Can I get pregnant with asthenospermia?

Infertility is not a unilateral problem for women. Men also have certain problems. Asthenospermia is one of the causes of infertility. The probability of natural pregnancy for men with asthenospermia is very small. Patients should not be overly depressed. They should first find the specific cause and then actively cooperate with the treatment. They should stay away from tobacco and alcohol in their lives. Only with targeted treatment can they be cured. Only in this way can they have a healthy and high-quality baby.

Can I get pregnant with asthenospermia?

The chances of natural pregnancy are lower in patients with asthenozoospermia. Asthenozoospermia refers to a condition in which the forward-moving sperm (grades A and B) in semen are less than 50% or the grade A sperm are less than 25%. Asthenozoospermia is also known as low sperm motility.

The causes of asthenozoospermia include acute and chronic inflammation of the reproductive tract or reproductive glands such as the epididymis, vas deferens, seminal vesicles and prostate, varicocele, chromosomal abnormalities due to immune and endocrine factors, etc.

Normally, only sperm that moves forward can ensure that they successfully reach the pot belly of the fallopian tube, meet and combine with the egg to form a fertilized egg, and conceive normally. If asthenospermia occurs, the sperm will not be able to successfully reach the pot belly, thus affecting the woman's pregnancy.

Once semen liquefies, it immediately exhibits good motility. If the sperm's motility is affected by some factor, especially if it cannot move forward, this will result in the sperm being unable to swim to the egg within the optimal time, and fertilization will not be possible.

However, men with asthenozoospermia should not worry too much. Medical technology now has very good treatments for asthenozoospermia. So if you are diagnosed with asthenozoospermia in the hospital, you can follow the doctor's instructions for treatment.

Notes for pregnant fathers:

1. Supplement nutrition

Ensuring high-quality sperm to achieve normal conception is the primary task for men to prepare for pregnancy. Sperm metabolism depends on nutrients in the male body, and the most obvious demand is for zinc, selenium, and protein. Men should increase their intake in their daily diet and eat more nutritious foods such as seafood, animal liver, lean meat, and fish.

2. Quit smoking and drinking

Tobacco and alcohol are the top killers of male reproductive health and the main culprits for long-term and recurrent male diseases. Tobacco contains dozens of toxic substances. Men who smoke frequently have a significantly increased rate of sperm deformity and low sperm activity.

Alcohol is toxic to reproductive cells (sperm and eggs). Excessive drinking will affect the intellectual development of the fetus and may lead to mental retardation. Men who are planning to have a baby are advised to quit smoking and drinking for more than half a year before having a baby.

3. Stay away from high temperatures

The best working temperature for the testicles is 35℃. If the testicles are kept at a high temperature for a long time, it will affect the production of sperm. Men who are preparing for pregnancy should stay away from a high temperature environment. They should wear less jeans, ride less bicycles, take less hot baths, and avoid saunas. Chefs, metallurgical workers, construction workers, welders, and other high-temperature workers should do a good job of cooling down on a daily basis. It is best to stop working for half a year before having children.

4. Appropriate exercise

Exercise can promote sperm metabolism, strengthen your body, improve your immunity, and reduce the risk of disease. Strength exercises such as basketball, dumbbells, and push-ups are very suitable for men.

5. Physical examination

In order to ensure good birth and reduce the incidence of congenital diseases in babies, male compatriots should pay attention to the physical examination that both husband and wife should undergo before pregnancy. The examination items for men include physical examination, blood, urine, stool routine, liver and kidney function, and sexually transmitted disease testing. If exposed to radiation, chemicals, pesticides, etc., it may affect reproductive cells, and semen examination should be done.

6. Other Notes

Stay away from drugs, chemicals, hormones, radiation and other toxic substances; pay attention to personal hygiene, change clothes, bathe and wash hands frequently; eat less spicy foods such as chili and pepper, control sugar intake, eat more fresh fruits and vegetables; live a regular life and keep a regular schedule; maintain a happy mood, which is good for the child's temperament.

Common symptoms of asthenospermia:

1. If a couple has lived together for more than two years after marriage and has not taken any contraceptive measures, but the healthy spouse still cannot get pregnant, then it can be preliminarily determined that the man suffers from asthenospermia.

2. If the semen analysis shows that the forward movement of sperm (A+B grade) is less than 50% or the sperm with grade A movement is less than 25% for more than 3 consecutive times, and the sperm density and other parameters are normal or basically normal, it can be diagnosed as asthenozoospermia. Or if the sperm motility is less than 50% after ejaculation, and the laboratory or other auxiliary examinations can find genital tract infection, or there are other diseases that affect sperm motility, it can also be diagnosed as asthenozoospermia.

3. For a specific infertile patient, semen analysis may often show multiple abnormalities at the same time. The diagnosis of asthenozoospermia should also include the diagnosis of related causes that may cause semen liquefaction.

Causes of Asthenospermia:

1. Infection

Generally speaking, acute and chronic inflammation of the reproductive tract or reproductive glands such as the epididymis, vas deferens, seminal vesicles and prostate can reduce the motility of sperm. The impact of infection on sperm motility can be multifaceted.

Microorganisms can directly affect sperm. For example, mycoplasma can be adsorbed on the head, middle part and tail of sperm, which increases the hydrodynamic resistance and slows down the movement speed when the sperm moves forward, affecting the sperm motility and the ability to penetrate the egg cell.

Infection can also cause a decrease in sperm motility by changing the pH of semen. When the pH is lower than 7 or higher than 9, sperm motility decreases significantly. In patients with acute epididymitis or epididymitis, the pH is often alkaline, while chronic epididymitis can cause the pH to drop below 7.

In addition, inflammation-induced leukocytosis in semen can lead to a decrease in sperm motility through direct and indirect causes. Insufficient sperm motility caused by prostatitis may be the result of a combination of factors, including microorganisms, leukocytes, pH value, etc., and may also be related to zinc disorders.

2. Immune factors

Antisperm antibodies can affect the fertilization function of sperm in several different ways. The effect on sperm motility may be that the antisperm antibodies bind to the tail of the sperm, which hinders the motility of the sperm, reduces its motility, and has poor penetration ability.

3. Endocrine factors

Endocrine factors also have an impact on sperm. In addition to affecting the occurrence and maturation of sperm, endocrine hormones also affect the motility of sperm.

4. Chromosomal abnormalities

In addition to affecting the number of sperm, euchromatic and sex chromosome aberrations also affect the motility and forward movement of sperm. Ultrastructural devices known to be related to sperm movement can cause abnormalities in the sperm tail structure due to genetic factors, such as the lack of inner or outer arms or both arms. It can also be the lack of central connection and central complex structure, because the interaction between the central microtubule and the radial radiation can regulate the sliding of the outer microtubule. When this structure is abnormal, sperm will have movement disorders.

5. Varicose vein

If the varicocele is varicose, it will not only affect the occurrence of sperm, but also cause a decrease in sperm motility. This mechanism may be due to blood stagnation in the varicose veins, microcirculatory disorders, lack of nutrient supply and reduced oxygen partial pressure, insufficient energy production and endocrine dysfunction.