How to treat sperm inflammation?

Male sperm is very important to men. If there is an abnormality in sperm, it will not only affect male fertility, but may also have a certain impact on male physical health. There are many reasons for male sperm inflammation. It is best to go to a regular hospital for a check-up to see what causes sperm inflammation. After finding out the cause, treat the symptoms, but remember not to take medication blindly.

1. Anti-sperm antibodies and male infertility The main immunological factor causing abnormal sperm infertility in male semen is anti-sperm antibodies. Studies have shown that about 5-9% of infertile men have anti-sperm antibodies in their bodies. Sperm is antigenic to adult males themselves.

2. Oligospermia and male sperm infertility Oligospermia refers to the number of sperm in the semen being lower than that of a normal healthy fertile man. In recent years, the quality of human sperm has been declining due to the influence of the environment, estrogen-like toxins and other factors.

3. Sperm count and male infertility Currently, many laboratories use guidelines developed by the WHO 50 years ago to determine whether a man is fertile. It stipulates that a "normal" sperm sample should contain at least 20 million sperm per milliliter of semen, and at least 50% of the sperm should be active.

There are several ways that sperm abnormalities may occur:

1. Sexually Transmitted Diseases

In the whole population, the incidence of azoospermia is similar between those with and without sexually transmitted diseases, but the former have a significantly higher incidence of abnormal semen analysis. Sexually transmitted diseases do not seem to affect sperm density, indicating that they do not cause stenosis or blockage of the vas deferens. Those with sexually transmitted diseases generally show decreased sperm motility, which is related to disorders of accessory gland function, especially epididymitis.

2. Mumps

Mumps occurring before or after puberty does not increase the incidence of azoospermia, but is associated with a higher likelihood of abnormal semen. The sperm density of post-pubertal patients is significantly lower than that of non-pubertal patients or pre-pubertal patients.

Only 4.4% of patients with mumps have orchitis. Patients with the disease before puberty rarely have orchitis, but it can occur after puberty. Orchitis significantly affects sperm quality and increases the incidence of azoospermia, especially bilateral orchitis. Whether it is unilateral or bilateral orchitis, the number of patients with abnormal semen analysis increases. In short, mumps, especially when combined with orchitis, will have an adverse effect on fertility.

Bronchitis is often a clinical manifestation of systemic ciliary dysfunction. In such patients, the incidence of azoospermia is significantly increased. All such patients have normal testicular volume, indicating that azoospermia is caused by obstruction of the vas deferens. The semen analysis of patients with bronchitis has an increased rate of abnormalities, with a lower average sperm density and a lower proportion of forward-moving sperm.

4. Diabetes

Diabetes is associated with ejaculation dysfunction, but does not cause azoospermia or abnormal sperm quality. Therefore, the impact of diabetes on fertility is caused by sexual dysfunction.

5. Recent history of high fever

It is known that 33°C is the most suitable temperature for the testicles. When the testicle temperature rises, it will damage the testicular spermatogenesis function. Fever above 38°C can cause a temporary decrease in semen quality and fertility.

The abnormal rate of semen analysis in patients with a history of high fever within 6 months was significantly increased, especially the sperm density was significantly lower than that in patients without a recent history of fever, but there was no significant difference in the incidence of azoospermia between the two groups of patients.

6. Neurological Diseases

Patients with a history of neurologic disease often present with ejaculation disorders, but the incidence of azoospermia and semen quality abnormalities is not increased.

7. Urinary tract symptoms

Urethral symptoms include dysuria, frequent urination, hematuria, etc. These patients have a higher tendency to azoospermia, but it is not statistically significant. Abnormal semen quality, especially low sperm morphology and motility, is more common in patients with urethral symptoms. 27% of patients with urinary system symptoms have abnormal prostatic fluid tests, or abnormal semen bacteriology, mycobacteriology or biochemical examinations, indicating that some of them suffer from accessory gland inflammation.

The incidence of azoospermia in patients with this medical history is significantly increased, and the incidence of azoospermia in patients with poor testicular descent on both sides is twice as high as that in patients with unilateral testicular descent. Even if these patients have sperm, the semen quality is abnormal, especially oligospermia.

9. Testicular damage

Although many men experience some degree of testicular injury during their lives, only those infertile men with scrotal hematoma or hematuria, indicating testicular or genitourinary tract injury, are documented here. Such men have a significantly increased incidence of azoospermia or abnormal spermatogenesis.

Testicular damage is often accompanied by urethral symptoms (16.8%), while only 8.8% of those without testicular damage have such symptoms, which is a significant difference. In addition, the former also has a higher rate of accessory gland infection.