a condition that can cause much confusion for many men. It is one of the main causes of male infertility. Experts say that if you notice SCDF, it is important to seek treatment at a hospital as soon as possible to ensure effective treatment. However, many patients who want to conceive are curious about what tests should be done before undergoing treatment for SCDF.
1. Physical examination.
Patients with oligospermia should undergo physical examination, including a general and genital examination.
Physical examinations should pay special attention to development, nutrition, and mental health. The examination of the reproductive system mainly includes the examination of prostate, penis, testicles, urethra, and spermatic cord.
2. Medical History Examination.
Upon examining the past medical history, family history, marital status, occupational details, and so on, it is essential.
3. Endocrine Examination.
The function of hypothalamic-pituitary-testicular axis is assessed primarily by the gonadotropin release hormone (GnRH) or clomiphene stimulation test.
4. Laboratory examinations.
This primarily includes semen analysis, prostate examinations, and in vitro fertilization experiments.
5. Testicular biopsy.
Direct examination of the spermatogenic function and interstitial cell development in the testicular tubules.
Special Note: The aforementioned examinations are routine tests. However, due to differences in each patient's condition and health status, additional necessary examinations may be conducted. Please consult with a doctor for the specific recommendations! *The medical information presented in this text is for reference only.
If you experience discomfort, it is recommended to seek medical attention immediately. The diagnosis and treatment of conditions should be based on a face-to-face consultation with a medical professional.