Patient.
Hello, Dr. Du. My beloved got pregnant in 2010 and miscarried after 3 months with fetal buds and no fetal heartbeat, and two months after getting pregnant in 2011, there was no gestational sac and it was said to be a biochemical pregnancy. I am 31 years old, and my semen quality was found to be low after my beloved’s miscarriage, and ultrasound showed varicocele on the left side and spermatic sphincter on the right side. The inner diameter of the spermatic vein was normal and there was no reflux on the recheck at three months after the operation. The testicles, epididymis and seminal vesicle glands were normal. However, the results of the semen examination were not satisfactory, except for the reduction of the malformation rate, and the improvement of the symptoms of weak sperm was not obvious. I will go to your hospital for a face-to-face consultation in the next few days, so I will first tell you about my situation.
My lover and I have a normal sex life, no physical symptoms (i.e. no uncomfortable symptoms such as mycoplasma or chlamydia infection) my blood type is AB positive, my lover is A positive, and both sides have normal chromosomes.
My endocrine indicators, seminal plasma biochemical indicators, and sperm membrane surface antibody lgG are all normal.
Before the operation, I had a routine prostate fluid examination: leukocytes 10-20, lecithin vesicles ++-+++. The rest are normal.
The actual spermatozoa are not in a position to be able to be used in the event that they are not.
After the surgery, he took Xuanju Capsules, Yiliwixian Zinc Capsules, and ve. Three months later (2012.1.6), the semen quality did not improve much. In the last month or so, he took Wu Zi Yan Zong Wan, VE, zinc and selenium, lycopene capsules, and a glass of honey water in the morning and evening on an empty stomach.
After April 2012, I took Zhi Bai Tang (Chinese herbal medicine), Mai Zhi Ling, Ning Ju Tai capsule and Gui Ling Ji for more than a month. I had a semen examination on May 11, and the list is below.
Note: The semen analysis test sheet from September 20, 2011 was done two days before the surgery.
The semen analysis test sheet dated January 6, 2012 was done more than three months after the surgery.
The test on February 9, 2012 was done at the Reproductive Hospital of Shandong University.
(2012.5.11) I went to the city people’s hospital again to do the semen examination. The results are as follows.
1, semen volume 2ml; liquefaction time: 20 minutes completely liquefied; pH 7.4; color: grayish white; viscosity: moderate.
2. Dynamic analysis report
Sperm classification Number of sperm examined Sperm density 106 /ml Total number of sperm 106 Percentage %
Total 831 332.8 665.29 100%
Class a 26 10.42 20.83 3.13%
Class B 183 7.31 146.62 22.02%
Grade C 152 60.89 121.78 18.29%
Class D 470 188.28 376.56 56.56%
Class A+b sperm 209 83.72 167.45 25.15%
A+b+c spermatozoa 361 144.61 289.23 43.44% (motility rate)
3. Morphological analysis report of spermatozoa
Number of counted sperm: 200
Number of normal sperm: 44, accounting for 22%
Defective sperm count: 156, accounting for 78%
Number of head-deficient sperm: 152 or 76%
Number of defective spermatozoa in the neck and middle end: 4 or 2%
Number of defective spermatozoa in the tail: 16 or 8%.
1. Can deformed sperm fertilize an egg? Some doctors say it is possible to conceive, but it is prone to abortion and miscarriage. There are also many male doctors who say that as long as you can get pregnant, you don’t have to be too concerned about the deformity rate. I watched CCTV9 “Human Mystery” program also said that deformed sperm can not reach the uterus.
2. How to improve sperm vitality and reduce malformation rate? Du Baojun, Fertility Center, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine