problem Agglutination in the spermogram can be detected in any member of the stronger sex. Pathology manifests itself once or continuously. The danger of such a peculiarity of seminal fluid lies in the absence of pregnancy in the family. To find out what causes interfere with conception, a man and a woman need to undergo a medical examination. The patient must pass the semen and blood from the vein. Both analyzes are done simultaneously.
How does the pathology of
arise? The cause of the problem is the pathological composition of the semen. When agglutination occurs, clumping of several sex cells into a lump occurs. This leads to immobilization of spermatozoa. They lose their ability to fertilize.
If the spermogram showed increased agglutination, do not despair. It is necessary to pass a second analysis to confirm the diagnosis.
It should be taken into account that this pathology can be treated well. If the causes of agglutination are not clarified, then the specialists conduct additional studies for positive conception.
Pathology is divided into two main forms:
- True type;
- False pathology.
The first form is characterized by adherence of the sex cells to each other. With a false pathology, clumping of the spermatozoon with various dead particles of the epithelium, antispermal bodies or clots of mucus occurs.
To determine which type of pathology affected the male sperm, it is necessary to reseat the spermogram.
Causes of spermatozoa gluing
There are a lot of causes that cause agglutination of seminal fluid. Spermatozoa can stick together under the influence of factors such as:
-
Trauma of the genital organs; - Hormonal changes;
- Inflammatory diseases of the genitourinary system;
- Breaking the immune system.
Trauma of the genital organs can cause displacement or squeezing of the pelvic organs. Under the influence of the pressure exerted by the displaced organ, pathological changes occur on adjacent tissues. When injured, the nutrition of the tissues is disrupted, and the death of their cells occurs. The process is accompanied by the appearance of an inflammatory process, which leads to agglutination.
Hormonal changes always harm the health of the male reproductive system. Testosterone is responsible for the appearance of an erection, the production of spermatozoa and secretion of seminal fluid. If the level of testosterone in the blood drops, there is a violation of spermatogenesis.
The risk of developing abnormal spermatozoa increases, which do not represent a value for conception. Also, the viscosity of the semen secretion is impaired. It becomes thicker. Sperm are poorly moved and adhere to pieces of mucus that arise due to increased levels of peptides in the sperm.
Various inflammatory diseases have a pathological effect on the health of the genitourinary system. Inflammation of the genitals can have an unclear etiology or bacterial. With the bacterial form of pathology, infection of the body with pathogenic microorganisms occurs. Bacteria feed on healthy tissues. On the site inhabited by pathogenic microbes, dead tissue cells accumulate. They cause inflammation. Inflammatory process can proceed both on the surface of the body and inside. The process taking place in the vas deferens leads to false agglutination. In this case, the spermatozoids are glued together with the dead tissues.
A frequent cause of agglutination is a malfunction of the immune system. Human immunity serves as a shield. It protects the body from the pathogenic effects of the environment. When semen passes through the vas deferens, in some patients antispermal bodies are produced. This is due to the erroneous operation of the protective system. The organism perceives the sex cells as an alien body and begins to attack it. In this case, the production of bodies that capture the sperm and glue. The patient experiences a false agglutination.
How to identify the pathology of
Many men start to think about medical examination in the absence of pregnancy in the family. To identify the causes of infertility, the patient is advised to take a spermogram. The analysis is taken under the following rules:
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Sexual rest; - Refusing to drink alcohol;
- Cancellation of concomitant treatment.
Sexual rest must be observed to determine the viability of the germ cell. The average life span is 4-5 days. For this period, the patient should give up sexual intercourse. If the rule is not followed, the analysis is considered invalid. Also, sexual rest is observed for the greatest accumulation of spermatozoa and secretions. This will help to clarify the causes of infertility more accurately.
Alcoholic beverages detrimentally affect the vital activity of the sex cells. Sperm have an increased sensitivity to alcohol. With daily use of even small doses of alcohol, sperm are killed. Refusal of alcohol is carried out 3-4 days before the spermogram.
Many patients are on additional treatment for various chronic diseases. Acceptance of some drugs leads to abnormal development of spermatozoa or their death. One week before the spermogram, the patient should consult his doctor. He will tell you whether it is possible to refuse concomitant treatment for 5-7 days.
If the analysis was correctly collected, the diagnosis will be more accurate. When collecting ejaculate, you need to consider that the sperm changes its properties within 20 minutes. First, the sperm has a liquid structure for easy passage through the vas deferens. Then it becomes viscous. This is necessary for better retention of seminal fluid in the vagina. After 20 minutes the sperm liquefies again to facilitate the passage of sperm to the egg. Therefore, specialists require that the ejaculate be collected no later than three hours before the study. Also it is necessary to take into account the weather conditions. Seed fluid should not be overheated or overcooled. Differences in temperature can lead to complete death of germ cells.
After studying the spermogram, experts prescribe a bacterial culture of the smear. This analysis will help to identify the etiology of the disease. In bacterial sowing, adults of pathogenic microorganisms or products of their vital activity can be found. If the smear of a male bacteria is not found, then the treatment is to select the methods of fertilization of the egg.
Methods for resolving the
problem The treatment for agglutination depends on the causes that caused the spermatozoids to stick together. Specialists distinguish two main methods of treatment:
- Medication;
- Surgical effect.
Drug therapy is prescribed when an inflammatory process is detected. To eliminate the bacteria that caused the spermatozoic glue and tissue loss, it is necessary to drink antibiotics. Often experts use antibiotic preparations of a wide spectrum of action. They are capable of simultaneously destroying various groups of microbes. After antibiotics, non-steroidal anti-inflammatory drugs are prescribed to the patient. They remove inflammation, and reduce the tone of tissues. This helps the body to quickly clear itself of dead tissue and recover sperm.
Surgical treatment is prescribed when the vas deferens are affected by vascular pathologies. Varicocele of the third and second degree leads to a change in the structure and composition of the sperm. Eliminate the pathology can only be a surgical method. Also, the operation is prescribed for a torsion of the testicle or adenoma of the prostate in the last stage.
Agglutination may not respond to treatment. In this case, specialists select methods of fertilization for the couple.
For the first fertilization, specialists carry out the washing of the ejaculate. Healthy mobile cells are separated from the dead and glued together and are kept secret. The dead cells are washed away. Purified liquid is introduced into the body of the uterus using a special syringe. If fertilization does not occur, the couple is directed to in vitro fertilization. In this case, the spermatozoon is introduced into the egg with a micro needle.
If a family does not have a conception for a long time, doctors need help. Agglutination in the spermogram can be one of the pathological causes that prevent fertilization.
