Asthenozoospermia, also known as low sperm motility, refers to disease that the motility of sperm in the forward movement is less than 50% or sperm in fast forward movement is less than 25%.The biggest worry of the patients with asthenozoospermia is infertility, which is mainly caused by the low sperm motility. In 2015, Eslamian et al. These cookies do not store any personal information. As one shall see below, the different grades of asthenozoospermia are not clearly defined. World Health Organization (1992): WHO Laboratory Manual for the Examination of Human Semen and Sperm–Cervical Mucus Interaction, ed 3. Can ICSI / PGD help? I am 44 years old. Doctorate in Reproductive Medicine at the Autonomous University of Barcelona, specializing in Obstetrics and Gynecology. I do not know whether it’s normal or not. To change the parameters of the spermogram for the better, in some cases it was enough to change the way of life and nutrition, as well as the rejection of bad habits. If he thinks that those kind of treatments cannot improve quality the only alternative is to go to a fertility specialist in order to undergo a fertility treatment such as artificial insemination or in vitro fertilisation. Oligoasthenoteratozoospermia, or OAT, is a condition that includes oligozoospermia (low number of sperm), asthenozoospermia (poor sperm movement), and teratozoospermia (abnormal sperm shape). It decreases the sperm quality and is therefore one of the major causes of infertility or reduced fertility in men. Blanco AM (1992): El laboratorio en el estudio del factor masculino en infertilidad. Video: Astenozoospermia (Asthenozoospermia), by Laura Mifsud Elena, BSc, MSc, Jul 8, 2015. Would like to understand the Chances of Natural Conception and should i need to take any suitable medication to improve the parameters? By sharing this post, you are helping us to keep ourselves motivated to work even harder. The percentage of these that exhibit progressive motility,  the percentage of non-progressive motile sperm (those who have movement but do not move) and finally the percentage of immotile sperm are determined. If a man has poor sperm mobility, it’s called asthenospermia or asthenozoospermia. If it is altered it might be the cause of the infertility and it is advisable to contact a fertility specialist to extend the fertility study and be assessed about which treatment is the most suitable in your case. ', 'Can I conceive naturally with asthenozoospermia? Non Progressive Motility(NP) 10 Below is a list of common natural remedies used to treat or reduce the symptoms of Asthenozoospermia. According to sperm motility, semen routine analysis can be divided into four levels: a, b, c and d. a refers to the sperm which swims fast forward, b refers to the sperm which swims slowly forward, c refers to the sperm that does not swim forward, and d … OAT is the most common cause of male subfertility. The period of abstinence is an aspect that has varied over the years, thinking at first that the greater the abstinence, the better the result of both the seminal diagnosis and the embryonic evolution and term pregnancy. Hence freezing sperm prior to treatment is considered if future fertility is desired. If the abstinence is less than two days, we will find spermatozoa that possibly have less DNA fragmentation, but the count of the number of spermatozoa is lower than in normal conditions. Subfertility is when a man cannot get a woman pregnant after 1 year of regular sex without birth control. What is azoospermia ("no sperm count"), it is a medical condition of a man not having any measurable level of sperm in his semen.It is associated with very low levels of fertility or even sterility, but many forms are amenable to medical treatment. If it has been assessed by the Kruger method the cut point is at 14%, which would mean that, in your case, that parameter is altered. Asthenozoospermia is a decrease in the percentage of motile sperm in a sperm sample and it is identified by means of a seminogram or semen analysis. I am 31 years old married male and we are attempting for baby from past 3 years with no success. Depending on the specific percent of immotile sperm that are present on the sample examined, we can distinguish several types of asthenozoospermia. But no positive results. In the case of morphology, it can be analysed with different methodologies that have different reference values. Broadly speaking, there is Viscosity Viscous Having a baby naturally is not impossible but, since it can be complicated to achieve, I recommend that you visit a fertility specialist. Bachelor's Degree in Biotechnology from the Polytechnic University of Valencia. and 'Are teratozoospermia and asthenozoospermia caused by the same factors?'. [See original video in Spanish]. Biotechnology Degree from the National University of Ireland en Galway (NUIG) and embryologist specializing in Assisted Reproduction, with a Master's Degree in Biotechnology of Human Reproduction from the University of Valencia (UV) and the Valencian Infertility Institute (IVI). Moreover, you will receive a report via email with useful tips to visit a fertility clinic for the first time. ', More information about Laura Mifsud Elena, Allows SESSION variables to be stored on the web server, Checks if the inclusion of cookies has been previously accepted, Allows Litespeed Server to store configurations to improve web performance. This article related to the genitourinary system is a stub. I am a smoker. Asthenozoospermia (or asthenospermia) is the medical term for reduced sperm motility. Here is my semen analysis: In short, these are the potential assisted reproduction treatment options available: If you need to undergo IVF to become a mother, we recommend that you generate your Fertility Report now. Because I find this shameful. Sperm Concentration 56 This can be relieved by simply taking a break from the activity. Specialist in Medical Translation, with several years of experience in the field of Assisted Reproduction. Postgraduate course in Medical Genetics. The final diagnosis can be more or less severe based on the type and speed of motion, as well as on the number of immotile sperm. Therefore, a fertility specialist would recommend some more tests, specially to you your wife, and then decide with all the result which is the technique that suits your case the best. Ph 8.0 discussed this issue in the journal Human Reproduction Update. Total Motility(PR+NP) 35 Smoking can reduce the sperm count by 17.5% and sperm motility by 16.6%. What Is Asthenozoospermia? Depending on your partner’s fertility and age the specialist will recommend one treatment or the other. Master's Degree in Biotechnology of Human Assisted Reproduction from the University of Valencia along with the Valencian Infertility Institute (IVI). This category only includes cookies that guarantee the basic functionalities and security features of the website. During sperm analysis, a drop of semen is introduced into the sperm-counting chamber (Makler or Neubauer chamber) under the microscope, and 100 spermatozoids are counted. The first line of treatment should be aimed at improving habits and quality of life: not smoking, not drinking alcohol, not taking drugs, exercising, not being overweight, eating a balanced diet, etc. To learn more about this diagnostic test, read: What Is a Semen Analysis Report? If teratozoospermia is inherited genetically, it is not curable. Absolute Asthenozoospermia is when no sperm move at all. Asthenozoospermia is a cause of male infertility. If the number of sperm with progressive, fast motility is too low, it would be qualified as severe asthenozoospermia as well. – Causes & Treatment. On the other hand, oligospermia is used to refer to the presence of a low sperm count in the semen. When sperm are unable to move forward, or they do so but inadequately, getting pregnant naturally becomes very hard. Lifestyle changes Losing weight and maintaining a healthy weight may improve sperm numbers. But what do you know about this sperm parameter? If the man has a high percentage of sperm with mobility problems, it is difficult to achieve pregnancy naturally. Volume 0.5ml As for possible treatment options, there exist two possible ways one can improve sperm morphology or even restore normal morphology: In cases of severe asthenozoospermia, restoring fertility with any of these treatment options is complicated. Round Cells 3-4. By Álvaro Martínez Moro (embryologist). Since you have been 3 years trying to conceive if morphology is normal you should run other tests in order to determine the infertility causes. Furthermore, the supplementation with DHA in human has been reported to increase sperm motility. Any infection present must be treated with antibiotics. Rut Gómez de Segura (gynecologist). Throughout this post, we have explained all about asthenozoospermia, which is a sperm disorder that affects sperm motility. Diagnosing asthenozoospermia or any other sperm diagnosis with a single sperm analysis is a mistake, since it might be due to a external or environmental factor, or a temporary circumstance of the patient. It is commonly known as slow moving sperm or lazy sperm. The recommendations of the World Health Organization is to have sexual abstinence of between 2-7 days. Sperm concentration 37 M/ml, total sperm count 55.5M/ejaculate, Motile count 09 M/ml, Progressive 3%. We are trying for a baby for the last 9 months. By Zaira Salvador BSc, MSc (embryologist). ', 'Can a period of abstinence influence sperm motility? Although there exists no specific value, we could determine that it is a severe case of asthenozoospermia if the percent of immotile sperm is close to 75-80% or even higher. To keep all these cookies active, click the Accept button. Aitken RJ, Buckingham DW, Brindle, J, Gomez E, Baker HWG, Irvine DS (1995): Analysis of sperm movement in relation to the oxidative stress created by leukocytes in washed sperm preparations and seminal plasma. Bachelor's Degree in Biology from the University of Valencia (UV). In most of the cases, asthenozoospermia and teratozoospermia have the same causes. You might not need any treatment, at least not immediately. Asthenozoospermia is when sperm motility — or how the sperm swim — is abnormal. For example, if the morphology has been assessed by the WHO method the cut point is 4% of normal forms or more. Also, several references to the semen analysis test have been made through this article, as it is the only test that allows us to diagnose not only asthenozoospermia, but also other sperm disorders. Dear Sandeep, Complete asthenozoospermia, that is, 100% immotile spermatozoa in the ejaculate, is reported at a frequency of 1 of 5000 men. When a man is asthenozoospermic and therefore is unable to get his wife or partner pregnant, the most recommendable treatment option is In Vitro Fertilization (IVF), either conventional or using ICSI (Intracytoplasmic Sperm Injection). [1] Causes of complete asthenozoospermia include metabolic deficiencies, ultrastructural abnormalities of the sperm flagellum (see Primary ciliary dyskinesia) and necrozoospermia. according to the results of your semen analysis, your sperm concentration is good. inviTRA Copyright © 2021. Sperm Count: 54Mil/ml The rationale for this is as follows: if only a few are able to swim but they more progressively and forward, it can be qualified as mild asthenozoospermia. However, if sperm motility is severely affected, the only option to become parents would be using a fertility treatment like IVF with ICSI. Antioxidant treatment of patients with asthenozoospermia or moderate oligoasthenozoospermia with high-dose Vitamin C and Vitamin E: a randomized, placebo-controlled, double-blind study Hum Reprod 10:2061–2070. Throughout this article, we will explain the causes of poor sperm motility, as well as the methods used to detect it, and the best treatment options. PUS Cells 2-3 /hpf It is the most common cause of male subfertility. Excessive consumption of alcohol or other drugs (snuff, marijuana, etc), Advanced age: there's a significant decrease in mobility after 45 years, Exposure to toxic agents (fertilizers, chemical solvents), Cancer treatments such as chemotherapy and radiotherapy. Is there any food that improves astenozoospermia? According to the World Health Organization (WHO), a progressive motility of more than 32% (31-34%) is considered normal, while total motility (progressive + non-progressive) is 40% (38-42%). Depending on the severity of OA, or if there exist other fertility issues in the man and/or the woman, the best treatment option will be different. Reproducción Asistida ORG. Asthenospermia treatment in Tami sometimes called “asthenozoospermia” refers to low motility of the sperm cells in the ejaculated semen. Causes of zero sperm motility (absolute azoospermia) ... (even when the first one does not). My problem is with Sperm quality which is as follows; I am a 39-year-old male having married last year 2015. Bachelor of Arts in Translation and Interpreting (English, Spanish, Catalan, German) from the University of Valencia (UV) and Heriot-Watt University, Riccarton Campus (Edinburgh, UK). Asthenozoospermia, also known as asthenospermia, is an alteration that affects sperm motility. ", "Which isolated sperm abnormality is most related to sperm DNA damage in men presenting for infertility evaluation", "Sperm DNA damage caused by oxidative stress: modifiable clinical, lifestyle and nutritional factors in male infertility", "Effect of dietary supplementation with a highly pure and concentrated docosahexaenoic acid (DHA) supplement on human sperm function", Chronic prostatitis/chronic pelvic pain syndrome, Pseudoepitheliomatous keratotic and micaceous balanitis, https://en.wikipedia.org/w/index.php?title=Asthenozoospermia&oldid=1021881043, Creative Commons Attribution-ShareAlike License, This page was last edited on 7 May 2021, at 05:51. Are teratozoospermia and asthenozoospermia caused by the same factors? Powered by DCIP Consulting. Arch Androl 20:31-34. If you have HPV, your doctor will want to make sure you don’t develop any problems from it. determined by oligozoospermia, asthenozoospermia, and azoospermia, and to observe the effects of the long-term treatment with bromocriptine in patients with idiopathic oligoastheno- zoospermia. ', 'Are teratozoospermia and asthenozoospermia caused by the same factors? Similarly, what causes Asthenozoospermia? The analysis was done by chance. For this reason, progressive movement and speed motion are key aspects to keep in mind when it comes to achieving a natural pregnancy. Bruno Dahlberg (1990) Asthenozoospermia/Teratozoospermia and Infertility, Archives of Andrology, 25:1, 85-87. The male factor has become one of the most relevant aspects of assisted reproduction recently. Low sperm motility is one factor that can lead to infertility. Dahlberg B (1988): Sperm motility in fertile men and males in infertile units: In vitro test. Asthenozoospermia is a decrease in the percentage of motile sperm in a sperm sample and it is identified by means of a seminogram or semen analysis. Asthenospermia is not symptomatic, if not difficult to conceive. With your analysis result it is possible to perform FIV or ICSI, and PGD might not be necessary. There are also a variety of dietary supplements, as well as vitamins and raw materials that are thought to help with a low sperm count. Can I conceive naturally with asthenozoospermia? ', 'Can a period of abstinence influence sperm motility? Do you want to learn more about the way sperm swim? Fructose Positive Non Linear – 40% In order to do this, they have to overcome several obstacles until they can reach the Fallopian tubes, where the oocyte is waiting. We are Married and TTC for 3 Years. Strenuous activities: Riding (cycling, horseback) can cause testicular inflammation. However, it is known that sperm motility may be influenced by the following factors: The presence of other sperm disorders such as teratozoospermia or oligospermia can cause asthenozoospermia. A seminogramis the diagnostic test used for its detection. It is used to limit the percentage of requests. Can a period of abstinence influence sperm motility? Below you have an index with the 9 points we are going to deal with in this article. What to do? Nonetheless, they do not go hand in hand in all cases. [301. By Dr. María Arqué (medical director at fertty international). Exploracion Funcional Endocrina. Large experience working as an embryologist and head of laboratory at the Quirónsalud Hospital of Valencia, Spain. What are the possible treatments for asthenozoospermia? They do not appear to … Treatment may not improve sperm numbers, but it may prevent greater sperm count drops. Postgraduate Course in Legal Translation from the University of Valencia. Sperm Morphology: 5%. I hope I have been able to help. Cancer chemotherapy and radiotherapy induced defects in sperm morphology are also difficult to cure. Complete asthenozoospermia, that is, 100% immotile spermatozoa in the ejaculate, is reported at a frequency of 1 of 5000 men. The term teratozoospermia refers to abnormalities that affect sperm morphology. Hi, Appearance Grey Forward Movement – 60% Poor sperm motility is named as Asthenospermia that reduces the sperm quality to result in male infertility. What Is a Semen Analysis Report? DHA (docosahexaenoic acid) is an acid form by six double bons which allows the fluidity of the membrane, necessary to the fusion with the ovule. One of the major causes is the production of ROS, which directly affects sperm motility by production of high concentration of malondialdehyde (MDA) in the semen, which is an end product of lipid peroxidation [47] . Liquefaction Time 30mins The necessary cookies are absolutely essential for the website to function properly. At Welling Homeopathy, our infertility treatment protocol offers a highly specialised treatment for Asthenospermia. Treatment of Asthenospermia. Dear Senthil, I have high blood pressure (BP) and there I’m taking medicine, 5 mg amlodipine daily for the last 7 years. Asthenozoospermia (or asthenospermia) is the medical term for reduced sperm motility. A balloon-like swelling under the foreskin may occur with urination. In this case, the morphology of your semen analysis would be normal. Asthenozoospermia is a decrease in the percentage of motile sperm in a sperm sample and it is identified by means of a seminogram or semen analysis. ', 'What are the symptoms of asthenozoospermia? If we have a high abstinence period, it is likely that we will find reduced sperm motility. Motile – 15% (Active 10%, Weak-5%). Studies in mice have shown that DHA is essential for acrosome reaction and a DHA deficiency results in abnormal sperm morphology, loss of motility and infertility; which can be restored by dietary DHA supplementation. Last but not least, if you are interested or need to undergo ICSI, the fertility treatment typically used to achieve pregnancy with asthenozoospermia, click here: What Is ICSI Technique? Akadia, 1992. Dear Herald, Cambridge,UK: Cambridge University Press. Best of lucks. It occurs in 1 in 5,000 people. Sperm Motility: 42% Those affected are at greater risk of inflammation of the glans, known as balanitis, and other complications. Master's Degree in Biomedical Research from the University of Valencia, and another Master's Degree in Medicine and Reproductive Genetics from the Miguel Hernández University of Elche. 3. However, I’m afraid with only 3% of sperm with progressive motility achieving a natural pregnancy is not possible, since immotile sperm or with a reduced motility are unable to reach the egg and fertilize it. – Purpose, Preparation & Cost. Value We place a significant value on … Motility is a very important quality for male fertility and is associated with your odds of conceiving naturally. Since sperm motility is affected with asthenozoospermia, achieving this goal is complicated. More information on the, Laura Mifsud Elena - Interview on asthenozoospermia, The path of the sperm cells to the oocyte. Fortunately abnormally shaped sperm just don’t work and are thought to be unable to fertilize an egg or create a viable pregnancy. [2] Among men with asthenozoospermia, 31% were found to have high levels of DNA fragmentation. Moreover, the time period between semen analyses should be a reasonable one in order to make sure the external factor influencing it has disappeared. What are the symptoms of asthenozoospermia? In addition, follicle-stimulating hormone and anti-estrogens in combination with testosterone may be beneficial treatments in selected patients (always under strict medical supervision by a specialist). There are several important parameters that would be helpful, like volume, vitality and an analysis of the motility that allows to differentiate between the different types (progressive, non-progressive…). Certified by Health Quality Agency of Andalusia, Certified Medical Website by the Official College of Physicians of Barcelona, Busines Adapter certificate in compliance with the LSSI (Spanish Information Society Services Act). The period of abstinence differs according to the assisted reproduction unit attended and the standardization of the processes. As for the possible pharmacological treatment, it should always be indicated by a urologist. Our editors have made great efforts to create this content for you. Find the latest news on assisted reproduction in our channels. I do not complain of any abnormal pain and sexual pain. Causes of complete asthenozoospermia include metabolic deficiencies, ultrastructural abnormalities of the sperm flagellum (see Primary ciliary dyskinesia) and necrozoospermia. According to embryologist Laura Mifsud, it is crucial to repeat the semen analysis before rendering a definitive diagnosis of asthenozoospermia to a patient. Any cookies that are not particularly necessary for the operation of the website and that are specifically used to collect personal data from the user through analysis, advertising, other embedded content are called non-required cookies. Progressive Motility(PR) 25 I masturbate every 5 to 10 days in order not to get an erection during the day or work hours. Dr. María Arqué has many years of experience as a Reproductive Medicine and Gynecologist Consultant and currently works as Medical Director at Fertty International. The result is asthenozoospermia. Buenos Aires: Ed. For this reason, Intrauterine Insemination (IUI) is not recommended in these cases. Semen Analysis Results are as Follows: 1. I’m about to be engaged. You can help Wikipedia by expanding it. Ortega et al. Follow the links to read common uses, side … No. Therefore, an assisted reproduction technique is usually necessary. Diagnosis of Asthenospermia Asthenospermia is diagnosed by spermogram, a biological analysis of sperm systematically performed in humans during the infertility assessment of the couple. When in two seminograms performed on a patient with a period of 2-3 months between one and the other a lower motility is found, it is considered asthenozoospermia. Find it out: How Is Sperm Motility Examined? As per Kruger’s strict criteria, if less than 15% of the sperms are abnormally shaped, then the man is said to be suffering from Teratozoospermia. It is mandatory to obtain the user\'s consent before executing these cookies on your website. Sperm DNA fragmentation level is higher in men with sperm motility defects (asthenozoospermia) than in men with oligozoospermia or teratozoospermia. Both sperm parameters appear altered in the semen analysis, which is known as asthenoteratozoospermia. Your semen analysis shows lower volume and motility than what is expected in a normal sample. The ultimate goal of sperm cells is to fertilize the egg and create a new being. Sperm motility refers to the ability of the sperm to move efficiently. FAQs from users: 'Is there any food that improves astenozoospermia? Bachelor's Degree in Biotechnology from the Technical University of Valencia (UPV). ... Asthenospermia usually not associated with painful urination or painful erection . Unfortunately, there are no symptoms associated with asthenozoospermia. Androgens, human menopausal hCG/gonadotropin, bromocriptine, alpha-blockers, systemic corticosteroids and magnesium supplements have been shown not to be effective in the treatment of asthenozoospermia. I hope I have been able to help. So, if sperm is not formed properly, it may also not swim properly. In conclusion, it is important to have an optimal period of abstinence according to the recommendations of the assisted reproduction center in order to maximize the chances of success in each case. But also, DHA supplement can protect spermatozoa against the damage caused by the cryopresevation process. With this diagnosis, this requirement is not just a whim of a doctor, but a medical measure. CS1 maint: multiple names: authors list (, "Absolute asthenozoospermia and ICSI: What are the options? of Motile Sperms – 3million per cc For the treatment of this disease, the herbal medicine Diuretic and Anti-inflammatory Pill with dietary therapy works best to asthenozoospermia. Both asthenozoospermia and necrozoospermia are the causes of male infertility. I’m 24 years old. Morphology – Normal -90% ', 'What are the possible treatments for asthenozoospermia? What is Assisted Reproductive Technology? A seminogram is the diagnostic test used for its detection. As per WHO, if a man’s ejaculate contains less than 4% of normal sperm, he is said to be suffering from Teratozoospermia (or Teratospermia). Here is a summary of their findings. In teenagers and adults, it may result in pain during an erection, but is otherwise not painful. RBC Nil /hpf All in all, they all refer to poor sperm quality. What I should do for above such condition. Oligoasthenoteratozoospermia (OAT) is a condition that includes oligozoospermia (low number of sperm), asthenozoospermia (poor sperm movement), and teratozoospermia (abnormal sperm shape). Broadly speaking, there exist two grades of severity: This level is diagnosed when the percent of immotile sperm, or sperm with poor motility, ranges between 60 to 75%. [1] The percentage of viable spermatozoa in complete asthenozoospermia varies between 0 and 100%.[1]. If you want to disable these cookies click the Configure button. Phimosis is a condition in which the foreskin of the penis cannot stretch to allow it to be pulled back past the glans. Moreover, drug treatment is not prescribed in all cases of asthenoteratozoospermia. Artificial insemination is contraindicated in cases of poor sperm motility. This condition is called “absolute asthenozoospermia” and affects 1 in 5000 men. Motility problems can have several causes. ', 'What are the possible treatments for asthenozoospermia? Sperm with low count and low sperm motility called asthenozoospermia may also have a poor morphology. One should pay special attention not only to total motility, but also the type of motion. If the asthenozoospermia does not improve and the cause does not appear to be heritable, intense management of the stallion may preserve fertility. – Process, Success Rates & Cost. During Usually it is needed a more extended semen analysis to evaluate it properly. Non Motile-85% Smoking: Smoking is strongly linked to male infertility although the reasons are not entirely clear. Sperm Count – 20million per cc There are still chances of achieving a natural pregnancy with asthenozoospermia if it is a mild-to-moderate case. Kruger’s is a more strict criteria than that published by WHO. What Is ICSI Technique? ', 'Can I conceive naturally with asthenozoospermia? 'Is there any food that improves astenozoospermia? Throughout the female reproductive tract, sperm encounter multiple barriers: only the most agile and quickest will overcome all of them, reaching the final goal, that is to say, meeting the egg cell. Even so, the sperm count and the motility are normal and would allow a natural conception. Strict Morphology(normal forms,%) 40 A method to increase the chance of pregnancy is ICSI. MATERIALS AND METHODS Patients. Despite the absence of symptoms, patients with leukospermia (elevated leukocytes in the semen) are generally treated with at least a 10-day course of extended spectrum antibiotics, such as erythromycin, trimethoprim-sulfamethoxazole, or a quinolone.

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