How to treat oligospermia? Six methods to choose from

Oligospermia is a common disease in men and one of the important causes of male infertility. There are many causes of oligospermia. In addition to congenital causes, it may also be due to high scrotal temperature, tobacco and alcohol damage, etc. The treatment of oligospermia should be based on its cause and the treatment method should be selected.

1: Some patients can increase sperm count by taking clomiphene, 25 mg per day, 25 days per month, 5 days off, 6 to 12 months as a course of treatment. There are reports that long-term use can reduce the percentage of sperm with normal morphology, so low-dose therapy is currently recommended, that is, 25 mg every other day.

2: Human chorionic gonadotropin (HCG) 1000u is also used, injected intramuscularly twice a week, for a course of 8 to 10 weeks; at the same time, vitamin E 100 to 200mg can be taken orally daily for 3 to 4 months. Testosterone propionate 50mg has also been tried, injected intramuscularly 3 times a week for a total of 3 months. The number of sperm decreases or disappears during medication, and rebound occurs after discontinuation of medication, but it is reported that the efficacy is poor. Recently, it has been reported that ketotifen (methylpentyl ketone) 1mg, twice a day, for 3 months, has significantly improved sperm density and motility. Hexamethylenetetramine can be added to semen or taken orally to increase the motility of sperm with insufficient motility in idiopathic oligospermia.

1: Varicose vein varicocele is the most common cause of oligospermia, with a reported incidence rate as high as 39%. Varicose vein ligation can be performed. One year after the operation, the sperm density increases by about 50% to 80%, and about 30% to 50% of wives become pregnant.

1: Chinese medicine can try Wuzi Dihuang Tang: 9g of wolfberry, 12g each of dodder, raspberry, and plantain seed (package), 45g of Schisandra, 12g each of zexie, angelica, and tuckahoe, 45g of licorice, 12g each of yam, moutan bark, white peony root, raw rehmannia, and dangshen. Decoction, one dose per day, 100 doses as a course of treatment. After treatment, the fertility rate of patients with abnormal semen can be restored to 56.2%.

1: Supplement trace elements: Zinc supplementation has a certain effect on oligospermia and necrospermia. The number of sperm increases significantly after taking the medicine. Due to the antagonistic effect of zinc and copper, zinc supplementation can also treat high copper. The treatment method is to take 50-100 mg of zinc gluconate orally twice a day for 3 months as a course of treatment. Zinc sulfate is also used for treatment.

1: Acute and chronic orchitis, epididymitis, prostatitis, seminal vesiculitis and other genital tract inflammations are also common causes of oligospermia. For treatment, carbenicillin can be taken 4 grams per day, divided into 4 doses, for 1 month. Co-trimoxazole can penetrate into the prostatic fluid and has a better therapeutic effect. Take 2 tablets twice a day for 3 months.

1: Arginine supplementation: Arginine is an essential component for sperm production. The amino acid content in the semen of oligospermia patients is significantly lower than that of normal men. Supplementing arginine, taking 4 grams orally daily for 10 weeks, can increase sperm count.

The average is 25 million/ml, which is significantly lower than the 63 million/ml concentration of non-smokers. Sperm motility is also significantly reduced. Alcohol directly acts on the sex glands, which reduces the production rate of testosterone and causes an increase in estrogen, which not only leads to impotence, but also affects sperm production. Therefore, it is best for male friends to quit smoking and drinking.