Asthenozoospermia Disorders And Menstrual Spots?

Hello, I’m Mia, 29 years old, I’ve been married for almost 2 years, but haven’t been blessed with a baby. Several months ago, my husband had undergone a sperm analysis test, and the conclusion was that Asthenozoospermia (although the number of sperm cells was high). My first question is: how to treat the condition? Is there minimal chance I can get pregnant? please provide recommendations whether in the form of u003cstrong u003eobat u003c / strong u003e or other solutions for the disorder.

1 Answer:

Hello good afternoon Mia.

Pregnancy occurs starting with the fertilization process, in which a mature egg from a woman's body meets a male sperm cell. In order to obtain offspring, from a health perspective, a healthy condition is needed on the part of the man and woman (husband and wife). The existence of impaired sperm quality can hinder the process of having offspring. The criteria for good sperm quality are:

The amount is sufficient, that is, for every 1 cc of semen there are about 15 million sperm cells.
The ability to move well, that is, at least 40% of the sperm cells in the semen must be able to move and at least 25% of the number of sperm cells must have fast forward movement.
Normal sperm form, which is at least 30% of the total number of sperm cells, has a normal sperm shape (oval head, long tail).


Asthenozoospermia is a condition in which the number of sperm cells that have good movement is not sufficient for the minimum number, or in short, in this condition most of the sperm cells have less motility. A large number of sperm cells is not enough if the movement is not normal, because in order to reach the egg, sperm must move quickly and agile through various parts of the female reproductive organs. Thus, the condition of asthenozoospermia can inhibit the fertilization process needed for pregnancy so that the chances or chances of getting pregnant will be lower.


Asthenozoospermia can occur due to various conditions, for example genetic / hereditary factors, hormonal disorders, excess body weight, diseases of the male reproductive tract (eg infection of the sperm duct, prostate, etc.), and in some cases the cause can be unknown. Treatment of the asthenozoospermia condition experienced by your husband must first be consulted with an obstetrician (Obstetrics and Gynecology), so that it is treated according to the cause. If the cause is hormonal disturbances, then the treatment can be in the form of hormonal drugs, if the cause is an infection of the sperm tract, then the therapy can be in the form of drugs to reduce infection, and so on. While waiting for your and husband's schedule to meet the doctor, here are some tips from us to improve sperm quality, including:

improve food intake, increase consumption of fruits and vegetables
Take vitamin and mineral supplements, such as folic acid and zinc
regular exercise
maintain body weight at ideal body weight
avoid psychological stress
avoid wearing tight underwear and pants
avoid sitting too long
avoid too frequent showers or soaking in hot water or putting the laptop on the thigh
not engaging in sexual behavior that can lead to sexually transmitted diseases, namely by not changing partners, avoiding unsafe sexual relations, etc.


Regarding your question that experiencing delayed menstruation can be caused by various conditions, such as: psychological stress, excessive physical activity, weight loss that is too fast or weight gain that is too fast, insufficient food intake, reproductive tract diseases (such as myoma, polycystic ovary syndrome / PCOS, endometriosis (growing tissue that makes up the uterine wall elsewhere outside the uterus), etc.The condition of pregnancy can also cause menstruation to be late (and not menstruating), and in early pregnancy complaints can occur in the form of spots, which are bleeding spots due to the implantation / oxidation process, namely the process of attaching the fertilization to the uterine wall. Test packs in early pregnancy can give negative results because there are not enough levels of beta-HCG in the blood and urine in early pregnancy, so it will be detected as "negative". The spots you experience can also be normal spots on the first day of men struasi. In some people the first day of menstruation is just a spot and starts to increase in number on the second day and so on. You can consult what you are experiencing to your gynecologist so that the cause can be found from the results of the examination and ultrasound.

That's all, hope this helps, and don't be discouraged :)


Greetings, dr. Denisa

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