Can necrospermia be treated?

Don't lose confidence in treatment after necrospermia occurs. You should still actively cooperate with the treatment so that your body can return to normal. Moreover, necrospermia generally requires treatment of the primary disease first. The most common one is prostatitis. This disease can easily lead to necrospermia after it occurs. In this case, antibiotics and other treatments should be taken to improve the abnormal reaction of semen.

The key to treating necrospermia is to treat prostatitis and seminal vesiculitis. At the same time, attention should be paid to other causes of necrospermia and they should be actively treated, such as surgical treatment of varicocele, use of hormone drugs to regulate endocrine function in the body and supplement of various nutrients. In addition, drugs that promote sperm formation and improve sperm motility are also needed to improve semen quality and increase women's pregnancy rate.

(1) Antibiotic treatment: Mainly used for semen abnormalities caused by chronic bacterial prostatitis or seminal vesiculitis. Use antibacterial drugs that can diffuse into the prostate, with trimethoprim-sulfamethoxazole (TMP) being 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 each morning and 2 tablets at night 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, for a course of treatment.

Chloramphenicol, erythromycin, etc. 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, you can also consider using drugs such as Linbizhi and Junbizhi. 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 infection cannot be ruled out, tetracycline 0.5g, 4 times/day; doxycycline 100 mg, 1 time/day, can be considered for 1-2 weeks.

The Chinese medicine formula "Dead Sperm No. 1" can be used: 30g each of honeysuckle and salvia miltiorrhiza, 15g each of dandelion, raw rehmannia, and chuanxiongduan, 12g of angelica, 9g each of anemarrhena, phellodendron, red and white peony root, and licorice, one dose per day, decocted in water, 3 months as a course of treatment. It has a good therapeutic effect on dead sperm syndrome caused by prostatitis and seminal vesiculitis.