Can asthenospermia be treated by surgery?

Asthenospermia refers to the lack of sperm quantity or vitality, which is easy to lead to male infertility. However, with the development of modern medicine, surgical treatment has become an effective method to help asthenospermia patients achieve their reproductive aspirations. Next, we will elaborate from four aspects: semen detection, surgical treatment methods, surgical risks and postoperative precautions.

Semen test

Before deciding whether to perform surgical treatment, semen test is required first. Semen test can evaluate the quantity, quality and vitality of sperm by collecting semen samples for laboratory analysis. This is a key step to determine whether there is asthenospermia, help doctors understand the condition, and provide guidance for the next surgical treatment.

Semen detection usually includes determination of sperm concentration, motility, morphology and other indicators in semen samples. If the test results meet the criteria of asthenospermia, then surgical treatment may be a feasible option.

Surgical treatment

For asthenospermia, the goal of surgical treatment is to increase the number of sperm and improve the vitality, thereby improving the chance of pregnancy. Common surgical treatments include testicular sperm extraction (TESA), spermatic vein embolization (PVRS) and spermatic cord ligation.

TESA is a method of obtaining sperm samples during surgery, which is applicable to the condition that sperm exists in male testes but cannot be discharged normally. The operation collects sperm in the testicle by puncturing the testicle to provide sperm samples for assisted reproductive technology.

PVRS is an operation for treating varicose veins, which can help asthenospermia patients reduce harmful substances in semen and improve sperm vitality. This operation can prevent harmful substances from flowing back to the testis by ligating spermatic vein, thus improving sperm quality.

In addition, spermatic cord ligation can achieve the effect of contraception by ligating the vas deferens. However, this method is not suitable if the patient has a need for fertility before surgery.

Surgical risk

Although surgical treatment can improve the symptoms of asthenospermia, there are certain risks. Complications such as infection, bleeding and postoperative pain may occur during the operation. In addition, the success of the operation also depends on individual differences and other potential disease conditions.

Therefore, before choosing surgical treatment, it is necessary to fully understand the risks and possible complications of surgery, and professional doctors should evaluate and guide them.

Precautions after operation

After surgical treatment, patients need to strictly follow the precautions given by the doctor to ensure the surgical effect and postoperative recovery. Precautions include avoiding heavy physical labor, maintaining good living habits, and returning to hospital regularly.

In addition, further assisted reproductive technologies, such as in vitro fertilization (IVF) or intracellular sperm injection (ICSI), should be carried out after surgical treatment to improve the chance of pregnancy.

In general, asthenospermia can achieve fertility desire through surgical treatment. Semen test can help to determine the condition and select appropriate surgical methods. However, surgical treatment has certain risks, and patients need preoperative evaluation and postoperative care under the guidance of professional doctors. It is hoped that this introduction can help asthenospermia patients better understand the relevant information of surgical treatment.