Oligoasthenoteratozoospermia
Oligoastenoteratozoospermia is a number of disorders that cause a decrease in sperm concentration (oligozoospermia), a decrease to less than 50% of full-fledged spermatozoa (teratozoospermia), a decrease to less than 50% of moving forward spermatozoa (asthenozoospermia).
Male infertility can be caused by various factors and is divided into mixed, secretory, immunological, excretory, idiopathic forms. Approximately one third of all causes of infertility in men are caused by idiopathic oligoasthenoteratozoospermia.
Causes of oligoasthenoteratozoospermia
The occurrence of oligoasthenoteratozoospermia is due to internal disturbances in the body, provoking infertility. So, not the last role is played by abnormalities in the development of the reproductive system, including hypoplasia or aplasia of the testicles and their appendages. Often, the cause of oligoasthenoteratozoospermia is cryptorchidism, abnormalities in the adrenal glands, thyroid gland, diabetes mellitus, liver and kidney diseases, dropsy of the testicular membranes. If varicose veins are noted in the mixed cord, then this can provoke disturbances in the normal functioning of the reproductive system in men.
An important role in the development of oligoasthenoteratozoospermia is played by the transferred infectious diseases of a viral or bacterial nature (mumps, tuberculosis, syphilis, typhoid). Ecology in the place of residence and safe conditions of professional activity play an important role. For example, work in conditions of electromagnetic fields with high intensity and frequency of ionizing radiation, work in a high external temperature, etc., has a negative effect on the body. Great harm is done when men work with mercury, pesticides, lead, herbicides, alkalis, acids, arsenic, cadmium, zinc.
Another common cause of oligoasthenoteratozoospermia is an unhealthy lifestyle that has an extremely negative impact on men's health. So, taking drugs, smoking, excessive consumption of alcoholic beverages, antidepressants, tranquilizers has a destructive effect on the body.
Diagnostics of the oligoasthenoteratozoospermia
It should be noted that oligoasthenoteratozoospermia does not have external clinical manifestations, therefore, the diagnosis of the disease presents certain difficulties.
Diagnosis of oligoasthenoteratozoospermia is carried out on the basis of data from the results of sperm analysis. Actually, the spermogram is the main source by which deviations from the norm can be determined. According to the recommendations of the World Health Organization, there are certain criteria for normal sperm, which are used in clinical practice in all countries of the world.
Carrying out this analysis is a very responsible procedure, and is carried out only in specialized clinics in compliance with all the necessary conditions. Spermogram - the analysis is very complex, it requires high professionalism of laboratory doctors. It should be done very carefully.
To make the result as accurate as possible, it is recommended to take a spermogram several times, since a large number of factors can influence the analysis results.
Treatment of oligoasthenoteratozoospermia
To date, world medicine has made significant progress in the treatment of oligoasthenoteratozoospermia. This success is largely due to the introduction of intracytoplasmic sperm injection (ICSI) into practice. This advanced method allows men to have offspring even with such disappointing diagnoses as teratozoospermia, oligozoospermia and asthenozoospermia, and, as you know, oligoastenoteratozoospermia is a combination of all three indicators of disorders.
The ICSI method implies that one spermatozoon, previously designated by morphological characteristics, will enter the ooplasm. Today, the ICSI technique is based on IVF and PE programs and is considered one of the most effective methods of fertilization, therefore it is widely used all over the world.
In contrast to IVF, where successful fertilization depends on the presence of a large number of sperm, with the ICSI method only one sperm is injected. This proves that sperm count is unimportant for successful fertilization. However, when choosing a sperm, attention is paid to its motility and normal morphology, which is assessed by the Kruger criterion.
The parameters for the successful treatment of oligoasthenoteratozoospermia in men using the ICSI method are the presence of motile and healthy sperm in the testicle or ejaculate, and high-quality oocytes in women.
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The information is generalized and provided for informational purposes only. At the first sign of illness, see your doctor. Self-medication is hazardous to health!
