What is normozoospermia and is it easy to get pregnant with it?
In the arsenal of doctors there are many terms that are not clear to most patients. Therefore, having received the conclusion about the spermogram diagnosed with “normozoospermia” or “normospermia”, a man and his partner have a lot of questions - is it normal and can one conceive a child with such a diagnosis? Let's look at all these questions in order.
What it is?
There are not so many situations in which a man may need to pass sperm for analysis. This usually happens when a couple cannot conceive a child and seeks help from a doctor. The doctor needs to evaluate not only female reproductive health, but also the male condition, because about 40% of all cases of family infertility are associated with just such a factor. A man is assigned a spermogram.
Suppose that the results after the laboratory tests indicated "normospermia", this means that all the criteria for sperm and germ cells of a man are normal. In the fertile abilities of this patient can be no doubt. If the results indicate "normozoospermia" - this means that the parameters in general and in general are also normal, but doctors do not give any guarantee that a man is able to conceive a childbecause the study was carried out under the simplified scheme.
If it is impossible to conceive a child with normozoospermia, in about half of the cases a more dilated spermogram usually reveals certain fertility disorders. It is difficult for ordinary people to understand why this is happening, but let's try to figure it out.
When carrying out a standard spermogram, 4 main parameters of male germ cells - spermatozoa are assessed in laboratory:
- quantity;
- concentration in 1 ml of seminal fluid;
- activity and vitality;
- morphological structure.
If all these parameters are normal, the diagnosis “normozoospermia” is established.
But in addition to these four parameters, there are other properties of the ejaculate, and deviations in them may well influence conception. For example, increased viscosity makes conception difficult, since the speed of sperm cells decreases, and increased acidity makes it difficult for survival of “zhivchik” in a rather aggressive environment of the female genital tract. That is why with normozoospermia no one guarantees that a man can become a father.
If you make a more advanced sperm with the assessment of all additional parameters, then in the absence of problems the man will be diagnosed with "normospermia". If certain negative changes in the semen are found, which are generally characterized as ejaculate with preservation of physical characteristics, then the conclusion will be described which particular normozoospermia was found in a man.
With agglutination
With such normozoospermia, “gluing” of the germ cells is observed due to the presence of antisperm antibodies. In the course of a certain immune process, a man’s immunity begins to treat his own germ cells as alien, as a result, young spermatozoa acquire “accompaniment” in the face of those same antibody proteins.Noticeably "slacker" sperm cells become less mobile, "stick together".
Such a pathology may occur on the background of a previous injury to the genitals - the penis or scrotum, after surgery in the pelvic organs, with infections, including "winged", such as chlamydia, which remain undetected for a long time, after sexually transmitted diseases, against the background of the inflammatory processes of the urogenital system.
With aggregation
If the doctor has established normozoospermia with aggregation, this suggests that completely normal healthy sperm are distributed unevenly in the seminal fluid. They can "gather" in big "companies", become clots.
Fertility is not lost, but it may be somewhat difficult. If there are no other pathologies as a result of spermograms, normozoospermia with aggregation is not a cause for great concern. Such a man may well conceive a baby without the help of doctors and reproductive techniques.
Usually during aggregation, mucus is present in the spermogram. To get into the seminal fluid, it may be due to the inflammatory process in the urinary tract of men, and this may be a long-standing inflammation, or rather what was left of it after the treatment completed.
Infectious and non-infectious inflammatory diseases of the urinary tract are the most common causes of sperm aggregation. If inflammation has not been identified, then nutritional problems, severe stress, and alcohol or drugs can be a likely cause.
Viscose
This term hides an overly viscous and very thick semen. With viscose, the ejaculate is so viscous that it complicates the task of the hard-working sperm, they are not able to move quickly and quickly towards their only goal - the fateful encounter with the egg. There are many reasons for this. This inflammation, and diseases such as orchitis, prostatitis, varicocele.
Sperm viscosity increases when a man takes hormones, especially anabolic steroid hormones, which are widely distributed among athletes. After a course of treatment with antibiotics for some time, the viscosity of the ejaculate also remains increased.
Viscosipathy is often found in men who lead a sedentary lifestyle, have a "sedentary" job, love to "take on the chest." If a man’s diet is inadequate, he may also have mucus in the ejaculate, and aggregation is also characteristic of men who are dehydrated.
Impact on conception
Relative normozoospermia with preservation of physical characteristics may well lead to the occurrence of pregnancy in the partner. And normozoospermia with seminal fluid pathology does not cause such optimism among specialists.
If, as a result, motility of sperm decreases, then everything depends on how it is reduced, sometimes the probability of conceiving a child with morphologically normal forms of spermatozoa and a sufficient number of them tends to zero.
However, normozoospermia with abnormalities is not a reason for making a diagnosis of infertility. Forms of male infertility and diseases normozoospermia does not apply. The problems associated with it are quite amenable to correction and treatment.
Normospermia - what the result looks like
We understood a bit about the concept of “normozoospermia” and its varieties, now it is time to understand what normospermia looks like:
Results in normospermia
Parameter | Norms until 2010 (sometimes used to this day) | Standards after 2010 (used in most cases) |
Volume of ejaculate | 2 ml and more | 11.5 ml or more |
Acidity environment | 7.2 or more | 7.2 or more |
Germ cell concentration | Not less than 20 million in 1 ml., Not less than 40 million in total ejaculate. | Over 39 million in total, at least 15 million in 1 ml of material |
Sperm motility | 50% of cells of type A and B, or 25% of cells of type A after 60 minutes after ejaculation | Not less than 40% of cells A and B, more than 32% of cells of type A |
Cell viability | 50% of live sperm and more | At least 58% of living cells in the ejaculate |
The presence of leukocytes | Not more than 1 million per 1 milliliter | Not more than 1 million per 1 milliliter |
The presence of sperm antibodies | Associated with antibodies not more than 50% | Not more than 50% |
The morphology of sparmatozodov | 15% of morphologically normal cells, and at least 4% | At least 4% of normal cells |
This is exactly the result of the spermogram, so that “normospermia” is established. Any deviations in the parameters described above may reduce the reproductive capabilities of the man.
Treatment
If, with the established normozoospermia, self-conception does not occur naturally throughout the year, the doctors recommend to undergo an MAR-test, make an extended spermogram, take urine and blood tests, test for sexually transmitted diseases and genital infections. Probably, microscopy of the prostate gland secretion will be required, as well as a smear from the urethra and sperm bakposev.
There are scrotal and rectal ultrasound scans. Only after the root cause of difficulties with conception is established, the patient is prescribed treatment. It is different depending on the type of normozoospermia.
With agglutination
Since the development mechanisms of the disorder are based on the inflammatory process, it is imperative to be treated, and observing all the recommendations of the attending physician, without showing "initiative". Depending on the exact reason, which determines the detailed examination, prescribe a course of antibiotics. What kind of drugs to prescribe, the doctor decides after getting his hands on the test results.
When establishing the pathogen prescribed point antibiotics that act specifically on a particular microbe. And if the pathogen remains unknown, broad-spectrum antibiotics are prescribed. No one can say in advance how many courses of antibiotic therapy will be required, there may be several of them.
The most time-consuming task is to neutralize the antisperm antibodies. This process, as already mentioned, is immune, and all that concerns human immunity is not fully understood by medicine. However, there are immunosuppressants, immunomodulators, drugs that have a "deterrent" effect on immunity. If necessary, men are appointed and they.
Monitoring of the dynamics is carried out after each completed course of therapy. If the results of the new semen do not again satisfy the doctor, he changes the drugs, and repeat the treatment.
The main drugs in various combinations are combined with other means - antihistamines, improving spermatogenesis, vitamin preparations. Most often prescribed: "Gonadotropin", "Clomiphene", "Vitaprost", "Speman".
With aggregation
To eliminate the reasons why mucus clots form in the ejaculate, doctors also use antibiotics. The most frequently prescribed drugs are a group of macrolides, fluoroquinolones. In parallel with them, vitamin complexes or individual vitamin preparations and means to improve the quantitative and qualitative composition of the ejaculate are recommended.
A man with normozoospermia by the type of aggregation is very necessary to obtain in sufficient quantities vitamins A, E, C, vitamin D, folic acid, necessarily selenium and zinc. Means for improving spermatogenesis are commonly used such as: "Spermaktin", "Viardot", "Prostamol DNA", "Verona", "Selentsink".
It is always easier to treat disturbed aggregation than agglutination normozoospermia. Projections to conceive, if possible, in the process of treatment for sperm with aggregation are more favorable.
Sometimes a man can simply stop being nervous, start eating right, engage in gentle sports that do not require excessive physical overload, and the situation with the composition of seminal fluid is normalized.
Viscose
Regular drinking water helps to reduce the viscosity of seminal fluid. Men with such a diagnosis in the required order should drink at least 2 liters of clean drinking water per day. In most cases, this gives an excellent result after a couple of months.
At the same time, preparations for sperm liquefaction can be prescribed, for example, Speroton, as well as preparations with a high content of zinc and selenium. Often, men with viscose are effectively helped by drugs used to thin the sputum when coughing - drugs - with a mucolytic effect.
Treatment viscose takes a lot of time. It should be prepared for the fact that it will take from 3 months to six months. But subject to the appointment and recommendations of the specialist results will be required.
General recommendations
When detecting normozoospermia a man should not despair, because no one considers him fruitless or sick. He just needs to gather the will into a fist and start changing his lifestyle. This will be a good help for prescribed therapy by a doctor.
First of all, to improve the performance of sperm, you should abandon shock work on the night shift: sleep a man who wants to become a father, must not less than 8 hours a day, and specifically at night.
This will help to normalize the hormonal background, reduce the level of perception of stress, the health of the representative of the stronger sex will be noticeably better. You can not go to the bath, to the solarium, to the sauna, even if you really want it - any temperature effect on the testicles impairs the quality of the male seed.
A man should pay special attention to their gastronomic habits - addiction to fast food, to food saturated with dyes and preservatives, adversely affects the composition of sperm.
The diet should be present daily foods that contain large amounts of protein - dairy products, eggs, fish, meat. You also need products with a high content of vitamins, oranges, lemons, black currants, nuts, fresh greens, fresh tomatoes that are required to improve the quality of sperm.
Among all sports that are suitable for the good purpose of keeping fit in the treatment of normozoospermia, one should choose those that do not require power overload. Swimming, light running, and weight lifting, bodybuilding, and cycling are best avoided.
It is important that during treatment the man is not in contact with toxic substances, heavy metal salts, painting substances, pesticides and nitrates. All these substances adversely affect the state of the male germ cells.
Sexual activity during treatment should be moderate, doctors recommend having sex about 2-3 times a week, more frequent contact can cause microtrauma of the vas deferens, pathological sperm liquefaction, a decrease in its volume. Prolonged abstinence also does not benefit the man.
Repeated semen can be done at any time, but it is best to wait for about 3 months. It is during this period that the cycle of spermatogenesis is completed, new spermatozoa are formed.
Treatment of folk remedies
Folk remedies can be very effective, but only in combination with the prescribed traditional treatment, not in its place.
Nettle helps to improve the quality of seminal fluid - ordinary green tea is brewed from it, which a man can take 2-3 times a day in a small cup. According to reviews, nine-force is an effective remedy, as well as hips. From them prepare broth, and also eat berries in a pure look.
How to get pregnant with a bad semen, see the following video.