Sperm semen abnormalities can cause male infertility, so men come to pay attention to sperm and semen.
1. Excessive semen amount
Under normal circumstances, the amount of ejaculation of normal men is about 2 & mdash; about 6ml each time. The amount of ejaculation has a certain relationship with the ejaculation frequency.Each semen amount is less than LML, and the amount of semen is too small.
【Cause】
Causes of decreased semen: ① Lack of ejaculation tube obstruction or a congenital seminal vesicles; ② pituitary or testicular intercostal cell lesions, causing reduced adenopulin or reduced estrogen, causing semen to reduce semen;Actual gonades can be damaged and semen production is reduced.
【diagnosis】
To diagnose excessive amount of semen, first of all, when the collection of semen is eliminated, some semen is omitted and retrograde ejaculation.After clarifying the decrease in semen, a series of examinations need to be performed to clarify the lesions.Generally speaking, due to the lack of ejaculation pipe obstruction or the deficiency of congenital semen, the amount of semen can be accompanied by the lack of sperm and semen fructose at the same time; the amount of semen is reduced without sperm deficiency, which may be due to the hypotamore or testicles.Causes of decreased gonadotropin or reducedrogens.When the reproductive tract is infected with the functional damage of the genital glands, a large amount of white blood cells may occur in semen, and bacterial culture and counting can help diagnosis.
【treat】
Decreased semen volume can first find the cause and treat treatment.Congenital seminal vesicles are lacking and cannot be treated; ejaculation pipes block feasible surgical treatment; gonadotropin reduction orrogens reduction feasibility hormone replacement therapy; reproductive tract infection actions anticidal treatment.
Second, the liquefaction time of semen is prolonged
When the normal semen is ejected, it is liquefied. In the future, jelly -like or condensate is formed. After 5 to 20min in 37 ° C water bath, the semen is transformed into a liquefied state by solidifying the state. This phenomenon is called semen liquefaction.If this process is greater than 1h, it is called the liquefaction time of semen.
【Cause】
The solidification of semen is caused by coagulation protein produced by the semen.The liquefaction is the result of a series of protein hydrolytic enzymes secreted by the prostate, which is the effect of liquefaction factors. Therefore, inflammation of the prostate and seminal vesicles causes disorders of secretion function, increased semen solidification factors or reduced liquefied factors, and cause semen to not liquefy.The semen does not liquefy the sperm by the mucus network, which hinders its ability to exercise in women's reproductive tract, so it causes male infertility.
【diagnosis】
Sexual functions and ejaculation are normal, and they are found when they are discovered when they are infertility and seek medical examination of semen.
【treat】
Creating primary disease is the key to treating semen non -liquefaction. For example, seminal vesiculitis can be treated with antibacterial treatment, and drugs that promote semen liquefied, such as sputum easy to take oral and oral melody, and 5mg of protease 5mg every Tuesday also have better effects.For non -infected semen non -liquefaction, & & mdash; amylase 50mg mixes mixed with cocoa ester into the vagina before sexual intercourse; 5%а & mdash; amylase LMG ejaculation is immediately injected into the vagina.
(Editor in charge: Wang Shaohua)
