What is severe oligoasthenozoospermia and how should it be managed?
Feb 01, 2024
Source: Cainiu Health
Dr. He Feng
Introduction
Severe oligospermia is caused by factors such as unhealthy lifestyle habits, environmental influences, deficiency of trace elements, endocrine disorders, and prostatitis. It is recommended to seek timely medical attention and receive targeted treatment under the guidance of a physician. In daily life, one should develop healthy lifestyle habits, ensure sufficient sleep, avoid staying up late, and maintain a positive mood while avoiding anxiety.
In general, severe oligoasthenozoospermia is caused by factors such as unhealthy lifestyle habits, environmental influences, deficiencies in trace elements, endocrine disorders, and prostatitis. It is recommended to seek timely medical attention and receive targeted treatment under the guidance of a physician. Specific analyses are as follows:
1. Unhealthy Lifestyle Habits
If one frequently smokes, consumes alcohol, or excessively ingests caffeine, these unhealthy habits may impair sperm quality and maturation, increasing the risk of severe asthenozoospermia. Symptoms can be alleviated by improving lifestyle practices such as quitting smoking, limiting alcohol intake, maintaining regular sleep patterns, eating a balanced diet, and engaging in moderate physical exercise.
2. Environmental Factors
Prolonged exposure to high-temperature environments—such as frequent sauna use or hot baths—can impair blood circulation in the scrotal area, leading to reduced sperm motility, decreased sperm count and quality, and ultimately triggering severe asthenozoospermia. This condition can be improved by modifying the work or living environment and avoiding prolonged exposure to high temperatures.
3. Deficiency in Trace Elements
Trace elements such as zinc, selenium, copper, and magnesium are essential for maintaining normal reproductive function. A long-term deficiency in these elements may impair sperm production and function, resulting in asthenozoospermia. It is advisable to consume foods rich in protein, vitamins, and minerals—such as eggs, lean meat, tomatoes, and apples—to supplement the body's energy needs and support overall health.
4. Endocrine Disorders
Testosterone is a crucial endocrine factor required for maintaining normal sperm quality and quantity. Abnormal testosterone levels may disrupt sperm production and quality, potentially leading to asthenozoospermia. Therefore, severe asthenozoospermia may result from endocrine imbalances. Men may take medications such as finasteride tablets, oryzanol tablets, or compound xuanju capsules under medical supervision to help alleviate symptoms.
5. Prostatitis
Prostatitis refers to inflammation of the prostate gland in men and is often accompanied by symptoms such as fever, frequent urination, and sexual dysfunction. During flare-ups, inflammatory responses in prostate tissue may damage proteolytic enzymes in prostatic fluid, causing abnormal semen liquefaction, which in turn reduces sperm motility and triggers severe asthenozoospermia. Thus, prostatitis may be an underlying cause. Men may be treated with medications such as ciprofloxacin hydrochloride tablets, amoxicillin tablets, or minocycline hydrochloride capsules under a doctor’s guidance.
In daily life, it is important to develop healthy habits, ensure sufficient sleep, avoid staying up late, and maintain a positive mood, avoiding negative emotions such as anxiety and irritability, all of which contribute to better overall health.
