Modern men are often faced with different kinds of impairments spermatogeneticheskih processes that lead to a significant reduction in fertility, up to infertility. The fertility of the stronger sex is affected by many indicators, one of which is the viability of spermatozoa. If more than 50% of dead spermatozoa are found in the ejaculate, then necrozoospermia is diagnosed. Such a pathology is successfully treated today, but with the timely access to specialists and an adequate approach to therapy.
Types of necrospermia
Necrosis-ospermic disorders can develop in several forms. Distinguish the pathology of a reversible or irreversible form, true or false, complete and partial. Reversible necrospermia is very common and can be easily corrected through a specialized diet and the rejection of addictions. As for the irreversible predominance of dead sperm in the sperm, this form of the disease is not cured. Fortunately, irreversible necrospermia is rarely diagnosed.
A partial and complete form of pathology can be treated, but this requires skilled medication or surgical intervention. Specificity of treatment is caused by etiological factors of necrospermia. Reasons
provoke pathological appearance in a large number of non-viable sperm can spermatozoa many factors:
- Genitourinary infections and inflammatory diseases, such as sexually transmitted diseases, prostatitis, epididymitis, etc.;
- Diseases due to impaired endocrine activity;
- Dependencies like alcoholism, drug addiction, tobacco smoking, etc.;
- Pathologies of a systemic nature such as tuberculosis, renal failure;
- Operative interventions or trauma of the genitals, genitourinary system;
- Anomalies in the development of sex-system structures;
- Poisoning or radiation exposure, irradiation;
- Frequent psychoemotional overstrain;
- Chemotherapeutic treatment, uncontrolled use of hormonal drugs, a side effect of certain drugs;
- Occasionally, necrozoospermia develops as a result of varicocele.
When pathogens penetrate the genitourinary system, its pH balance is significantly reduced, which affects the quality of spermatozoa. In addition, the semen contains a lot of useful elements that fall "to taste" pathogenic microorganisms form the basis of their power, which leads to negative changes in the quantitative and qualitative characteristics of the ejaculate. With regard to prostatitis, a similar pathology affects the contractility of the prostate, resulting in less semen passes through the waterway, motility drops, and they are dying, unable to perform their functions.
If the patient does not receive the necessary therapy, then acute pathological processes are chronic, then getting rid of necrospermic disorders will be much more difficult. In such a situation, the chance of paternity is given by methods of fertilization by ICSI or IVF.
How does the pathology of
manifest itself? Spermatozaic non-viability is usually not manifested. Is that a couple of long time trying to have a baby, but without success. If nekrozoospermiya formed as a result of inflammatory or infectious processes, genitourinary, the man is able to detect any specific urethral discharge, burning or itching sensation in the genitals. Some people experience impaired ejaculation, weakened potency and other abnormalities.
But most often necrospermic disorders are found only in laboratory diagnostics, when the male ejaculate is exposed to the test. Usually necrospermia is accompanied by other pathologies that affect the quality of sperm, for example, its volume decreases or it becomes unnecessarily transparent. If a man has discovered any deviations of a similar nature, then it is necessary to pass a urological examination and pass a spermogram.
Diagnostics Features
The basis for the diagnosis of necrospermia is the analysis of the spermogram. A characteristic difference of this pathology is the fact that with the increase in sexual contacts, there is an improvement in the quality of sperm. If a man for a long time observes sexual abstinence, then the sperm becomes practically unviable, because sperm have a long time in contact with pathogenic microorganisms, which leads to their death. In addition to the spermogram, the patient is assigned ultrasound examination of low-dose organs, testosterone level assay, immunology and biochemistry of blood, additional organic studies for the presence of infectious lesions transmitted through sexual intercourse.
Tactics of treatment
The success of the treatment is due to the correct diagnosis and the identification of the exact causes of the pathology. Only by eliminating the etiological factors of sperm death, it is possible to increase the chance of increasing reproductive functions and happy paternity.
- If the etiology of necrospermia is caused by sexual infections, then the basis of the therapeutic effect is antibiotic therapy and the use of anti-inflammatory drugs of the nonsteroid group.
- If the causes of spermatozoa infertility lie in hormonal problems, then therapy with specialized drugs with individual dosage determination is indicated.
- During the treatment, the use of vitamin complexes and the adjustment of the daily diet are indicated.
- To avoid sperm infection, patients are advised to have sex at least twice a day.
With the correct approach to the therapeutic process, adequate treatment and clear implementation of medical prescriptions, the patient recovered quickly and recovered. In the autoimmune nature of necrospermia, it is necessary to carry out a long-term complex treatment based on the intake of enzyme and androgen preparations, plasmapheresis, and so on. Surgical treatment is indicated when the testes become obturated. If necrospermic disorders are complex, then artificial methods of fertilization such as ICSI or IVF are resorted to. These methods give practically every patient the opportunity to become a father.
