Sperm problems are a disease that causes great distress for many men. As is well known, if one wants to conceive naturally between a man and a woman, it is necessary for the man's sperm to successfully meet the woman's egg to form a fertilized egg. But this process is not that simple. Whether the female egg cannot pass through the fallopian tube or the male sperm lacks vitality and dies halfway, it will lead to the final failure of conception. And asthenozoospermia is one of these very troublesome infertility diseases. So what is the manifestation of asthenozoospermia and how do you determine if you have sperm?

1、 Etiology and pathology of asthenozoospermia

When the antibodies in the male immune system are too high, it can affect the growth of sperm, disrupt sperm vitality, and the vitality and quantity of sperm cannot reach a certain level, leading to asthenospermia. Endocrine hormones can promote the production and maturation of sperm, and also affect their motility. If endocrine disorders, especially high levels of testosterone, can affect sperm motility, leading to a decrease in sperm motility. Varicocele is one of the causes of male infertility, which will affect male spermatogenesis and reduce sperm vitality, mainly because varicocele will lead to blood retention, microcirculation disorders will lead to insufficient nutrition supply, and endocrine dysfunction will lead to sperm problems. If acute or chronic inflammation occurs in reproductive organs such as the testicles, vas deferens, seminal vesicles, prostate, etc., the components in the seminal plasma will change, thereby affecting sperm motility and leading to asthenospermia. Generally, men will liquefy within half an hour after ejaculating semen. If semen does not liquefy, it can lead to high semen concentration and restrict the free movement of sperm. The space for sperm activity will also decrease, and in this case, the lack of vitality can lead to obstacles in sperm movement. Proper sexual activity can quickly produce sperm and improve sperm quality, while long-term abstinence can lead to high sperm density, more aging sperm, and poor mobility of these sperm, which can easily lead to asthenospermia.

2、 Symptoms of asthenozoospermia

Patients with asthenozoospermia have a large amount of semen, which is cloudy and yellow. Some patients with asthenozoospermia may also experience symptoms such as soreness in the waist and knees, fear of cold, and pain or dull pain in the lower abdomen and perineum. The pain during sexual intercourse will be more pronounced. Sometimes, patients may experience burning sensation in the urethra, pain and discomfort in the genitals, or pain during ejaculation. In severe cases, there may be a fear of sexual activity. Some men may experience erectile dysfunction, such as fatigue, chills, soreness in the waist and knees, and decreased libido. Some patients with asthenozoospermia may not have obvious symptoms and generally only know after examination. If men suffer from secondary seminal vesiculitis, prostatitis, epididymitis, and testicular diseases, they may be accompanied by related symptoms.

3、 How to Determine If You Have No Sperm

Whether men have azoospermia requires semen quality testing, but it cannot be determined based on external symptoms. Men need to abstain for 3-5 days before undergoing semen quality checks and obtain semen through ejaculation. By examining semen, we can determine whether there are sperm in the semen. If there are no sperm in the semen, testicular puncture is required to determine if there are any spermatogenic cells in the testicles.

Overall, asthenozoospermia is indeed a very troublesome disease, which is not only difficult to detect, but only through testing with a doctor can one fully determine whether one has asthenozoospermia. By relying solely on some common symptoms, it is almost difficult to detect that one has already contracted this disease, so it is generally difficult to treat. However, overall, it is still best to follow the doctor's instructions!