Leukocytospermia - symptoms, causes, diagnosis, treatment methods, consequences and likelihood of conception
Leukocytospermia is a violation of the sperm composition, in which the number of white blood cells( white blood cells) in the ejaculate significantly increases.This leads to problems with conception, and in some cases to infertility.
Normally, leukocytes perform a protective function.They support local immunity of mucous membranes and disinfect microbes.An increase in their number may be the first sign of an onset inflammatory process.Table of contents: Causes of leukocytospermia Diagnosis of leukocytospermia Possible consequences of leukocytospermia Treatment of leukocytospermia Nutrition in leukocytospermia Probability of pregnancy with leukocytospermia
Causes of leukocytospermia
To determine the exact cause of the disease, in most cases it does not work. This deviation may be accompanied by inflammatory or infectious diseases of the male reproductive system .
Leukocytes are produced in different parts of the vas deferens:
- in seminal vesicles;
- in the prostate gland;
- in the urinary canal;
- in the epididymis.
Inflammation provokes the formation of a large number of active-oxygen radicals, which have a negative effect on spermatozoa, disrupting the integrity of their membranes and inhibiting mobility.
The number of leukocytes may increase due to such diseases:
- infectious diseases;
Important! Leukocytospermia is diagnosed in 5% of infertile men.
Diagnosis of leukocytospermia
Symptomatic of this pathology is not expressed, therefore it is possible to detect leukocytospermia only during the examination of an accompanying inflammatory or infectious disease.
Diagnosis is carried out only after five days of abstinence from sexual intimacy.The methods of staining are used to determine the number of leukocytes.Most often these are peroxidase smears and immunohistochemical methods.
To determine the cause of the pathology, additional research methods are used:
- takes a smear from the urethra for the detection of chlamydia, mycoplasma and ureaplasma;
- take venous blood to determine antibody titres to infectious agents of the genitourinary system most commonly encountered;
- digital finger examination of the prostate through the rectum;
- bacteriological culture of urine on nutrient media to determine the possible causative agent of infection;
- urine analysis to determine the number of leukocytes;
- computed tomography of the urinary system;
- general blood test;
- transrectal ultrasound of the prostate, scrotal ultrasound;
- blood test from vein to creatine and urea;
- Wasserman reaction( syphilis);
The final analysis must be prepared in advance and follow all the doctor's recommendations so that the result is accurate.
Possible consequences of leukocytospermia
An increase in the number of leukocytes can adversely affect the motility of spermatozoa.This can lead to asthenozoospermia, i.e.Infertility.In addition, the inflammatory process or infectious disease can lead to scarring with subsequent obstruction of the vas deferens.
Treatment of leukocytospermia
Treatment of the disease is carried out in two groups of drugs: antibacterial and anti-inflammatory.
When selecting antibacterial drugs, it is necessary to accurately identify the causative agent of the infection.Prescribe drugs and set the dosage can only be a doctor.If the infectious disease is accompanied by high fever, the drug is administered intravenously in a hospital setting under the supervision of the treating physician.
Attention! If the causative agent is an infection that is sexually transmitted, therapy is prescribed to both partners.
In the inflammatory process in the urethra, men, in addition to basic therapy, are prescribed uroseptics.
Surgical intervention is performed with an abscess( accumulation of pus in the tissues).
If leukocytospermia occurs as a result of problems with the bladder, the drug is injected directly into the urethra.
Important! If conservative therapy and surgical intervention does not bring the desired result, it is recommended to use one of the methods of artificial insemination.
Therapy is carried out under the strict supervision of a physician.Assign a complex course of antibiotics, which consists of several drugs.It is selected individually for each patient.This allows you to minimize possible side effects to a minimum.
Nutrition for leukocytospermia
In addition to drug therapy, support of the body as a whole is necessary with the help of proper nutrition. Recommend the use of products that contain substances that have general strengthening and anti-inflammatory properties.
Include foods high in zinc in the diet.Such as: beef, beans, bran, pumpkin seeds.Use more greens, especially parsley and cilantro.Make nut mixtures, including different types of nuts in them.
There are special biologically active additives that can improve the quality of sperm, for example, Tocopherol or Spemane.
Probability of pregnancy with leukocytospermia
Leukocytospermia reduces the likelihood of conception, but does not exclude it.
However, it should be noted that inflammation or infection can harm the fetus, therefore, during the treatment period, it is necessary to protect yourself.
In any case, the process of planning pregnancy should take place exclusively under the supervision of a specialist.
Radevich Igor Tadeushevich, the doctor of the sexopathologist-andrologist of 1 category