Can I get pregnant if I have anti-sperm antibodies?

Antisperm antibodies are very complex pathological products. Not only men, but also women will have antisperm antibodies, which will affect the combination of sperm and egg, thus affecting fertility. When the antisperm antibody test is positive, the patient is most worried about the impact on their fertility. So, can you get pregnant if you are antisperm antibody positive? Let's take a look below.

Anti-sperm antibody positivity does not mean that you cannot get pregnant, but the chance is much lower. You can still get pregnant after anti-sperm antibody positivity is cured.

Treatment with anti-sperm antibodies

Western medicine treatment

The purpose of treating immune infertility is to reduce the titer of anti-sperm antibodies in the body, or even eliminate them, so that the sperm and egg can combine normally and conception can occur.

The treatment method of Western medicine is to use condoms to separate sperm from the female partner, so that no new anti-sperm antibodies will be produced and the original antibodies will gradually disappear. This process is relatively long, at least about half a year. In addition, small doses of oral corticosteroids can be used to suppress immune responses, such as prednisone, dexamethasone, methylprednisolone, etc., which generally need to be taken for more than 3 months.

In recent years, TCM has accumulated a lot of experience in the treatment of immune infertility through clinical exploration and summary, showing certain advantages. The commonly used treatment methods of TCM for the treatment of immune infertility include nourishing yin and kidney, clearing away heat and detoxification, promoting blood circulation and removing blood stasis, promoting dampness and removing turbidity, strengthening spleen and removing phlegm, etc. These treatment methods are mainly oral medications, which are simple and easy to use, without the side effects caused by long-term use of hormones, safe and effective, and shorten the course of treatment. Therefore, TCM treatment of immune infertility has a bright future and should be seriously summarized and improved.

Chinese medicine treatment

Damp-heat accumulation type: high antisperm antibody titer (ratio), short onset time, heavy menstruation with darker color, or blood clots, yellow leucorrhea, or accompanied by vulvar itching, pelvic inflammatory disease, or history of semen allergy, heavy body and limbs, red face and eyes, dry mouth and thirst, preference for cold food, yellow urine, foul-smelling stool, thick or yellow tongue coating, slippery or rapid pulse. Treatment can be done with the method of clearing dampness and heat. This method can significantly relieve local exudation of the reproductive tract, avoid reabsorption of sperm antigens, and avoid the immune response of infectious factors to antigens, thereby preventing the continued production of AsAb.

Blood stasis and internal resistance type: high titer of antisperm antibodies, long duration of illness, dark menstruation with clots, abdominal pain during menstruation that refuses to be pressed, or delayed menstruation with tides, chest tightness, breast pain during menstruation, depression, lower abdominal distension, dark tongue, or ecchymosis, tight or astringent pulse. It can be treated with the method of promoting blood circulation and removing blood stasis. This method can improve symptoms, fight inflammation and inhibit bacteria, remove AsAb in the body, improve blood circulation in the reproductive system and prevent adhesion of the reproductive tract mucosa.

Yin deficiency and fire excess type: anti-sperm and anti-body yang, long course of disease, early menstruation, less menstruation, bright red color, dizziness, tinnitus, irritability, restless sleep, soreness of waist and knees, or hotness in the palms and soles, palpitations, thirst, red tongue, less coating, and weak pulse. It can be treated with the method of nourishing yin and reducing fire. This method can play the role of strengthening the body and expelling evil. It can reduce the side effects of drugs such as prednisone that have not been cured in large quantities, and has a better therapeutic effect.