June 27, 2022

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Rreproductive tract infection affects semen fructose in infertile patients

Rreproductive tract infection affects semen fructose and other indexes in male infertile patients


Rreproductive tract infection affects semen fructose in male infertile patients.  The influence of reproductive tract infection on semen fructose and other indicators of male infertility patients.


Asthenospermia and oligospermia in male infertility are common and frequently-occurring diseases. Some patients can improve sperm quality through drug treatment. By effectively improving the sperm quality of male infertile patients, it can help infertile couples to get pregnant as soon as possible.

Refined berry sugar is the energy source for sperm movement. It is secreted by the seminal vesicle glands, and the reduction will affect the movement ability of sperm.


Before judging, it is necessary to understand the relevant standards of semen quality:

(1) Normal sperm:

Should have sperm density ≥20×106/ml, rapid forward motility sperm (A) grade ≥25%, or forward motility grade sperm (A+B grade) ≥50%.

(2) Oligospermia:

It means that the total number of spermatozoa is less than 40×106/ml, and the sperm density is less than 20×106/ml.

(3) Asthenospermia:

Refers to sperm density ≥20×106/ml, A grade sperm <25% and A+B grade sperm <50%. For oligoasthenozoospermia, more than two semen tests must be performed, and the second time is consistent with sperm density <20×106/ml but >5×106/ml, grade A spermatozoa <25% and grade A+B spermatozoa <50%.

(4) Severe oligospermia:

Refers to sperm density <5×106/ml.

(5) Azoospermia:

After the ejected semen was precipitated by centrifugation, no sperm was found in three consecutive microscopic examinations.

Seminal plasma biochemical index is a new test item in the diagnosis and treatment of andrology diseases in recent years, among which fructose reflects the function of seminal vesicle glands [10]. Seminal fluid examination also detects seminal plasma biochemical indicators. Male infertility patients with abnormal seminal biochemical indicators of one or more items are also common clinically. Different sperm quality, the incidence of seminal plasma biochemical abnormalities is different; the worse the sperm quality such as severe oligospermia, the higher the incidence of seminal plasma neutral α-glucosidase and Semen fructose abnormalities.

When talking about genital inflammation, in fact, it mainly refers to inflammation that occurs in the urinary system, including prostatitis, epididymitis and other diseases. Some patients with prostatitis may have chronic epididymitis and seminal vesiculitis. The seminal plasma biochemical indexes of some patients are abnormal, and the related seminal plasma biochemical indexes can be detected by semen examination at the same time to find out whether chronic epididymitis and seminal vesiculitis are combined.

Seminal plasma elastase is an index reflecting male reproductive tract infection in seminal plasma biochemical indicators. When the epididymis or seminal vesicle is inflamed, the seminal plasma elastase content should be used as an important reference index to assess the influence of inflammation. Seminal plasma elastase is a sensitive and specific indicator of inflammation.

Reproductive tract infections, normal sperm group and asthenospermia patients have an average decrease in the sugar levels of seminal berries, especially those with confirmed infections. The reduction of seminal berries sugar levels is more obvious and the differences are statistically significant, suggesting that the more serious the reproductive tract infection is, the seminal vesicle glands are damaged. The more obvious it is, it should arouse the attention of clinicians.

The detection of seminal plasma elastase and refined berry sugar can determine whether male infertility patients have reproductive tract infections and seminal vesicle gland lesions, which is helpful for clinical diagnosis and treatment, making drug treatment more targeted, and significantly improving the treatment of male infertility Effectiveness.

 

(source:internet, reference only)


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