The low concentration of spermatozoa and kriptospermiya: Causes and Treatment

Kriptozoospermiya - is a form of violation of normal sperm status. Laboratory this situation is described as reducing the number of sperm in semen volume unit. That is, during kriptozoospermii in the field of view of the microscope is found very little sperm. Naturally, in such a situation, the probability of becoming pregnant is significantly reduced.

The normal concentration of sperm in the ejaculate is not less than 20 million cells per milliliter. If this figure is fewer, then we can safely diagnose kritpozoospermii.

Reasons kriptozoospermii

Since this form of male infertility is one of the most common, and the reasons for its development can be set. In the first step to identify the most frequent.

Some of these are a variety of genetic disordersThat could alter the qualitative and quantitative composition of semen.

These diseases are incurable and are not amenable to medical correction.

For the same reasons a group of incurable kriptozoospermii should include congenital malformations of the urogenital tract in boys. This may be the absence of vas deferens, the absence of a testicle or cryptorchidism, when the egg is located outside the scrotum.

Are less severe infections that are transferred through genitourinary. For sexually transmitted diseases that can cause kriptozoospermiyu include gonorrhea, chlamydia and others.

A huge number of kripozoospermy occurs due to malfunction of the testicles.

The reasons for this failure may be acute and chronic inflammation of the testicle, A violation of its blood supply in the form of Varicose Veins or banal injury authority.

Incidentally, it refers to the last group and radiation injury, which occurs due to irradiation with ionizing radiation eggs.

For non-specific reasons kriptozoospermii include a detrimental effect on the process of spermatogenesis alcohol and tobacco smoke. In addition, quite often it has a similar pathology psychological reasonsAs it occurs due to prolonged stress or nervous strain.

The likelihood of fertilization when kriptozoospermii

The possibility of fertilization at kriptozoospermii poor. Theoretically pregnant with semen analysis is possible because in the ejaculate is still a certain quantity of cells. But in practice, this happens pretty often.

The fact that the penetration of the sperm from the acidic environment of the vagina to the uterus was carried out due to the death of more data cells. And if they are so few, the chance of fertilization and does it becomes minimal.

In addition to dissolving the egg shell must also be a number of sperm, and not one, as some patients.

Scientists do not name an exact figure as a percentage, but at the same time give no more than 3% of that at fertilization kriptozoospermii goes well.

tactics

Tactics should depend on the specific situation.

For example, if you are sure that you do not have any inflammation or infection urinary organs, it is best to seek medical attention after the recurrence of clinical sperm analysis.

But if you have at least some doubts on the subject of contracting genital flora, it is better to address to the urologist immediately after the analysis of the results in his hands.

kriptozoospermii treatment

kriptozoospermii treatment is divided into psychological, medical and surgical. The first is used for psychogenic causes of the disorder, the second - during the inflammatory and infectious diseases, and the third - in congenital anomalies of genital organs, such as cryptorchidism or imperforate vas deferens.

Practice shows that in most cases when semen kriptozoospermii normalized after the first course of medical treatment.

There are situations, for example, chronic inflammation of the testicles and their appendages, when the treatment process lasts for more than a year. But even in such situations, there remains hope for a favorable resolution of the issue.

In a completely hopeless situation, the patient is offered in vitro fertilization.

A source: https://medicalj.ru/diseases/mens-health/1051-kriptozoospermiya

Kriptospermiya, really barren marriage?

Barren marriage - is the terrible diagnosis that put today couples who are unable to acquire offspring naturally. Causes of infertility are many, but they can be divided into two groups: male and female factors. One of the common causes of male infertility is kriptospermiya or kriptozoospermiya.

What is kriptospermiya?

Diagnosis of male infertility begins with putting a patient biomaterial for semen. Thanks to this affordable and simple analysis can not find the cause of the inability to have children in the vast majority of couples with male factor.

Kriptospermiya - is the presence of high-grade single mobile sperm in the ejaculate. Normally, the actual data of the WHO, it is necessary to have 20 million sperm in 2 ml of biomaterial.

What causes kriptospermii?

Reasons kriptozoospermii may be different, but they can be divided into main groups:

• Inborn errors of anatomical structure of male genitalia;
• Anomalies at the genetic level;
• Disorders anatomical structure vas deferens due transferred inflammatory disease processes;
• Migrated previously infectious diseases (Mumps);
• It has a history of chronic diseases, sexually transmitted;
• Autoimmune diseases;
• Hormonal disorders;
• Injuries external genitalia;
• Prolonged intoxication by toxic substances (drugs, alcohol, nicotine, harmful substances in production);
• A history of exposure to radioactive substances in the body.

How to identify kriptospermiyu?

To diagnose kriptozoospermii man, first of all, you must pass the semen analysis. For more reliable results, in order to avoid errors and mistakes in diagnosis, semen analysis is better put in two or three different laboratories.

With the test results need to make an appointment with andrologist. The doctor is likely to clarify the diagnosis may submit to a blood test to assess the proper operation of the hormones and ultrasound examination of the pelvic organs.

In addition, an accurate diagnosis may require special examination - testicular biopsy.

Biopsy is a procedure sampling of biological material from a particular organ to investigate his cell.

In this case, the study takes a biomaterial with the testicles of the patient and investigate the number of live sperm cells, ie, estimated the chances of the patient's sperm in the fertilization partner.

How to determine the chances of paternity or not?

Ability to restore fertile male function is determined by factors that caused kriptospermiyu. If the elimination of the factors causing the problem improves the quality of sperm, the chance to become the father of a patient, respectively, increases. These factors include alcohol, occupational hazard, chronic fatigue, etc.

However, in violation of the anatomical structure genitals, genetic disorders chances of restoring fertility zero. And even in this case it is possible to become parents using IVF + ICSI.

ICSI - a procedure by which an expert-embryologist takes a single sperm is complete and places it into an egg. According to international statistics, about 35% of couples with a similar problem could become parents using ICSI.

To assess the feasibility of the treatment cycle IVF + ICSI, a man offered to PAS test. The essence of the test is very important in the selection of high-grade morphology and motility of sperm for subsequent fertilization. This test is performed only if there is a significant reduction in sperm quality.

What kind of information gives a PAS analysis?

First, the doctor is able to know how many sperm can be used for ICSI. Second, the specialist can determine whether it is possible to freeze the sperm, and in what way.

In cases where kriptospermiya combined with other abnormalities of spermatogenesis and other pathologies of the male genitalia, or when you can not select any full-fledged sperm with testicular biopsy, there is only the possibility of using donor sperm.

In general, when kriptospermii, as well as in many other deviations semen, men have a chance to be a family fathers to their children. Most importantly, time to turn to professionals, well-established in the field of reproduction.

A source: http://hochurodit.ru/muzhskoe-besplodie/kriptospermiya.html

What is kriptospermiya and how to treat it!!! | Problems of male and female infertility and methods of their solutions

What is kriptospermiya?

Kriptospermiya - often detected in the analysis, which delivers a man. The mysterious word is not clear to everyone. What does this mean?

Half a century ago it was believed that in a barren marriage blame the woman. Currently, the medical opinion has changed. The impossibility of conceiving a baby through the fault of the men revealed in 40% of cases.

The poor state of men's health depends on many factors, and will certainly affect the quality of sperm. When infertile marriages often reveal kriptospermiyu.

This small quantity of sperm, reveals the analysis of seminal fluid.

Naturally, the probability of getting pregnant, if the husband revealed critically low amount of active cells, is practically zero.

Theoretically, such a possibility exists, since fertilization is performed by only one male sperm. However, in order to dissolve the shell egg need not one, but several sperm.

Also acidic environment of the vagina causes the death of most of the adult male cells.

Accurate data statistics are not specified, but at the same time it is believed that the probability of conception in the case of kriptospermii is only 3%.

What causes disease?

pathology Causes

All kriptospermii reasons can be divided into congenital and acquired. It can be:

• disorders at the genetic level;
• congenital malformations of the male reproductive system, such as cryptorchidism (a testicle does not descend into the scrotum) or complete absence of the testicles, hypoplasia or absence of the vas deferens;
• previously transferred inflammatory diseases of the urogenital system (prostatitis);
• varicocele;
• diseases with sexual transmission (gonorrhea, chlamydia):
• mumps, transferred to the children's age;
• autoimmune disorders;
• exposure to radiation;
• bad habits (alcoholism, drug addiction and smoking);
• injury of genitals;
• harmful production factors leading to chronic poisoning of the body;
• stress.

a small number of cells is often associated with other disorders in semen analysis. Found ejaculate increased viscosity, low motility, change their morphology, dead cells.

The poor state of men's health does not give couples the chance to conceive a child naturally.

To deal with the pathology it is necessary to do this, find a competent specialist - andrologist who order tests to determine the cause and kriptospermii.

What research is needed

First, we should make a semen analysis. To obtain reliable results, it is desirable to visit the laboratory 2-3.

You may need to do an ultrasound of the prostate gland and testicles, to be tested for hormones. According to the decision of the doctor and with the consent of the patient is conducted testicular biopsy.

The interference is shown in the presence of a man's seminal ducts closed or complete absence.

According to WHO, the man is able to have offspring, if in 1 ml of ejaculate detected 20 Mill. live spermatozoa.

As held testicular biopsy?

Biopsy

Testicular biopsy - a small operation, it is performed under local anesthesia. Needle is inserted through the skin of the scrotum under the control of the ultrasonic sensor.

puncture method was prepared sperm are placed in a special medium and then separated from other testicular tissue. In the future, their study is conducted.

Select this method, sperm is obtained in 75% of cases, with the conception and the bearing of offspring is not affected.

Obtained in this way the male sex cells can be used in the IVF program, if done simultaneously puncture ovarian partner. In another embodiment, if fertilization is not currently planned, male sperm can be tucked cryopreserved for future use.

If aspiration biopsy obtained by little material either it failed to isolate viable spermatozoa, performed by open surgery. It allows you to get more material, respectively, and the chances of conception increase.

semen

Diagnosis "kriptozoospermiya" put it on the results of semen analysis. This study is particularly important for the detection of male infertility. To obtain reliable results, it is necessary to properly prepare for it.

Ejaculate obtained by masturbation, the entire amount of the discharged liquid is delivered as soon as possible in the laboratory. Before the study is recommended to abstain from sex for a few days, it is also important not to drink alcohol during this period.

How we treat

If the pathology of spermatogenesis is acquired, to improve the composition and quality of sperm to help a healthy lifestyle, avoiding harmful habits (alcohol, smoking).

A must is the treatment of urogenital infections.

As practice shows, semen parameters improved after a course of anti-inflammatory therapy and removal of pathogens (mycoplasma, ureaplasma, chlamydia) from the body.

If the cause of diseases are congenital or genetic abnormalities, fight kriptospermiey available means will be difficult. In severe cases will have to resort to the use of donor sperm. You may need surgical correction of the disease, for example, in the case of varicocele - varicose veins of the spermatic cord.

How is IVF

In those cases when it is possible to allocate a small number of viable spermatozoa fertilization IVF is performed.

Doctor previously appointed by the treatment of male infertility, however, if the semen remains at the same level throughout the year, do not waste time and hope for a miracle. It is better to try his chances of success with IVF.

In cases where the sperm is too low and they have poor morphology, resorted to the use of donor sperm.

As an auxiliary method appointed PAS-test. What it is?

This is a test for selection of male germ cells of poor quality semen. It allows you to gather valuable male cells and have them fertilized females. Is assigned to the test if the sperm count is very low, but they are detected in the sediment after centrifugation.

The test to determine the possibility of conception using ICSI, as well as to conduct the freezing of male germ cells. Doctors choose the best method of conservation.

For PAS-test is required to pass the sperm after several days of sexual abstinence.

Low sperm count - is not a sentence, there are plenty of chances for a man to become a father his own children. For this purpose there ICSI program, which is considered one of the variants of in vitro fertilization.

How is this process? Dedicated in men live sperm is introduced directly into the woman's egg. If other treatment methods require a large number of moving sperm for ICSI is the only one (!) Live sperm. Subsequently, the resulting embryo is placed in the cavity of the female uterus.

This method is most effective in male infertility, besides successful conception does not depend on the overall performance of semen. Statistics show that the possibility of a baby born with ICSI program is 35-40%.

Modern treatments allow couples to have a child, even in the most difficult cases. It is important not to despair and not to self-medicate, and the time to visit a qualified specialist.

A source: http://narozhaem.ru/muzhskoe-besplodie/chto-takoe-kriptospermiya-i-kak-ee-lechit.html

The morphology of sperm and semen. The evaluation criteria, analysis

The morphology of spermatozoa determined in native and stained preparations. Sperm cells with distinct pathological features quite clearly visible without staining. A more accurate morphological evaluation is carried out in preparations stained azureozinom. Normal mature sperm have an oval head, neck and tail.

Analysis Morphology

When analyzing the morphology of the sperm head pay attention to the size, shape, symmetry, size, nuclear area and the acrosome, the border between the nuclear area and the acrosome, the presence of vacuolization.

The neck and the tail of the sperm

The neck of the sperm should be thin, attached to the head along its axis, without deformation and to be thicker than the tail. The tail of the sperm should be straight, of uniform thickness throughout its length. The ratio of length to the head of the tail is 1: 9.

Age sperm

Young or immature forms of spermatozoa have around the head and neck cytoplasm residue. The old forms of spermatozoa have heads vacuolization, abnormal shape and size of the kernel, they are not suitable for fertilization and appears in the ejaculate after prolonged abstinence.

The cells of spermatogenesis

In healthy male ejaculate present spermatogenic cells (spermatogonia, spermatsity, spermatids) in an amount of 0.5 - 2% relative to the amount of sperm.

Abnormal sperm shape

To carry the sperm abnormal forms with macro and mikrokonicheskie head, beak, head cloven with thickened, curved neck as well as spermatozoa without collar, multiple tails of the acrosome without or without nuclei and other deviations from the norm.

Criteria for evaluation of sperm morphology

The morphology of spermatozoa is currently being evaluated by strict criteria, based on which use of the ideal characteristics of sperm:

1. Head shape sperm rounded-oval;
2. Head length 4.5 - 5.0 mm, width of 1.5 - 1.75 microns;
3. Acrosome covers 40-70% of the head area (up to max 2 vacuoles);
4. Postakrosomalnaya zone has a clear, smooth boundary with acrosome no vacuoles and illumination;
5. Sperm cervix has a length of 6-10 mm, a width of up to 1 micron. Cytoplasmic drop of not more than 1/3 of normal head size;
6. The tail of the sperm has a length of 45 microns can bend and undulating tail position;
7. The ratio of length to the head of the tail of the sperm 1: 9 or 1:10.

sperm agglutination

Besides detecting the presence of agglutination of sperm (motile sperm bonding). The ejaculate in healthy men agglutination is not defined. Agglutination should be distinguished from aggregation. Aggregation - a chaotic accumulation of immovable spermatozoa, piling them on tyazhah mucus, cellular elements.

White blood cells in the ejaculate

The number of leukocytes in the ejaculate healthy men should not exceed 5 cells in a field of view that is less than 1x10 6 degree leucocytes in 1 ml of ejaculate. Normally, red blood cells and mucus is not to be determined.

Epithelial cells in the ejaculate

Epithelial cells in the ejaculate of a healthy man are found in small quantities. They can enter the ejaculate with the glans penis and prepuce, urethra, epididymis, prostate and distal portions semyaizvergayuschih channels.

Elements of the prostate

Lipoid, amyloid corpuscles and crystals Boettcher - members formed of prostatic secretions.

Lipoid cells (lecithin grain)

Lipoid cells (lecithin grains) in the ejaculate contains a considerable amount of reflected and hormonal function of the prostate.

Amyloid bodies (anticalculus)

Amyloid bodies (anticalculus) detected at stagnation in the prostate.

Spermine or crystals Boettcher

Spermine or crystals Boettcher present in azoospermia and severe oligozoospermia, in inflammatory processes in the prostate, as well as upon cooling ejaculate.

The morphology of sperm semen. Norm indicators for WHO in 2010

Ejaculate volume, ml	≥ 1,5
The total number of spermatozoa (10 6 / ejaculate)	≥ 39
Sperm concentration (10 6 / ejaculate)	≥ 15
Total mobility (translational motion and nepostupatelnye),%	≥ 40
Spermatozoa with translational motions,% (a + b)	≥ 32
Pot life (the number of live sperm cells),%	≥ 58
Morphology - normal forms,%	≥ 4
Ph	≥ 7,2
Peroksidazopolozhitelnye leukocytes (10 6 / ml)	⩽ 1,0
MAR-test - motile spermatozoa coated with antibodies%	< 50

conclusion semen

For a description of pathological conditions uses the following terms:

• Oligozoospermia - Sperm Concentration lower than the standard value.
• Asthenozoospermia - sperm motility lower than the standard values.
• Akinozoospermiya - complete immobility of sperm
• Nekrospermiya - reducing the number of live sperm.
• Kriptospermiya - reducing the number of live sperm
• Gemospermiya - the presence of red blood cells in the ejaculate
• Leykospermiya - presence of leukocytes in the ejaculate above the permissible value
• Teratozoospermia - sperm morphology below the standard value.
• Azoospermia - no sperm in the ejaculate.
• Oligospermia - semen volume lower than the standard values.
• Spermatoschesis - absence of ejaculate.

In determining the pathological form of semen is necessary to start the treatment of male infertility.

A source: https://optimusmedicus.com/urologiya/morfologiia-spermatozoidov-i-eiakuliata/

Sperm concentration - Nova Clinic

The concentration of sperm - a key indicator of semen, reflecting the fertilizing ability of sperm. According to the norms of the World Health Organization from 2010, the total number of germ cells in the sample genetic material should be at least 39 million, and its concentration should be 1 milliliter and 15 million or more.

Of course, the chances of successful conception are determined not only by the concentration of sperm, but also their mobility and structure (morphology). However, the number of germ cells, which hypothetically may fertilize an oocyte, largely determines the probability of pregnancy.

If the concentration of sperm is lowered, such a state is detected as oligozoospermia. Do not confuse the diagnosis with oligospermia - reduced volume of ejaculate.

In some cases, semen analysis reveals deterioration of several indicators simultaneously.

Oligoteratozoospermiya may be determined by (reduction in the concentration of sex cells and increased the number of spermatozoa having structure anomalies) oligoastenoteratozoospermiya (other than the above-described disorders, and decrease the mobility determined cells).

In case of a negligible number of spermatozoa in the ejaculate, which can be seen only after special treatment (centrifugation) biomaterial kriptozoospermiya determined.

When it comes to the concentration of functional sperm, meaning the number of germ cells rectilinear motion, that is, those who have a chance to perform its function - to achieve egg.

Of course, even in the presence of a sufficient number of sperm in case if they are immobile or can not move in a straight line (E.g., rotated around its axis or oscillates) natural conception becomes extremely difficult.

It is important to remember that once the diagnosis is insufficient analysis of the genetic material.

Often the decline in temporary and may be due to poor preparation for the delivery of semen, severe stress and a number of other reasons.

Thus, if the test results show a decrease in the number of cells, it is required to pass again, not earlier than 14 days.

What should I do if detected low concentrations of sperm? It is necessary to see a specialist, urologist, andrologist, who will appoint the additional studies to identify the causes of this condition. Volume of inspection determined by a physician within the internal consultation.

The modern level of development of reproductive medicine can achieve pregnancy, even in the most difficult cases of male infertility. If conservative therapy and surgery did not give a positive effect, the urologist, andrologist may recommend the use of methods of assisted reproductive technology.

In particular, ICSI (sperm into an oocyte injection) involves selection of sperm with embryologist best morphological characteristics and its introduction into the oocyte cytoplasm using a special microneedles.

Thus, when using this method to the success of IVF (in vitro fertilization) does not affect the concentration of spermatozoa, nor their mobility.

A source: https://nova-clinic.ru/statyi/kontsentratsiya-spermatozoidov/

Kriptozoospermiya or kriptospermiya: what it is

The pathology of the male reproductive system, which is present in the seminal fluid critical low number of spermatozoa called kriptozoospermiya.

At such low quality sperm probability of pregnancy is very small, so the disease is one of the manifestations of infertility.

Established diagnosis of the representatives of the stronger sex, in which the concentration of "spermatozoa" is less than 20 million per milliliter of semen.

The main characteristic of the pathology

The disease is often found in otherwise healthy men of reproductive age. According to medical statistics, kriptospermiya (another name for pathology) diagnosed in almost 40% of men aged 20 to 45 years. Normally, one milliliter of semen must contain at least 20 Mill.

spermatozoa (according to the WHO, is considered a critical parameter in the number of 15 m). The upper limit of normal is not - the more tadpoles synthesized by the body, the greater the ability to fertilize. At low concentration of spermatozoa considerably male fertility is disrupted, making them virtually sterile.

Diagnosing kriptozoospermii - what is it for men? It must be remembered that this is not a sentence. In most cases, the disease leads to the development of the factors addressed by lifestyle changes, medication or surgery. The main thing is early detection of the disease and its treatment start using qualified professionals.

Causes of

Treatment of the disease is desirable to start at an early stage of disease when the concentration of spermatozoa only starts to decrease and has not yet reached a critical point. If active disease progresses, there will come the second stage of the disease, and the number of tadpoles fall so low that the chances of becoming a father will be practically no.

Among the reasons leading to a low number of spermatozoa in the ejaculate, emit:

• genetic or hereditary diseases;
• congenital structural abnormalities or abnormal development of the components of the reproductive system;
• inflammatory processes, affected the patency seminal ducts;
• infectious diseases: acute, chronic, venereal or genitourinary;
• varicose veins spermatic cord (varicocele);
• mumps (mumps), transferred in childhood and cause orchitis;
• hormonal disorders;
• chronic autoimmune disease;
• injury intimate organs;
• exposure to radiation;
• heavy metal poisoning.

The external factors, easiest to eliminate, include bad habits: smoking, alcohol abuse, drug addiction. These factors - it is only established causes of kriptozoospermii. But there are others that are not yet fully understood or even discovered.

Cure the pathology is not always possible. If infertility is caused by a violation of the chromosome set or congenital diseases, affects fertility, it is impossible to change the composition of the sperm.

Many diseases of the structure and development of the sexual organs are not amenable to modern treatment, but in some cases, the surgeon is able to help restore reproductive capacity. With various intimate diseases, including chronic, you can successfully manage drug therapy, after which the composition of seminal fluid will gradually recover on their own.

It is important to install all the factors worsening the indicators of ejaculate. Thus, if its viscosity is increased, there is a low number of healthy and active tadpoles fixed or changing their structures to treat only kriptospermiyu is meaningless.

Hope to become pregnant naturally is possible only after passing through all stages of medical treatment prescribed by a doctor. Another way out of the situation - the use of artificial insemination.

But it is possible only for those patients who live and active sperm are present even in small concentrations.

disease manifestations

The disease does not have any symptoms, so a man can not even guess at his diagnosis. Usually, news of partial sterility overtakes a pair at the stage of conception planning, after several unsuccessful attempts to become parents.

The clinical picture of disease is also absent, violation of potency and an erection does not occur, libido relevant health standards. If the diagnosis of the disease will not be held on time, her progress will lead to complete sterility.

methods of diagnosis

Set kriptozoospermiyu as a preliminary diagnosis is very difficult, because factors interfering pair to conceive a child, very much. Therefore, a comprehensive diagnosis, including the delivery of common blood and urine tests, as well as semen analysis.

The absence of clinical symptoms, anxiety symptoms and external signs should not serve as a pretext for refusing blood donations the presence of sexually transmitted diseases or autoimmune, smear on bacterial seeding to determine sex microflora authorities.

It will also need to conduct a survey of male hormonal, ultrasound diagnostics, and in some cases - a biopsy and microscopic examination of the semen.

After receiving the results of these diagnostics, and comparing them with the data of semen, it will be possible to establish the cause of decrease in sperm quality.

Semen as a key type of survey

For the most important conclusions about their fertility should be returned to the patient in the analysis of his semen.

Undergo such an examination, it is desirable in the clinic, where there is the latest modern equipment to minimize false positives.

On the results of the diagnosis affects the preparation for the procedure: it involves a few simple rules, the violation of which could significantly affect its data. So, are preparatory measures:

• rejection of sexual intercourse and masturbation for 72 hours before putting sperm (recommended complete sexual rest);
• the exclusion of alcohol and other toxic substances;
• stopping any medications other than those on which the life of the patient depends. On the application of the latter, be sure to notify the employee of the laboratory and the attending physician;
• not be exposed to high procedures: visiting baths, saunas, taking a hot bath, prolonged sun exposure, etc.

Semen analysis was carried out twice with an interval of several days. Re-examination allows to confirm or supplement the primary results, to determine the search direction of provoking disease factors.

It was after receiving the decryption of the main analyzes appointed consulting specialists: an infectious disease specialist, surgeon, venereology, phlebologist etc.

After receiving their advice and establish the exact causes of the declining level of sperm, selected the final tactic therapy.

disease treatment

Therapy for kriptozoospermii depends on the cause, it provoked. Its share in the medical and surgical. Such methods can help, provided that the disease, which caused a decrease in sperm count, to be treated.

drug therapy

It is used in the fight against infectious diseases, sexually transmitted diseases, chronic inflammatory pathologies of the urogenital system. Fight these illnesses help:

• antibiotics;
• anti-inflammatories;
• topical medications (if there are external symptoms of infection);
• immunomodulatory agents.

Also, this category includes physiotherapy aimed at restoration of components reproductive system, methods of folk therapy, adherence to the rules of a healthy diet, physiotherapy sessions physical exercise.

In folk remedies kriptozoospermii treatment is permitted only as a supplement to the basic pharmaceutical therapy. It can be restorative broths herbs, recipes, allowing reduce inflammation, eliminate pathogens. Their use can be both internal and local.

All medicines, including non-traditional, are selected individually for each patient after the establishment of the final diagnosis. She therapy in this case is strictly prohibited, as It can lead to the progression of disease and the development of complications.

Surgery

Displaying males having structural abnormalities or development of sexual organs to be operative therapy. The decision to conduct surgery depends not only on the disease, but also the general state of the patient, presence of contraindications to its observance. In most cases this therapy is carried out to remove the cysts and benign tumors, varicocele.

If manipulations and the resulting course of drug therapy does not give the desired results, and the disease continues to progress, doctors offer to spend a couple of in vitro fertilization - IVF, which in the case of male infertility known as ICSI (intracytoplasmic injection). This procedure has been successfully used in Reproduction and more than a dozen years, and has helped thousands of infertile couples to experience the joy of being parents.

IVF is almost completely eliminated the risk of birth of a baby with genetic abnormalities, recent advances may even "get" the baby of the desired sex.

The drawback, and for some couples - a huge advantage procedure is the high percentage of multiple pregnancies: the probability to give birth to twins or triplets is very high.

If IVF carried qualified healthy women, the probability of conception at the first attempt is over 40%.

Natural pregnancy with kriptozoospermii

At this disease the chances of natural conception are very small. If treatment is not carried out, the pathology progresses, and the number of sperm with millions reduced to units. In such a quantity they are unable to overcome the acidic environment of the vagina fallopian tubes and to achieve.

Such pairs remain childless, although sometimes there are wonders and pregnancy test shows cherished two strips. Such phenomena are rather the exception to the rule, because possible only in those patients who were on the verge of infertility due to infectious diseases.

Preventive actions

Start prevention of this disease should be at a very early age. As a child, the future man should undergo regular medical preventive examinations of the surgeon or an andrologist. Great danger for the boy is parotitis (Mumps), because when this infection there is a lot of complications, primarily affecting the testes and tubules.

It is important to maintain a healthy lifestyle: eat properly and fully and have no bad habits, to observe good personal hygiene, cleanliness of sexuality. It will not allow infections to enter the body and cause a proliferation of harmful microorganisms.

Sports and other regular exercise can help prevent congestion in the pelvis, and therefore does not give a form of chronic pathologies of the urogenital system.

Importance and frequency of intimate life. Abstinence, as well as increased activity of sex, have a negative impact on the work of the organs of the reproductive system: drain it or are forced to work in emergency mode. Therefore it is necessary to determine the optimal frequency of intimate relations, which will bring only benefits the body.

In order to improve men's health, quality of semen and increase local immunity can use different vitamin complexes, and dietary supplements containing zinc, selenium, vitamin A, E and C.

A source: https://AnnaHelp.ru/urology/kriptozoospermiya.html

Kriptozoospermiya it: symptoms, diagnosis and treatment

Many couples are faced with the fact that they can not conceive children. In this case, diseases of the genitourinary system, which causes infertility, is not observed. Modern diagnostic methods to help identify the various pathological processes that prevent conception. One of them is kriptozoospermiya that it for the disease look in detail.

What it is

Kriptozoospermiya - what is it? This pathology is characterized by a decrease in sperm concentration in semen released. In the normal state in men in 1 ml of semen contains approximately 20,000 sperm. When kriptozoospermii active component is significantly reduced. This is the reason for establishing the diagnosis - infertility.

In the early stages of the development of the disease in men still have the physical ability to conceive a child. But with the chances are significantly reduced over time. In order to increase the amount of sperm is required to identify the exact cause of kriptozoospermii. By removing this stimulus, the state of a man improve reproductive function is normal.

The causes of the disease

There are a number of reasons why a man may appear kriptozoospermiya. These include:

• Men's hereditary nature of the disease;
• congenital pathologies genitals, changing their anatomical structure;
• carry-forward of infectious diseases with a strong inflammatory processes;
• disease, sexually transmitted;
• varicose veins in the testicles and spermatic cord;
• hormonal disorders;
• trauma to the genital organs.

Unfavorable factors that may contribute to the development kriptozoospermii are also:

• too frequent consumption of alcoholic beverages;
• such bad habit, like smoking;
• improper diet;
• a sedentary lifestyle, obesity;
• too frequent sexual intercourse or prolonged abstinence;
• wearing tight underwear or substandard;
• overheating of the penis;
• emotional stress, regular stress.

By identifying the exact cause kriptozoospermii the success appointed treatment. Indeed, in some cases it is sufficient just to eliminate the irritating factors for the normalization of the state.

signs kriptozoospermii

This pathology does not have pronounced symptoms. Therefore, many of the stronger sex can not even be aware of its occurrence.

To the doctor they seek only in cases when it is impossible to conceive a child for no reason over a long period of time. The clinical manifestations of the disease has not. The man did not even broken erectile function.

Therefore, to detect the development kriptozoospermii possible after passing the required tests.

pathology diagnostics

establishment diagnosis kriptozoospermiya It requires research in the laboratory. To do this, the patient must pass a modern analysis as semen.

In order to detect a lack of sperm production, this study is required to pass several times.

To obtain reliable results before delivery of the material should observe the following rules:

• to abstain from sexual intercourse during the 3 days prior to the study;
• no smoking within 3 days;
• do not drink alcohol and drug preparations;
• not to visit baths, saunas and other places where the sexual organ is exposed to overheating.

After receiving semen analysis results the patient is referred for an ultrasound exam. Also it is necessary to pass a blood test to determine the performance of hormones.

In some cases, a biopsy of the testicles is assigned, which is performed under local anesthesia. Usually it takes a man diagnosed with the closure of the seminal ducts.

treatment of the disease

If a man is diagnosed kriptozoospermiya how to treat it depends on the cause of the pathology.

In cases where the lack of production of sperm caused by infectious diseases accompanied by inflammation, the patient is assigned to a course of antibacterial drugs.

If the reason was the violation of hormonal background, when kriptozoospermii should be taken hormones.

After a course of drug therapy, the patient re-rents semen analysis to assess the dynamics of sperm production.

A source: https://mzdorov.com/andrologia/fertilnost/kriptozoospermiya-chto-eto.html