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Prostatitis is an inflammation of the prostate. The disease occurs regardless of the age of the man. The inflammatory process proceeds in a latent form, practically does not manifest itself with symptoms, which complicates its diagnosis. The changes that sperm and spermogram undergo during prostatitis are the two most informative sources of pathology differentiation.
The main impact of the disease is on the reproductive function of men. At the initial stages, the quality of the ejaculate deteriorates, infertility occurs. Running violations lead to erectile dysfunction. Often, a married couple who are unsuccessfully trying to have a baby are strongly advised by doctors to be examined for prostatitis.
The inflammatory process affects adjacent tissues, affects the seminal ducts, the microflora of the gland. The main violations, one way or another affecting the quality of sperm in prostatitis, are as follows:
Even if there are no other symptoms, a man can independently suspect the presence of an inflammation of the prostate by paying attention to three important changes in the ejaculate:
Most often, men are alarmed and prompted to see a doctor by changes in the color of seminal fluid. Shades indicate the following pathologies and concomitant diseases:
Prostatitis definitely affects the quality of sperm. Violations are caused by pathogens that affect both the gland itself and the germ cells. The type of sperm in inflammation of the prostate: color, composition, fluidity - help to differentiate deviations and prescribe effective treatment.
The appearance of hemospermia is an alarming symptom that requires you to consult a doctor for further advice and examination. Color shades range from scarlet to dark. Blood in the semen or hemospermia appears when the internal organs of the reproductive system are injured.
It is customary to distinguish between two types of violations:
Another characteristic sign of prostatitis is a delay or complete absence of sperm during intercourse. Violations are divided into three groups:
Aspermatism or aspermia - is observed not only with prostatitis, but also with other disorders: injuries of the spinal column, diabetes, damaged nerve endings, as a result of prostatectomy.
In the case of inflammatory processes in the prostate gland, sperm retention or retrograde ejaculation occurs for the following reasons:
The prostate gland is of great functional importance and is involved in the production of the following elements:
The negative impact of chronic prostatitis is on each of the listed functions. Additionally, an acidic microflora is created in the prostate gland, which is detrimental to spermatozoa. From a constant load due to the inflammatory process, there is a decrease in the amount of ejaculate.
Bacteria use sperm as a vehicle. In germ cells, the ability to recognize the correct path to the egg and destroy its membrane is reduced. Function blocking (chemotaxis), the reason for the decrease in sperm motility and the development of infertility.
Prostatitis affects the spermogram. At the first suspicion of a disease, the patient must be prescribed a clinical study of the ejaculate. The results confirm or refute the presence of an inflammatory process of the genitourinary system.
Several indicators are taken into account in the study:
Inflammation of the prostate gland is determined by the method of differential diagnosis. The results of the spermogram show the presence of inflammation, which makes it possible to suspect prostatitis. To clarify the diagnosis, you will need to pass additional tests and undergo an instrumental examination (MRI, PET-CT, TRUS).
Sperm sampling for research is primarily intended to determine the causes of infertility. A spermogram is part of the traditional course of examining a couple who are unable to conceive a child for a long time and therefore visit a doctor.
Sperm culture is rarely required for prostatitis, usually in situations where other tests have not made it possible to make an accurate diagnosis. Some indicators help determine the presence of disorders in the genitourinary system. A spermogram is prescribed after therapy for inflammation of the prostate to ensure the effectiveness of therapy.
As already noted, in the study of ejaculate, the primary task is to confirm or refute the presence of infertility. An additional goal is to diagnose changes in semen that indicate prostatitis.
The following changes are characteristic of prostate inflammation:
After the treatment of prostatitis, the patient is prescribed a group of drugs that stimulate the production of sperm, increase its ejection and promote sperm survivability.
The course of therapy includes:
To make sure the therapy is effective, it is necessary to repeat the spermogram after the treatment of prostatitis in 30-60 days. During this time, a complete cycle of seminal fluid passes. Damaged ejaculate leaves the body and is replaced by new seminal fluid.
If a significant improvement in spermogram was diagnosed during a re-examination after prostatitis treatment, you can begin to plan a child. As a rule, pregnancy occurs with unprotected intercourse during the first 6 months.
In severe cases, when after the treatment of prostatitis no sperm is produced, but the couple still insistently wants to have a baby, the method of artificial insemination is recommended. With retrograde ejaculation, men take sperm from the bladder.
Infertility due to chronic prostatitis is not always the final verdict. Compliance with the recommendations of the doctor, the passage of drug therapy and early diagnosis of disorders will significantly improve the results of the spermogram and make fertilization possible.
Prostatitis is called inflammation of the prostate gland. Not only older men, but also young people can suffer from the disease. Often, the inflammatory process does not manifest itself in any way, which significantly complicates the diagnosis of pathology. In the semen with prostatitis, a number of changes occur, which the spermogram helps to identify.
At the onset, the disease negatively affects the quality of sperm, which can subsequently lead to infertility. That is why men in couples who fail to become parents are usually advised to get tested for prostatitis. At an advanced stage, the disease can cause erectile dysfunction.
The inflammatory process can affect nearby tissues, affect the seminal canals and the internal microflora of the prostate gland. In general, prostatitis can cause the following effects that affect the functions of seminal fluid:
Even if prostatitis does not manifest itself in any way, a man can independently examine himself and detect signs of inflammation in the prostate gland. To do this, it is enough to pay attention to the following characteristics of sperm:
Most often, the concern of the stronger sex is caused by a change in the color of sperm. Depending on the shade that appears, one can judge the occurrence of a particular pathology:
Even in the absence of erection problems that occur in the advanced stages of prostatitis, one cannot be absolutely sure of the quality of sperm and its ability to fertilize a female egg.
The disease is characterized by the appearance of inflammation, as a result of which the structure of prostate tissues changes. If the disease is supplemented by a third-party infection, focal changes in the prostate are transferred to nearby tissues. So, harmful bacteria enter the body of a sexual partner, provoking disorders in the female reproductive system.
Reproductive disorders also occur as a result of side effects from the treatment of the disease. The vitality of spermatozoa can decrease sharply under the influence of a number of drugs. If a woman also undergoes treatment, her microflora becomes more viscous, which ultimately complicates the process of conceiving a child.
Moreover, even if pregnancy occurs in such a situation, a woman may face problems such as an ectopic pregnancy or a threatened miscarriage when carrying a child.
In the acute form of prostatitis, doctors advise to refrain from sexual relations in order to avoid putting excessive stress on the prostate gland.
After a long abstinence, the spermatozoa become suitable for fertilization again. There are cases when pregnancy occurred after the first sexual contact without the use of contraception. At the same time, ignoring prostatitis can cause the formation of adhesions of the seminal canals
Every man wants to leave offspring. This is inherent in nature, and the active sexual life of the representatives of the stronger sex is partly connected with this. Prostatitis is one of those diseases that not only worsens the quality of sexual intercourse, but also carries a formidable complication - infertility. How does prostatitis affect the possibility of conception, and is it possible to restore men's health in the most severe cases?
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The impact is enormous, and the problem is much bigger than many men realize. If a young man without a permanent sexual partner does not yet think about the importance and necessity of starting a family and a child, then for an accomplished man and his wife, prostatitis can play a decisive role in conception.
How does prostatitis affect a man's ability to become a father? This dependence can be felt from different angles. Firstly, prostatitis reduces libido, and a man's desire to have sexual intercourse becomes weak. Although no one argues, one sexual intercourse performed during the partner's ovulation is enough for conception.
Secondly, the erection of a man with prostatitis is much weaker. So, inflammation of the prostate, especially the one that did not appear yesterday and has already acquired a chronic form, leads to a change in the vas deferens. This process is irreversible, that is, it is no longer possible to return normal undamaged ducts to a man, but their patency can be restored. True, this requires surgical intervention.
Thirdly, the quality of sperm in a man with prostatitis suffers significantly. What exactly can you pay attention to here? An andrologist can tell you in detail about the problems that a sick man may face:
In other words, such a man's chances of conceiving a child are much less than those of a healthy partner, although they are not at zero and fertilization is still possible.
It seems that if conception did occur, then all problems have been resolved, and now it is only up to the female body, which will bear the fetus for 9 months. But even here there are unforeseen problems. Does a man's prostatitis affect the development of his sexual partner's pregnancy? Experts answer this question in the affirmative, and here are the difficulties you may encounter:
The simplest thing I would like to advise is to contact a urologist and effectively cure acute or chronic prostatitis. A couple who wants to conceive a child faster and become parents will have to be patient. The morphological composition of sperm is updated every 72 days. This means that only after 72 days after the cure, the man's sperm will be renewed and healthy.
In addition, these days are necessary in order for the remains of medicines and antibiotics to be removed from the body of a man, which also negatively affect the quality of sperm. This is called pregnancy planning, in which conception does not occur spontaneously, but deliberately.
Sometimes, even after the treatment of prostatitis, the spermogram does not show significant improvements. Chronic prostatitis, for example, can leave a mark on itself for a long time, and even with painless and high-quality sexual intercourse, the probability of conception remains very low. A man cannot do without going to a male doctor - an andrologist.
There are drugs that improve metabolic processes and have a positive effect on the formation and release of sex hormones, as well as improve the quality of the ejaculate.
If the influence of prostatitis is recognized by doctors as critical, and the couple's desire to have children is strong, it makes sense to turn to reproductologists. IVF (in vitro fertilization) gives a chance to get offspring. With male factor infertility, more attention will be directed to the man. If he has a problem with the withdrawal of sperm through the seminal ducts, the sperm will have to be obtained by surgical intervention. By the way, such a problem occurs not only after suffering prostatitis, but also in other cases - underdevelopment of the genital organs, undescended testicles into the scrotum, etc.
A testicular biopsy will allow you to catch sperm from the tubules of the testis.Of course, the operation is performed under general anesthesia, during which the man will not feel anything. Subject to the recommendations after the operation, the man will not feel any changes in his health. It is noteworthy that for an experienced reproductive specialist, just a few spermatozoa are enough to give the patient a chance for fatherhood.
Next, the embryologist selects the highest quality spermatozoa based on their appearance and mobility, and it is they who will participate in fertilization. Each sperm cell obtained in this way is now worth its weight in gold, and the fertilization of the eggs collected from a woman must be closely monitored for several days. And now the best of the best and correctly developing embryos from the point of view of a specialist are planted in the uterine cavity. It remains only to wait to find out if attachment has occurred, which means whether the woman has become pregnant.
So, the impact of prostatitis on the ability to become a father is extremely high. Only the most patient and persistent can go all the way, but the return on such labor is high - children. In the future, a man will be aware of all the troubles that neglect his health leads to, he will try to follow preventive measures, and then the answer to the question of whether prostatitis affects conception will be a passed stage for him.