Idiopathic sex is less, how to treat asthenospermia?

Less, weaker and deformed spermatospermia is the most common condition among male infertility patients. Every day, many people go to the male outpatient department of the reproductive center for consultation.

We have talked about oligospermia and asthenospermia (click to view). In fact, oligospermia, weakness and high malformation rate are only the results of semen examination. Semen will not be abnormal for no reason. If the exact cause can be found and symptomatic treatment can be carried out, the effect will be better.

In fact, there are many patients with oligospermia, oligospermia and malformation that cannot find the exact cause. This kind of situation is called [idiopathic oligospermia, oligospermia and malformation].

Although the cause of this kind of situation may not be known, there are still some coping methods. After treatment, the semen index of most people will improve, and some patients will naturally become pregnant during treatment.

Therefore, we should not lose confidence, let alone carelessly recuperate ourselves. Under the guidance of doctors in regular reproductive centers, we can try the following methods to improve semen. It is hoped that we will have children.

Raise gonadal function

In short, hypogonadism is the decline of testicular function, which leads to androgen deficiency. The decrease of hormone will also lead to the decline of testicular spermatogenic function, which will significantly reduce the number of sperm and lead to male infertility.


Gonadotropin replacement therapy can be carried out for hypogonadism caused by insufficient gonadotropin secretion.

The main therapeutic drugs are human chorionic gonadotropin (hCG), human menopausal gonadotropin (hMG) and follicle stimulating hormone (FSH), etc., which can also be combined with tamoxifen (mainly suitable for estrogen excesses).

Before gonadotropin therapy, sex hormone tests should be carried out to exclude hyperprolactinemia and other conditions. If pituitary tumors are suspected to cause hormone abnormalities, CT or MRI examination should also be carried out.

Improvement of hyperprolactinemia

Hyperprolactinemia can lead to male hyposexuality, erectile dysfunction (commonly known as impotence), and also reduce gonadotropin secreted by pituitary gland, thus the testis will not have the hormone level required for normal work, and sperm production will decrease.


Dopamine receptor agonists, such as bromocriptine, can be used to treat hyperprolactinemia, but CT or MRI examination should be performed before treatment to exclude pituitary tumors.

Treatment of gonadal infection

Gonadal infection such as orchitis can affect male fertility, the more common is mumps combined with orchitis. Mumps virus can invade the testis, making the body produce immune damage to the testis. The spermatogenic structure of the testis is damaged by the attack of the immune system, damaging the spermatogenic function, reducing the volume of the testis and the number of sperm, resulting in male infertility.

Accessory gonad infection refers to the infection of some reproductive tract accessory organs, such as prostatitis, seminal vesiculitis, epididymitis, etc. These diseases will also affect the quality of semen and lead to pregnancy difficulties or infertility.


Under the guidance of doctors, antibiotics can be used to treat gonadal infection, such as fluoroquinolones. When taking medicine, it must be standardized, and everyone should use it according to the dosage and medication time instructed by doctors.

Supplement nutrition and adjust life

Supplementing trace elements, such as vitamin E, vitamin C, zinc and selenium preparations, can improve semen quality.

However, adjusting living habits can also improve semen quality to a certain extent. It is suggested that everyone should do the following 5 points:

  1. Don’t stay up late, quit smoking and drinking.

  2. Don’t sit for too long, stick to sports;

  3. Less or no contact with high temperature environment (such as sweat steaming, sauna, hot spring soaking, etc.);

  4. Stay away from toxic and harmful substances (such as lead, ionizing radiation, drugs, etc.);

  5. Develop the habit of excreting sperm once every 3-5 days or so (normal sex life or masturbation is acceptable) and avoid unclean sex life.