Low sperm motility. Asthenospermia: what to do if the sperm are immobile

Most significant indicators are sperm motility and activity. These characteristics are determined in the analysis of spermogram. To obtain reliable result, it is necessary to take several samples, since the ability of male germ cells to actively move is influenced by many factors.

What ensures sperm motility

The sperm cell is the smallest and most active cell. The speed of movement is 30 cm per hour, and given the microscopic size of the sperm, this is very high rate. This mobility of the spermatozoon is achieved due to the propulsive force (pushing forward), which is provided by the rotation of the tail-flagellum. It is this part that is responsible for bringing the genetic material to the egg.

But the tail does not move by itself. Nature provides for a special mechanism: the entire sperm flagellum is covered with Hv1 proton channels, which, when they enter the vagina, open for the purpose of partial alkalization. environment. There is a pierced effect balloon: channels open, protons fly out with great speed, causing the spermatozoon to move with acceleration. The closer to the target, the more channels open due to a reaction to a substance called the endocannabinoid anandamide, which is abundant near the egg.

Spermatozoa know in advance the desired vector of the direction of movement - in the direction of lowering the acidity of the environment

Spermatozoa know in advance the desired vector of the direction of movement - in the direction of lowering the acidity of the environment. With a similar "flair" male sex cell owes to a special apparatus - chemotaxis, which analyzes chemical composition surroundings and signals a safe direction.

Proton channels have been discovered only recently, but the discovery of a direct dependence of the intensity of their stimulation on the pH level will help to influence the activity of spermatozoa in male infertility. After all good mobility cells in this matter is very important, because they need not only to leave the acidic environment of the vagina as quickly as possible, constantly struggling with the oncoming flow, but also to overcome the mucous plug at the entrance to the uterus, and then make their way to fallopian tube. In total, you need to walk about 20-25 cm.

Assessment of sperm motility

After receiving the results of the semen analysis, the results are decoded in accordance with the WHO standards established in 2010. The spermatozoa are divided into three groups according to the degree of activity (1999 classification in brackets):

  1. The number of people moving forward at different speeds (A + B).
  2. The total number of mobile cells: the first group, as well as weakly mobile, making circular or oscillatory movements (A + B + C).
  3. Fixed (D).

In the first case, mobility fluctuations are caused by the following reasons:

  • seasonality: in spring there are more low activity spermatozoa;
  • circadian rhythms: in the second half of the day, the mobility of germ cells increases;
  • frequency of ejaculations: the more often the sperm is renewed, the more active the spermatozoa.

All of the above does not have such a significant impact on total score like diseases:

Varicocele is the cause of decreased sperm motility in 25% of cases

  • varicocele (causes a decrease in sperm motility in 25% of cases), hydrocele;
  • acute and chronic urogenital infections, bacteriospermia. Many bacteria induce or linkage (for example, coli E. coli);
  • blockage of the ducts of the seminal vesicles, the vas deferens leads to a decrease in pH. As a result, sperm motility drops significantly;
  • epididymitis. Spermatozoa acquire mobility, moving along the epididymis - the epididymis. Its epithelium produces a factor that ensures the longitudinal mobility of germ cells, so all inflammatory processes adversely affect the ability of spermatozoa to move fully. This also applies to mature germ cells stored in the caudal section (tail part) of the epididymis until ejaculation;
  • structural pathologies and organ injuries reproductive system. Even a small bruise received a few years ago can trigger autoimmune processes when the production of antibodies against one's own germ cells begins;
  • endocrine disorders, metabolic disorder;
  • hyperprolactinemia, .

Low sperm motility or lack of activity can be caused by congenital genetic abnormalities (uncommon):

  • violations of the structure of germ cells, for example, the "9 + 0" syndrome, which refers to the absence of a central pair of microtubules in the sperm tail. With this disease, all the germ cells of a man are motionless;
  • syndrome of "fixed cilia" - the absence of special dynein handles in the flagellum of the spermatozoon, which ensure the connection of the tubules;
  • the presence of mutations at the level of mitochondria of sperm DNA;
  • Kartagener syndrome - mutations in the genes that are responsible for the formation of the ciliated epithelium (the mobility of the flagella of germ cells is directly related to its functioning).

Low sperm motility caused by diseases is reversible in most cases

Low sperm motility caused by diseases is reversible in most cases. It recovers completely or partially after surgical or conservative treatment.

An immobile spermatozoon is unsuitable for natural conception, but if mobility is absent due to genetic disorders or an incurable condition, then IVF by ICSI is used to fertilize the egg.

Most often, the activity of spermatozoa is influenced by external factors, the impact of which can be controlled or completely eliminated. Electromagnetic fields, lead, salts can reduce mobility heavy metals, narcotic drugs, accumulation of cadmium in the ejaculate. All this pathologically changes the structure of the sperm flagella. But there is more simple reasons leading to deterioration of cell activity.

Temperature

Spermatozoa are sensitive to temperature changes, since the testicles are located outside the peritoneum and are subject to external influences. Overheating has a particularly negative effect. If a man likes to sit in the bath often and for a long time or hot tub(more than once a week), then sperm activity will steadily decrease. The same effect is exerted by heated car seats when long trips and similar devices. When the temperature rises above 39 degrees (for example, with influenza), complete immobility of spermatozoa occurs and even their death.

Another factor that affects mobility through impaired thermoregulation is − inguinal hernia. If its size is large, and the protruding part of the intestine has already descended into the scrotum, then not only the loss of activity by spermatozoa is likely, but also complete atrophy testicles.

Smoking and alcohol have an extremely negative effect not only on mobility, but also on other spermogram parameters.

Alcohol and smoking

Smoking and alcohol are the causes of intoxication of the body. This is something that has an extremely negative effect not only on mobility, but also on other indicators of the spermogram. The breakdown product of alcohol penetrates into all cells, including the sex cells. Regular toxic exposure will unbalance endocrine system inhibiting the production of testosterone and other hormones.

Some believe that they do not harm their body, because they smoke only "natural drug" - marijuana. Studies have shown that the substances contained in marijuana disrupt the structure of the sperm flagellum, which completely immobilizes it.

Medications

If a man is forced long time undergo therapy with cytostatics and steroid hormone blockers, then the percentage active sperm drops significantly. Anticonvulsant, psychotropic, antihypertensive drugs, antibacterial drugs, antibiotics.

Nutrition

Sedentary spermatozoa are often the result of proper nutrition. harmful products and drinks:

  • any fast food
  • canned food;
  • coffee in large quantities, cola, strong tea, including green;
  • spicy, salty dishes;
  • industrial lemonade;
  • fatty and fried foods.

Sedentary spermatozoa are often the result of malnutrition

1-2 months after eliminating these products and switching to balanced diet without the use of any additives, sperm activity increases significantly.

Supplements with L-cartinite are popular, such as PROfertil

Phytopreparations are used (Speman, Tribestan), decoctions of plantain seeds, elecampane roots, wild rose.

Even a frankly bad spermogram improves after a couple of months when taking bee products: bee bread, propolis, drone milk.

It is important to adjust the diet, giving preference to white meat, fish, cereals, vegetables and fruits. Useful greens, especially parsley and dill.

Physical activity should be regular, but moderate. Overexertion in the gym will lead not only to a temporary decrease in sperm activity, but also to the development of varicocele and inguinal hernia.

If the inactivity is pronounced or accompanied by deviations of other indicators, then studies are prescribed to find out the reasons, for example:

  • blood test for hormones, antibodies;
  • bacterial culture of prostate juice and sperm;
  • TRUS, ultrasound of the testicles.

Based on the results obtained, a treatment regimen is determined. With the elimination of obstructions, bacterial foci and inflammation will occur after a while.

In clinics, it is not for nothing that a program is provided for preparing for the delivery of ejaculate:

  • abstinence from sexual intercourse for 3-4 days;
  • giving up alcohol for 2 weeks;
  • avoid stress, overheating, overwork;
  • dieting;
  • quit smoking if possible.

All these factors directly provoke poor mobility in spermatozoa. The cycle of spermatogenesis averages 72-75 days. In order to obtain the most reliable, maximum indicator of mobility for the body, it is advisable to follow the above rules for a given time.

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One of the quality indicators of sperm, which is checked during evaluation, is sperm motility. Sedentary and sluggish male reproductive cells simply cannot reach the egg and die already in the early stages. In the medical literature, this problem is called. Consider its main causes and what can be done in such situations.

Causes of asthenozoospermia

It is impossible to reliably identify the cause of a decrease in sperm motility. There are a number of factors that can affect male sex gametes:

  • infectious and inflammatory diseases of the urogenital tract, both acute and chronic;
  • diabetes mellitus and autoimmune pathology;
  • overweight;
  • age-related changes in the genitals;
  • congenital and acquired disorders of the structure of the reproductive system;
  • genital trauma;
  • action of high temperatures;
  • varicocele;
  • unbalanced diet;
  • bad habits and lifestyle of a man.

Important! Sperm motility progressively decreases with prolonged sexual abstinence.

There are many factors that cause spermatozoa to become slow and lethargic. In some cases, it is not possible to know the exact cause and the patient is diagnosed with idiopathic (according to unclear reason) asthenozoospermia.

One of the factors that reduce sperm motility can be a harmful working environment.

How is this disease classified?

There are several degrees of asthenozoospermia. Depending on this degree, they choose the tactics of treatment, drugs, or recommend immediately taking advantage of the achievements of assisted reproduction:

  1. First degree. class A and B more than 40%. In this situation, a man is offered to adjust his diet, give up bad habits and recommend taking a number of natural medicines.
  2. Second. The number of active spermatozoa is about 30-39%.
  3. Third. Their number is less than 30%. In these cases, the patient may be advised to use assistive technology conception, because the chances of natural pregnancy very low.

How to check the mobility of male germ cells

A decrease in sperm motility can be found by performing a spermogram. This is the simplest study that allows you to evaluate the qualitative characteristics of sperm, including sperm motility.

There are four classes of mobility of male sex gametes:

  • A - actively mobile cells;
  • B - slowly progressively mobile;
  • C - incorrectly moving, inactive;
  • D - motionless.

Only spermatozoa of the first two classes can fertilize an egg. Normally, their number should be more than 50% of total number all sex gametes.

Important! Low sperm motility is not a reason to immediately take medication and try to improve it. Before treatment, the analysis is repeated several times to make sure that the problem is taking place.

How to increase sperm motility?

The question of how to increase sperm motility is very important for couples suffering from male infertility. In order for treatment to take place in several directions:

  1. Lifestyle changes, a balanced diet, giving up bad habits and regular sex.
  2. Therapy of infectious and inflammatory diseases of the reproductive organs;
  3. Surgical treatment of structural anomalies and strictures of the vas deferens.
  4. Taking pharmacologically safe and effective medicines.
  5. Prostate massage to improve the blood supply to this area;
  6. Physiotherapy.

Consider drugs that are actively used to improve the quality of sperm and the mobility of male sex gametes:

  1. Spermactin. Food supplement which contains fructose, carnitine and citric acid. Improves the quality and quantity of sperm. It is applied in complex treatment male infertility, are recommended for asthenozoospermia, as well as at the stage of preparation for IVF and sperm donation. The average cost is 2500-3000 rubles. The course of treatment is from 3 months.
  2. Profitil. Contains carnitine, arginine, zinc, vitamin E and folic acid. This drug is also a bioactive food supplement. It is recommended to take in the treatment regimen for idiopathic male infertility, with a decrease in sperm quality and other disorders reproductive function at the man. The course of treatment is from a month. The cost is within 8500 rubles. for 180 capsules.
  3. Speman. Combined herbal preparation based medicinal herbs(orchid, lettuce, beans, argyrea, etc.). Recommend for inflammatory diseases prostate and deterioration of sperm activity. The cost is about 300 rubles. for 100 tablets. The course of admission within six months.

With a lack of testosterone, a man can be prescribed hormonal preparations. Besides, good effect gives reception complex vitamins and antioxidants.

From folk ways treatment of asthenozoospermia is considered effective bee bread (beekeeping product), ginseng, garlic, walnuts and oysters.

Questions to the doctor

Question: How to increase sperm motility in a husband after exposure to radiation?

Answer: after exposure to radiation is very difficult. It all depends on the degree of damage to the testicles and the dose of radiation. Before attempting treatment, sperm counts should be checked so that your attempts and medications are not in vain.

Q: Can drinking beer affect sperm motility?

Answer: Yes, it can. If a man is in good reproductive health, then a bottle of beer will not affect sperm fertility. And when there are problems, drinking alcohol, even in small doses, can impair sperm quality.

On the normal mobility male germ cells can be affected by many factors. If a man has problems, then first of all he should normalize his lifestyle and nutrition, get rid of bad habits and, if necessary, take a course of medications.

The study of seminal fluid is an important component of a complete study of a man's health in case of doubt about a decrease in his reproductive capacity. At the same time, physical, chemical and other ejaculation criteria are identified, with the help of which the specialist makes a diagnosis.

Diagnosis sedentary spermatozoa' is quite common these days. In order to understand the very meaning of the disease, you need to turn to the anatomy and physiological structure of the reproductive system in men.

reproductive system

reproductive system consists of two testicles with appendages, seminal ducts and vesicles, cooper glands, scrotum and penis.

The prostate gland is the main one in the performance of the male intimate sphere.

Spermatozoa and hormones originate in the seminiferous tubules. The first are produced from precursor cells located on the skin layer of the tubules. They have a sinusoidal development. Ready sex cells are transferred through special tubules to the appendages, where the required volume of “tadpoles” is collected.

After that, the spermatozoa move along the vas deferens and move into the prostate. This event takes from one to one and a half weeks. For optimal performance educational process, the male testicles are descended into the scrotum, where the necessary temperature regime. It is also related to avoiding pathogenic infections and development of harmful microorganisms, which low temperatures slow down their reproduction.

Seminal vesicles take on the function of assimilation of fructose, which is nutrient for "tadpoles". It is also worth noting that in case of an unsuccessful sexual intercourse (sperm ejaculation is not performed), the spermatozoa move into the vesicles, in which they are split by special elements.

Influencing factors

Inactive spermatozoa and the main factors affecting the body:

  • Prolonged absence of sexual contact;
  • Poisoning with harmful substances;
  • Radiation;
  • magnetic fields;
  • Extreme air temperature;
  • Weak immunity;
  • Diseases of the reproductive system;
  • physical injury;
  • Problems with blood vessels in the genital area.

When determined exact reason decrease in sperm activity, an experienced specialist will be able to supply more accurate diagnosis and prescribe the right course of treatment.

It is also important that the indicators of the tests passed may have inaccuracies, in case of violation of the conditions for the sampling of raw materials or carrying out laboratory research. Therefore, before taking tests, it is not recommended to go to the bathhouse and other places that expose the body to thermal overload. It is necessary to donate sperm obtained exclusively by masturbation. The use of fluid from the condom will mix latex and lubricants into its composition. Collection of seminal fluid oral sex or after an incomplete intercourse is also wrong, since saliva is more likely to get into the material or vaginal discharge partners.

Causes

Inactive germ cells - an ailment that appears due to a change in the quality of the seminal fluid. Consider the main causes of inactivity:

  • High viscosity mixture of genital secretion products. Sperm should be thick and viscous only after ejaculation. Within sixty minutes, the semen becomes more watery, which allows it to start moving. In the case when, after one hour, the ejaculate does not turn into a liquid state, then the spermatozoa die. This process noted during the failure of the healthy functioning of the prostate;
  • Small amount of ejaculatory fluid. when the volume of fluid released is below the 2 ml mark, this indicates that there are deviations and malfunctions in the functioning of the genital organs in the body. Since semen contains substances secreted by the prostate and seminal vesicles, a low amount of secretions indicates a violation of the functioning of these organs. This malfunction reduces the level of nutrients in the seminal fluid, which leads to a decrease in the mobility of its cells;
  • High acidity of semen. During growth different kind inflammation in genitourinary system notes an increase in acidity in the composition of sperm. This has a negative effect on the motile function and viability of male germ cells. This happens due to the destructuring of the protective layer, which is the cause of premature cell death;
  • Disturbed structure of germ cells. The morphological structure of male germ cells is directly reflected in the speed of their movement. Any disturbance in the structure of spermatozoa leads to asthenozoospermia.

Therapy of the disease

Prevention and treatment will best action when it will be possible to determine the exact diagnosis of a decrease in sperm activity.

At viral diseases the effect needs to be eliminated. negative factor, therapy will be aimed at stimulating and increasing immune function. A course of vitamin preparations is prescribed, special physical exercise contributing to the optimization of the functioning of the reproductive system and its organs.

Smoking has a very negative effect on the quality of sperm. Nicotine acts on circulatory system causing spasmodic contraction blood vessels. This process disrupts the normal functioning of the system and reduces blood circulation in the genital area, and this leads to a violation of the formation of germ cells and male hormones. Therapy of asthenospermia is impossible without giving up a bad habit.

Treatment of ailments accompanied by inflammatory processes of the genitals starts with the definition of the pathogen. This is where the treatment options come in.

A special place in the treatment is occupied by proteolytic enzymes, which contribute to short time get rid of the infection and regenerate the affected tissues, correcting the defects that have arisen (scars, deformations of the outer part of the organ, etc.) due to inflammation.

Treatment of vessels passing in the small pelvis is usually performed on the operating table. The most common disease is varicose veins in the testicles. Despite the prevailing stereotypes, the cure for varicose veins is of great importance for optimizing sperm quality. This is due to more vessels passing in the testicle, which leads to the failure of the birth of new germ cells.

Testicular injury needs to be treated immediately. Under certain circumstances, it may be necessary to surgical operation.

The diagnosis of immobility of germ cells is made when the seminal fluid consists of more than sixty percent of the wrong sperm.

Slow spermatozoa with weak activity have category C. This type"tadpoles" carries out motor impulses either in one place, or moves along a different vector. immotile spermatozoa belong to category D.

Conclusion

You can increase the quality characteristics of sperm only after consulting with a specialist, passing necessary tests and having spent diagnostic measures. Only then can an accurate diagnosis and level be determined. negative influence on spermatozoa.

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Not only the reproductive function of a man depends on the activity of spermatozoa, but also general state his sexual health.

Bad sperm can be a consequence and cause of the development of many diseases that lead to the development of infertility or significant potency disorder.

The reason for the development of this condition can be both the existing inflammatory processes in the body and the impact of negative external factors.

    Sedentary spermatozoa

    In the male body, spermatozoa are in a stationary state. Activity begins only after they enter the reproductive organs of a woman. The term "inactivity" includes several concepts that relate not only to the ability of spermatozoa to move, but also to fully carry out their functions. Bad sperm can be:

    • inactive;
    • motionless;
    • lethargic;
    • slow;
    • lazy;
    • dead.

    These varieties of the state of sperm directly affect the likelihood of conception.

    Having studied the list of reasons why there may be low sperm motility, a man can independently identify the negative factors that affected his health and reproductive function, however self-medication is not recommended. Some accompanying illnesses imply complex and long-term treatment.

    The reasons for the development of bad sperm can be the following factors:

    • intoxication with substances contained in alcohol, nicotine or drugs;
    • level down immune system in the body;
    • development varicose veins veins in testicles;
    • malnutrition;
    • the negative impact of high temperatures;
    • development of endocrine diseases;
    • flaw folic acid in the body;
    • inflammatory diseases of the genital organs;
    • infectious diseases;
    • inflammation of the prostate gland;
    • genital trauma;
    • the patient's age is over 45 years.

    REFERENCE! The cause of low sperm motility may be the result negative impact chemotherapy or radiation exposure. This deviation can be provoked by some medications(for example, long-term use of potent drugs in the antibiotic category).

    Diagnosis and possible diseases

    Based on the study, not only the quality of sperm and spermatozoa is revealed, but also diagnoses possible diseases . The doctor analyzes the general condition of the patient, the presence of negative external and internal factors. Can be assigned if needed additional examination from specialized professionals.

    Impaired sperm motility can lead to development of the following diseases:

    • teratospermia ( a large number of sperm cells with a violation of the structure);
    • necrospermia ("dead spermatozoa");
    • asthenozoospermia (inactive sperm).

    IMPORTANT! Some diseases accompanied by poor sperm motility can be inherited. When diagnosing, it is important to exclude or identify the risk genetic predisposition. This type of deviation is the most difficult to correct.

    Treatment

    One of the main components of the course of treatment and increase in sperm activity is change in diet. A man needs to eat foods that increase sperm activity.

    Foods that replenish not only the supply of vitamins in the body, but also increase the level of folic acid. The diet must include Orange juice, legumes, peanuts, sunflower seeds, liver and beef.


    Restoration and increase in sperm motility occurs in several stages:

    • identifying and eliminating the cause of the deviation;
    • spermogram(the procedure is repeated several times);
    • change in lifestyle and diet;
    • laboratory study of ejaculates;
    • a course of treatment with vitamin complexes;
    • drugs to increase sperm activity and improve sperm quality (Speman, SpermaPlant, Verona, Tribestan, etc.);
    • antibacterial drugs (in the presence of infections);
    • androgen intake;
    • adherence to a therapeutic diet.

    ON A NOTE! Treatment is mainly aimed at eliminating the cause of the deviation. After the diagnosis is made, wearing tight underwear or trousers, hot baths should be avoided and, if possible, the abuse of bad habits should be reduced.

    How to increase sperm motility on your own?

    If the diagnosis did not reveal significant deviations in the work of the genital organs, but was disturbed as a result of the negative impact of external factors, then it will be necessary to restore the condition an average of three months. During this time, it will be necessary to follow the recommendations of the doctor, and to pay Special attention lifestyle.


    Tips to help increase sperm motility:

    • elimination excess weight if available;
    • introduction to diet useful products(vegetables, fruits, seafood, etc.);
    • reduction in the use of pastries, smoked meats, fatty foods and other harmful foods;
    • quitting smoking and drinking alcohol;
    • regular physical exercise(exception seated image life);
    • psychological state control;
    • exclusion of overheating of the genital organs;
    • timely treatment of diseases of the genitourinary system;
    • regular sexual intercourse (once every three days).

    You can increase your activity with folk remedies . Good results treatments show folk methods.

    For example, the use of decoctions from the root of colgan, plantain, ginseng, the introduction of parsley and perga (a beekeeping product) into the diet. You can improve the mobility, production and quality of sperm by taking a bath with the addition of chamomile decoction.

    If it is not possible to normalize the condition and increase the activity of sperm by the indicated methods, then a course of treatment with special preparations may be necessary, and the only way conception will be artificial insemination female egg.

The problem of conceiving a child worries every tenth married couple in Russia. In half of the cases, the cause of failure is male infertility. Asthenozoospermia (low sperm motility) is the main factor in poor male fertility, it accounts for 70% of cases of impaired human reproductive function. Pathology is diagnosed by visual examination of the ejaculate under a microscope or using a special apparatus that determines sperm motility based on changes in sperm density. The speed of movement of spermatozoa is assessed in real time using a special computer program.

Categories of sperm motility

The activity of male germ cells is determined by the amount of their movement in one second. During this time, a normal spermatozoon moves more than half its size in length, which is about 0.025 mm. There are the following criteria for its mobility:

  • Category A - the trajectory of movement is straight, the speed is normal (not less than 0.0025 mm / s).
  • Category B - movement is correct, rectilinear, but slow (less than 0.0025 mm / s).
  • Category C - the movement of spermatozoa around its axis or in a circle.
  • Category D - immobile spermatozoa.

What determines the mobility of male germ cells?

It is not always possible to determine the cause of low mobility. In 30% of cases, an idiopathic form of asthenozoospermia is recorded. Known factors affecting the activity of spermatozoa in the ejaculate:

  • Decreased testosterone levels. It is faced by people suffering from hypertension, overweight. Testosterone synthesis also declines with age.
  • An increase in temperature in the scrotum with varicocele (dilation of the veins of the vas deferens) or when wearing warm and thick underwear. The optimal temperature for sperm motility is 37 degrees, a higher temperature not only reduces mobility, but also causes the formation of abnormal forms.
  • Infections penetrating the gonads. These include smallpox, mumps, typhus, influenza, tuberculosis. In this case, the cause of infertility is a specific inflammation of the testicles.
  • Sperm motility depends on proper nutrition. An insufficient amount of zinc, vitamins and microelements leads to a violation of the synthesis of protein structures of gametes, which leads to low sperm motility.
  • Delayed ejaculation as a result of decreased libido (sex drive). This happens with the abuse of alcohol, smoking. sexual attraction decreases with age, as well as in diabetes mellitus.
  • Messy sex life not only reduces the quality of male germ cells, but also increases the risk of developing sexually transmitted diseases. abstaining from sexual life leads to aging of spermatozoa, and a decrease in their mobility.

Gamete immobility can be caused by many factors. All of them are subject to correction before treatment. Many cases of low sperm motility are corrected by the appointment of the necessary trace elements and nutritional correction.

Degrees of asthenozoospermia

There are 3 degrees of impaired sperm motility, which determines the severity of the disease and the choice of treatment tactics:

  • Mild degree - mobility retains a sufficient number of spermatozoa of category A and B (50%) for conception. The speed of movement is determined one hour after ejaculation. Achieving normal activity is achieved by correcting lifestyle and nutrition.
  • Average degree- an hour after ejaculation, 70% of spermatozoa become immobile. At this stage resort to the appointment of bioactive pharmacological agents.
  • Severe - 80-90% of semen consists of immobile, atypical spermatozoa. The patient is facing difficult treatment.

The classification was proposed by WHO, it is used for the diagnosis of male infertility in all clinics of the world. The degrees are determined by the results of spermatoscopy.

Treatment of insufficient sperm motility

Scales medical intervention with asthenozoospermia are different and depend on the causes. With varicocele, you can not do without surgery. But this is an extreme case. In the absence of pathologies, it is often enough to correct spermatogenesis, eliminate bad habits and add the necessary substances to the diet. The male reproductive system cannot function properly without essential substances: L-carnitine, antioxidants, vitamins E and B9, zinc and selenium. Therefore, complexes of these substances are included in the course of therapy, for example, Russian drug Speroton.

The production of normal sperm is prevented by tight, tight-fitting underwear. Men with poor sperm motility are advised not to take hot baths, not to visit saunas and baths. Experts recommend wearing loose, non-restrictive clothing. Preference is given to cotton underwear.

How to avoid low sperm motility?

To ensure a fruitful conception, experts recommend adhering to the following recommendations:

  • Overheating of the testicles reduces sperm motility, so it is recommended to refrain from baths, saunas, heating in car seats.
  • The amount of alcohol drunk should not exceed 50 ml for spirits or 200 ml of dry wine.
  • It is better to avoid smoking completely, as nicotine destroys essential vitamins, trace elements and bioactive substances.
  • Physical activity activates the production of testosterone. For this, 30-40 minutes of exercise or swimming three times a week is enough.
  • Stress, as the main factor in reducing blood circulation in the genitals, should be excluded from your life as much as possible.

Low mobility is treated in simple, affordable ways for everyone. You just need to follow the proposed recommendations for 4-6 months.

Pharmacological correction of asthenozoospermia

Low sperm motility can be the cause of failed conceptions. Every third man suffering from infertility has no reasons for insufficient activity of germ cells. Therefore, it is possible to increase the ability of spermatozoa to fertilize with the help of means whose effectiveness has been proven.

In particular, the above-mentioned Speroton passed 9 clinical research, which showed its effectiveness in asthenozoospermia. Taking the drug for 3 months increased sperm motility, their concentration in semen and increased the number of sperm with a normal structure.

Sperm motility is the main factor affecting the fertilization of the egg. Therefore, stimulating the activity of male germ cells gives a real chance for the birth of a baby.