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Violations in the semen analysis is there a way out?


Violations In The Semen Analysis Is There A Way Out

Spermogram is one of the types of laboratory research. Currently, it is very popular, as it serves as one of the most important indicators of the functioning of the male reproductive system. Spermogram got its distribution due to the fact that it is not invasive.


It is this analysis that shows that the sperm is bad and indicates the presence of this or that disease.


For an adequate assessment, the correctness of obtaining biological material is of great importance.



Spermogram should be taken



  • A man who is planning a pregnancy with his partner. This is necessary for the possible exclusion of pathologies and the birth of a potentially healthy child.
  • To diagnose a possible disease in the absence of pregnancy in a married couple for a year or two. It is also possible if a man is sexually active without using means of preventing pregnancy and not having it in a sexual partner.
  • The presence of infertility or preconditions for it with a history of traumatic effects of the reproductive system, varicose veins of the testis, transient infectious inflammatory diseases in the testicles or prostate gland, hormonal diseases of the reproductive system. At the stage of preparation for in vitro fertilization, as well as before artificial insemination.
  • For the purpose of preventive examination and control of the state of the reproductive system.
  • For dynamic control after treatment, use of potent drugs, exposure to radiation therapy or radiation.


Reasons for poor performance


If a man has a bad spermogram and what to do in a similar situation, as well as whether this condition is dangerous for life, only a specialist decides. Therefore, after passing the analysis, you should visit a urologist or andrologist for consultation.


Azoospermia is a pathological condition of the spermogram, in which the analysis reveals a complete absence of sperm. This is one of the most severe conditions for a man's reproductive potential. This condition can be caused by several reasons.


The obstructive form of azoospermia is caused by a mechanical obstacle to the movement of normally formed spermatozoa along the vas deferens. In this case, the level of obstruction can be different, since the intake of biological fluid occurs with the natural method of ejaculation. These include aplasias of the protocols of the system, inflammatory processes with their compression, strictures or the consequences of surgical interventions on the scrotum (in this case, the involvement of the overlying sections is excluded, since this would lead to a violation of urination).


Non-obstructive form is a condition associated with impaired spermatogenesis. These include the effects of inflammatory diseases, neoplastic formations, exposure to radiation or toxic substances, or genetic mutations.


In rare cases, azoospermia is temporary. This may be due to exposure to acute illness, stressful situations, medication, and prolonged or frequent overheating.


There is also a subdivision of types of reducing the number of sperm in the ejaculate with a relatively lower content than it should be normally. Such a picture is referred to as a temporary factor and to eliminate it, it is enough just to exclude harmful environmental factors, stop taking certain medications and establish a sex life.


The reasons associated with the obstructive and non-obstructive form are resolved on an individual basis, if this is not a temporary effect of a factor, then the condition is usually irreversible. Treatment aimed at sperm production will be futile.



The state of akino or asthenozoospermia


This is a decrease or complete absence of sperm motility


The reason for the development of this pathology is an inflammatory process in the testicular tissue or prostate gland, traumatic effects, an autoimmune process, the presence of a sexual infection, exposure to radiation against the background of a malignant process in the body, the use of potent drugs, hormonal changes (this may be a decrease in the content of androgens, Diabetes mellitus A large number or long-term exposure to harmful factors such as drugs, smoking, alcohol consumption. Treatment will depend on the cause that leads to the change.


Hemospermia is a condition associated with the presence of erythrocytes in the sperm fluid. The constituent elements of blood can appear completely by chance and be invisible to the naked eye, as well as a pronounced appearance of blood in semen.


It can occur most often with an inflammatory process in the area of the prostate gland and testicles.In this case, there may be a clinical picture, which is accompanied by pain, symptoms of intoxication and urinary disorders.


Malignant process. This disease is mainly expressed by total hemospermia. At this stage, the state of the body can change, there is a pronounced pain syndrome, exhaustion and dysfunction of the main organ and possibly located nearby.


Less commonly, hemospermia is caused by varicose veins. The disease does not cause symptoms. Hemospermia is often a consequence of traumatic exposure. In this case, the testicles, perineum, and the presence of a foreign body in the urethra are damaged. A man can note the effect that occurred on the genitals. An invasive intervention on the organs of the reproductive system, this is a biopsy or a puncture.


Treatment of the inflammatory process is associated with the appointment of nonspecific inflammatory drugs and antibiotics after determining the sensitivity of microorganisms. Cancer education is carried out in a specialized institution. Varicose veins can be eliminated by the consequence of surgical intervention, as well as by constant maintenance of the vascular wall. Treatment for trauma will depend on the time of exposure and the nature of the injury.



Leukotyspermia after taking a spermogram can be detected quite often


In most cases, this condition is revealed by random examination, usually when infertility is detected in a married couple.


Leukocytes are linked against the background of the inflammatory process. In this case, inflammation can be diagnosed in any of the areas along which the movement of sperm cells or the formation of one of the constituent components occurs.


The most common and dangerous causes of the appearance of leukocytes in semen are chronic and acute prostatitis, orchitis, vesiculitis, etc. Inflammation in the testicles and their appendages is one of the irreversible causes of the development of irreversible infertility. A similar process can be both nonspecific and caused by pathogens that cause sexually transmitted infections.


Leukocytespermia requires a mandatory prescription of treatment to exclude the development of complications. It includes the use of antibacterial, non-specific anti-inflammatory, as well as detoxification agents. In order to avoid inflammation and leukocytespermia, you need to follow the rules of personal hygiene and avoid unprotected intercourse.



Necrosispermia


This is one of the pathological conditions associated with the presence of dead sperm in the seminal fluid. In some analyzes, there may be a small residual amount of viable, but no longer fertile, germ cells. It should be noted that such cathina is secondary or acquired, it is formed when unfavorable factors affect the male reproductive system. The most common causes are infections of the genital tract, the use of toxic substances, inflammation, irregular sex life, etc. The condition in most cases is reversible, therefore, to eliminate it, you need to start treatment as soon as possible.


In some cases, bad sperm can be the result of an incorrect test.


The reasons that lead to such changes are:



  • Delivery of the analysis is not in a special sterile container. The most common mistake is sperm getting into the condom cavity beforehand. A lubricant containing certain substances can deteriorate the quality indicators of the spermogram. Sperm become less mobile and change in shape.
  • Receiving semen after interrupted intercourse occurs. To pass the analysis, a prerequisite is the lack of contact with the female genital organs.
  • Collection in the wrong conditions. It is not allowed to donate biological material that interferes with transportation or storage conditions.
  • Incomplete collection of semen in a container for subsequent analysis. Based on this, it can be concluded that a small amount of biological material is produced, when it is not enough for subsequent full analysis.

If the spermogram is bad with a single test or as a result of a single change with constant analysis, then no treatment is usually selected, but a re-examination is carried out. But if a bad spermogram is regular, then a more thorough examination and possible treatment are required.