Sperm diseases account for the vast majority of male infertility. And the most prominent one is oligospermia caused by various reasons. In the natural reproductive process of humans, it is necessary for sperm to successfully combine with the female egg in the end. There are many chemicals in the uterine and vaginal environment of women that can kill sperm, and only the strongest sperm are likely to reach the end. If the number of sperm is small, there will naturally be very few sperm that come to the egg, making natural conception almost impossible. Some male friends find themselves suffering from primary oligozoospermia. Can this primary oligozoospermia be fertile? How should I receive treatment?

1、 Etiology of primary oligospermia

The etiology of primary oligozoospermia is currently unclear. The patient has neither cryptorchidism nor inflammation of the reproductive system, nor developmental or systemic diseases. However, if the patient's sperm count is less than 20 million per ml during routine examination, the patient is infertile. Experts believe that this situation may be related to chromosomal genetic factors and endocrine hormones. Chromosome aneuploidy refers to chromosomal abnormalities, imbalances, or structural abnormalities. Both sex chromosome aneuploidy and autosomal aneuploidy can lead to spermatogenesis disorders, male oligospermia, or other unknown causes. If plasma hormone levels are measured, it can be found that their levels of luteinizing hormone and testosterone are normal, but some people have slightly elevated levels of follicle stimulating hormone. This may be due to the inhibition of testicular reproduction, which feedback an increase in follicle stimulating hormone, leading to the possibility of oligospermia.

2、 Can Primary Oligospermia Have Fertility?

Oligospermia refers to the low survival rate or poor quality of male sperm. Men with oligozoospermia also have a chance of giving birth, but the probability of giving birth is much lower than those with normal sperm. As long as you pay attention to your diet and ensure sufficient rest, you still have fertility. When men experience oligospermia, timely treatment is necessary. Some men who engage in excessive sexual activity during their youth can also cause oligozoospermia. For men who suffer from oligozoospermia due to certain reproductive diseases, regardless of the cause, timely treatment is necessary. If many healthy men have oligozoospermia, it may be caused by long-term work environment or exposure to radiation. For example, long-term employment in welding related jobs by men poses a significant risk to their sperm.

3、 Treatment methods for primary oligospermia

Endocrine dysfunction is a common cause of oligospermia. The production of male sperm is controlled by the hypothalamic pituitary gonadal axis. Once any link is abnormal, the production of sperm will be affected. Research has shown that elevated levels of prolactin and gonadotropin in men, as well as decreased levels of testosterone, can lead to oligospermia. For patients with oligospermia of unknown etiology, testosterone or testosterone derivatives can also be used to treat oligospermia, which plays an important role in improving sperm count and activity and is a commonly used method for treating oligospermia.

Overall, primary oligospermia, as a more complex type of oligospermia, is considered difficult to treat by the vast majority of people. However, as long as the cause is determined and treated with long-term medical advice, there will still be good therapeutic effects. But oligospermia is closely related to some bad lifestyle habits in men. If we cannot live a healthy life, oligospermia will not be fundamentally controlled!