Can dead sperm in men be cured? Drug treatment is effective

After suffering from necrospermia, fertility will be affected. Some patients will use antibiotics and non-hormonal anti-inflammatory drugs to treat this disease, and the results are quite good. In addition, the editor reminds that dietary therapy is also a good treatment method.

1. Antibiotic treatment : Mainly used for abnormal semen caused by chronic bacterial prostatitis or seminal vesiculitis. Use antibacterial drugs that can diffuse into the prostate, and trimethoprim-sulfamethoxazole (TMP) is the first choice. Clinical practice has shown that the combination of trimethoprim-sulfamethoxazole (TMP) and rifampicin (RFP) can achieve better results. Specific usage: TMP 80mg/tablet, RFP 300mg/tablet. Take 1 tablet in the morning and 2 tablets in the evening for 15 consecutive days; change to 2 tablets each night, once a day, for 15 consecutive days. Change to 1 tablet each night, once a day, for 90 consecutive days, which is a course of treatment.

Chloramphenicol and erythromycin can diffuse into the prostate to a high degree. The former is taken 3 times a day, 1 gram each time; the latter is taken 4 times a day, 0.2-0.5 grams each time. To avoid drug resistance, the above antibacterial drugs are taken for 7-10 days, and then replaced with another antibacterial drug for 8-16 weeks. In addition, antibiotics such as co-trimoxazole, norfloxacin, kanamycin, ciprofloxacin, josamycin, and fenvalerate can all be tried. It is generally recommended to use combined drugs, preferably under the guidance of drug sensitivity tests. For patients with chronic gonorrhea, drugs such as Linbizhi and Junbizhi can also be considered. At the same time, drink plenty of water and soften the stool. Avoid taking alcohol and coffee to reduce prostate congestion.

2. Non-hormonal anti-inflammatory drug treatment : mainly used for chronic non-bacterial accessory gland inflammation. Commonly used drugs include aspirin, indomethacin, phenylbutazone, ibuprofen, etc. For example, indomethacin 25-50 mg, 3 times a day, phenylbutazone 100 mg, 3-4 times/day. Continuous medication for 1 month can reduce accessory gland congestion and edema, and has a certain therapeutic effect on necrospermia. In addition, since chlamydia and mycoplasma infections cannot be ruled out, tetracycline 0 can be considered.

5g, 4 times/day; doxycycline 100mg, once/day, for 1 to 2 weeks.