Is it possible to get pregnant if your partner has asthenoteratozoospermia? What is asthenoteratozoospermia? The structure of a healthy sperm

Today there are many married couples faces the challenge of a new life. The reasons can be hidden both in the female body and in the male body. Experts note that in almost 50% of cases, a married couple fails to conceive a child due to problems with reproductive system in men. This problem may hide asthenoteratozoospermia, a disease of the male reproductive system, which, however, is not a death sentence for the stronger sex. In this article we will talk about what asthenoteratozoospermia is and how to treat this disease in men.

What is asthenoteratozoospermia in men

By the diagnosis of asthenoteratozoospermia, experts mean the abnormal structure of sperm in men, as well as impaired motility.
It should be noted that even among males with strong reproduction, “unhealthy” sperm can be found in the seminal fluid, but their number in relation to the total volume will be insignificant.

There is a certain acceptable limit for abnormal sperm, and if it is exceeded, a diagnosis of asthenoteratozoospermia is made.

Stages

There are three stages of this disease:

The first stage - seminal plasma contains more than 50% sperm, the structure of which does not differ in any abnormalities. Gamete mobility remains at a high level.
The second stage - only 30-50% of gametes remain suitable for gametes, the rest are inactive and/or have some anomalies in the structure.
The third stage - in the total volume of the liquid component of sperm, less than 30% of “viable” sperm remain.

Forms

The diagnosis of asthenoteratozoospermia does not mean that a man’s sperm is completely infertile. This disease has several forms that can be treated quite well therapeutic effect with timely consultation with a doctor.

Experts note following forms(groups) asthenoteratozoospermia:

Group A - sperm activity is normal, the average speed is 30 cm/hour. The movement is directed purely forward.

Important! Regular use of steroids hormonal drugs may provoke the development of asthenoteratozoospermia.

Group B - movement is also directed forward, but the speed is significantly reduced relative to the optimal one.

Group C - the speed of gametes remains at the optimal level, but the trajectory of their movement is disrupted. They move sideways, backwards or along circular coordinates; due to this mechanism, the male reproductive cells are not able to reach the female egg.

Group D - low-active gametes, randomly moving in any direction, sometimes completely motionless.

In addition, this disease is divided into two more types:

- disturbances in the structure of sperm (abnormally long tail, absence of flagella, changes in the shape of the heads, etc.).
- the mobility of male germ cells is significantly reduced.

If both of the above types of diseases are diagnosed in men, a diagnosis of asthenoteratozoospermia is made.

Doctors note that in most cases, men are diagnosed with two forms of this disease at once, since the abnormal structure of sperm directly affects their motility.

Causes of asthenoteratozoospermia

Scientists and medical experts currently do not know the reliable causes of this disease. However, there are a number of factors that can significantly affect the structure and motility of sperm.

It is these factors that are one of the main reasons for the development of anomalies in the seminal fluid:

Mechanical damage to the male organs of the reproductive system.
Dysfunctions on hormonal level can cause infertility not only in women, but also in men. Insufficient synthesis and testosterone can become main reason abnormalities of seminal plasma.
Wearing unsuitable underwear is one of the main causes of asthenoteratozoospermia. Tight synthetic underwear contributes to improper thermoregulation. Experts say that men's testicles should not be constantly squeezed or steamed.
Some viral diseases provide negative impact on the male reproductive system. For example, mumps affects not only the salivary and pancreas glands, but also the prostate gland, which negatively affects the formation of normal, viable sperm.
Regular visits to saunas increase the risk of infertility, since men's testicles constantly experience overheating in the steam room.
Poor environmental conditions, regular visits to places contaminated with radiation, frequent X-ray and ultraviolet examinations negatively affect the normal structure formation of sperm.
Bad habits such as smoking, alcoholism and taking narcotic drugs significantly increase the risk of developing seminal fluid abnormalities.
Obesity and management sedentary lifestyle life.
Taking medications without first consulting a doctor.
Dysfunction endocrine system, autoimmune disorders.

Did you know?Earwigs are insects that, when mating, can lose their penis into the female's vagina. But this is not a problem for them, since short terms Earwigs grow a new sex organ.

It is important to understand that asthenoteratozoospermia may be a congenital disease that is practically impossible to cure.

There is evidence that similar pathology male reproductive system may be observed due to genetic mutations during conception and the structure of the fetal body.

Preparing for a spermogram

Above, we have already figured out what kind of diagnosis this is - asthenoteratozoospermia, and we talked about its stages and forms.

But in order for the doctor to prescribe an effective and gentle treatment, it is necessary to make the appropriate diagnosis -.

Preparation for this diagnosis includes the following steps:

Abstain from sexual activity for at least 3-4 days.
It is recommended to refrain from drinking strong alcoholic beverages for 3-5 days before the diagnosis.
4-5 days before the test, it is prohibited to visit saunas, steam baths and other procedures that expose the male genital organs to elevated temperatures.
Increased physical activity is not recommended two days before the start of the diagnostic procedure.
Doctors also recommend giving up smoking (or significantly reducing the frequency of use of nicotine products) 5-7 days before the start of tests.

Decoding the analysis results

After donating the seminal fluid, the characteristics of the cellular elements of the sperm are determined.

These characteristics are:

percentage and types of immature sperm;
total number of male gametes;
structural and shaped characteristics of male germ cells;
sperm motility;
analysis of leukocyte parameters;
acidity, viscosity and liquefaction time of ejaculate;
color and total volume of semen released.

Sometimes the above characteristics for the ruling accurate diagnosis not enough.

In such cases, laboratory doctors are forced to do biochemical analysis liquid component of sperm.

This analysis involves identifying individual elements and substances in semen (zinc, fructose, carnitine).

Treatment

In most cases, treatment of asthenoteratozoospermia takes place at home. After a detailed diagnosis, the doctor always advises the patient to refuse bad habits and correctly adjust your diet and habits.
Moreover, drug therapy is not always prescribed, but only in the most advanced cases.

It is important to understand that the doctor forces the patient to quit smoking and drinking strong alcoholic drinks not because of his own whim, and in this particular case, his instructions must be followed exactly, otherwise recovery may never occur.

One more important point the fact remains that the treatment of asthenoteratozoospermia will be long-term (since sperm are formed in about 71-75 days, treatment should last no less than the specified period of time).

Important!If there are problems with the reproductive system in men, horseback riding and cycling are prohibited.

Sometimes, to improve motility and normalize the morphological parameters of sperm, doctors prescribe vitamin therapy.
In this case, treatment of asthenoteratozoospermia will occur with the help of drugs based on vitamin E, selenium, zinc, and beta-carotene.

The duration and course of treatment should be prescribed by the specialist who examined the patient.

Traditional treatment

People have been treated with traditional medicine methods for a long time, although in modern world Many individuals tend to sharply criticize this approach to therapy.

And this doesn’t even take into account the fact that many doctors recommend that their patients use traditional medicine recipes.

In case of treatment of asthenoteratozoospermia traditional therapy will come in handy, because effective chemical compounds that could purposefully affect the characteristics of seminal fluid have not yet been invented.

Let's figure out how to treat asthenoteratozoospermia with folk remedies:

Ginseng tincture or ginseng extract. You can prepare it yourself or buy it at the pharmacy. Take 20-25 drops half an hour before meals for a month.

Plantain tincture in a water bath. For 250 ml of boiled water add 2 tbsp. l. crushed raw materials and infused for 30-40 minutes. Used 15-20 minutes before meals. It is recommended to drink a third of a glass 3-4 times a day.

Tincture of lemongrass leaves in combination with rose oil. The duration and course of treatment should be prescribed by a doctor.

Buy it at the pharmacy Eleutherococcus tincture and take it for a month. 15-20 drops of tincture should be diluted in a glass of water and consumed every morning on an empty stomach.

Although traditional medicine is safe therapeutic method, it can still harm the human body. After all, tinctures and herbal decoctions can also have their own contraindications and side effects.

Homeopathy

Although many people are skeptical about homeopathic treatments, they show excellent effectiveness and high safety.

With the right treatment homeopathic medicines can be increased sexual attraction in a man and normalize the functions of sperm creation.

When diagnosed with asthenoteratozoospermia, treating physicians may prescribe the following homeopathic medications:

"Selenium". Main active substance the drug is selenium, which has positive influence for the correct structure formation of new sperm.
"Testis compositum". This tool Available on pharmacy shelves in the form of injections, which can be administered intravenously or intramuscularly. "Testis compositum" has a positive effect on all mechanisms and functions of the male genital organs.
"Zincum meth." A drug for improving sperm quality, the main active ingredient of which is zinc.

Did you know?On average, a man makes about 7,000 thousand ejaculations throughout his life.

To improve and consolidate the effect of treatment with homeopathic medicines, it is necessary to use vitamin therapy. Vitamin B9 and vitamin E will benefit any man, unless, of course, he has contraindications to taking these medications.

Possibilities of conception with asthenoteratozoospermia

Many women often wonder whether it is possible to become pregnant naturally if a man has been diagnosed with asthenoteratozoospermia.

No specialist can provide an exact answer to this question, since each man’s body is purely individual, and the processes of sperm formation can be disrupted or stabilized depending on a host of ambiguous reasons.

But there is a drug that can significantly increase the chances of success when conceiving a new life.

A medication that helps increase sperm motility. But it is important to note that the drug should not be used by a man, but by his wife. It is inserted into the vagina directly 15-20 minutes before the start of sexual intercourse.
"Aktifert" is sold in the form of a gel, developed on the basis natural ingredients, promoting the movement of sperm to the egg.

IVF and asthenoteratozoospermia

Let's figure out whether it is possible to get pregnant through if a man suffers from asthenoteratozoospermia. As experts say, in the vast majority of cases this is possible!

The IVF procedure itself is the usual fertilization of an egg with sperm, only the germ cells are in a special test tube.

Important!During physiotherapeutic procedures, it is necessary to cover the groin area so as not to harm the male genital organs.

Doctors note that one should not be afraid of such a procedure, since it is painless, effective and gives a high chance of conceiving a new life, only artificially.
During in vitro fertilization (IVF), an egg is taken from a woman’s body, and only the most mobile and morphologically optimal sperm are selected from the man’s seminal fluid.

After this happens artificial conception, and the egg is returned to the woman’s body.

It is important to note that in this case, a child is born to a married couple without any mental or physical defects.

Prevention

Pathology is always easier to prevent than to cure, which is why you should beware of those factors in everyday life which may increase the risk of developing asthenoteratozoospermia.

As a preventive measure and precautionary measures, the following important points should be noted:

maintaining an active lifestyle, correct and rational (food should be natural and rich in vitamins and macro/microelements);
quitting smoking, drinking strong drinks alcoholic drinks and drugs;
refusal to wear tight and uncomfortable underwear made from synthetic fabric;
minimizing stressful situations;
body weight control (going to the gym will be beneficial, but obesity can have a bad effect on a man’s reproductive system);
reducing the frequency of visits to saunas and baths;
regularly for the presence of infectious diseases in the body.

In this article, we examined in detail the causes and methods of treating asthenoteratozoospermia. Now you know what it is and whether it is possible to conceive a child using IVF with this disease. But the most important thing is to follow preventive measures, and then the problem may never overtake you.

Unfortunately, many married couples in the modern world are faced with the impossibility of conceiving a child. There is a stereotype that infertility is to blame first of all is a woman. However, this long-standing myth is shattered by hard statistical data. Doctors say that in half of the cases of infertility, the responsibility lies with the male body. And one of the reasons for this is asthenoteratozoospermia.

In order to thoroughly understand the pathological condition, it is necessary to understand what normal sperm parameters should be and how exactly sperm are formed.

Spermatogenesis is the sequential development of male germ cells, ending with the formation of healthy sperm that acquire the ability to fertilize an egg. This process in the male body lasts continuously - from the beginning of the boy’s puberty and almost until old age.

The process begins with permatogenesis in the paired male sex gland - the testicles (testicles, testes), which are located in the scrotum. Testicles consist of many seminal tubules, and it is in them that male reproductive cells are formed. Progenitor cells ( spermatogonia and then spermatids) undergo a series of divisions, during which the set of chromosomes is halved. In addition, the appearance of the cells also changes - they lengthen. As a result, the cell nucleus (repository of genetic material) is placed in the head of the sperm. After full maturation, the sperm enter the epididymis, which is also located in the scrotum and is located on top of the testicle.

On average, the process from maturation lasts 74 days at a temperature that is 1-2 0 C less temperature bodies. That is why nature placed the testes outside the body. High temperature regime harmful to male reproductive cells. In this case, not only does spermatogenesis stop, but already mature sperm die. At low temperatures, the process of sperm maturation also stops, but the supply of already mature ones remains intact.

A mature sperm is a microscopic cell (50-60 microns), which consists of:

heads (contains male genetic material);
necks and bodies (contain structures that provide motor activity the entire cell);
tail (flagellum), which promotes the advancement of the sperm by rotating around its axis;
terminal thread.

The chromosome set of a sperm can only consist of:

Y chromosomes, and then such sperm are called androspermia, i.e. after fertilization of the egg, the fetus will develop according to the male type;
X chromosomes - sperm are called gynospermia. The combination of such a sperm with an egg (which always contains only the X chromosome) will contribute to the development of the fetus according to the female type.

It is considered normal when the sperm of a healthy man contains up to 20% of pathological forms of spermatozoa. Exceeding this percentage may lead to infertility or abnormal fetal development.

Asthenoteratozoospermia: what is this?

This Tore-pronounced the term describes the pathological condition of sperm. It is based on the Greek words:

“astheno” means powerlessness, weakness;
"teratos" means monstrosity, monster;
“zoo” - living creature;
"sperm" means seed.

Thus, if translated literally, it turns out that sperm contains “a weakened, ugly living seed.”

Reasons asthenoteratozoospermia

To date, no clear cause of this pathology has been identified. However, there are several factors that contribute to changes in the structure or motility of a normal sperm:

Infections, especially viral ones. It is believed that the most dangerous for the male gonads is mumps. This is a widely known viral infection, which is colloquially called "pig". In childhood, parotitis is much easier and with less likelihood of complications. In adult men, this viral disease often causes orchitis (inflammation of the testicles). And if treatment is not started in time, then high probability atrophy of the testes.
Injuries to the external genitalia can disrupt the development of germ cells.
Effect of high temperature. It has already been mentioned that temperatures above 35 0 C have a detrimental effect on the testes. Men who abuse saunas, like to take hot baths, and simply wear tight underwear, this factor should be taken into account if you are planning to conceive a child. Particular attention to the negative effects of high temperatures should be paid to those men whose profession involves their constant and prolonged exposure.
Congenital anomalies of testicular development:

anorchism(congenital absence of both testicles, observed extremely rarely);
monorchism(absence of one testicle); the second testis increases in size compensatoryly;
polyorchidism(presence of 3 or more testes); additional testicles are usually underdeveloped;
testicular hypoplasia (underdevelopment and reduction in size);
cryptorchidism(unilateral or bilateral undescended testicles into the scrotum) .

Hormonal disorders. This factor is multifaceted:

decrease in the level of male sex hormones (testosterone);
level up the hormone prolactin, which produced by the pituitary gland hyperprolactinemia);
hypofunction of the thyroid gland (hypothyroidism);
increased production of female sex hormones (estrogens);
diabetes mellitus .

Impact x-rays and other types of radiation. The gonads are extremely susceptible to the effects of any type of radiation. The danger lies not only in the fact that infertility develops, but also in the fact that if conception occurs, fetal developmental abnormalities are possible due to a teratogenic (mutation-causing) effect on chromosomes.
Chronic intoxication. This includes, for example, alcohol abuse. In this case, fatty degeneration of the convoluted tubules of the testes occurs and replacement connective tissue. It has been noticed that smokers and drug addicts also have impaired ability to conceive (sperm “gluing” occurs).
Chronic infections. This is especially true for infections that are sexually transmitted. For example, chlamydia can not only disrupt the process of permatogenesis, but also directly negatively affect sperm. A similar effect is observed when gonococcal infection, trichomoniasis, genital herpes, etc.
Poor nutrition. A lack of vitamins can lead to disturbances in spermatogenesis. It has been established that for normal functioning testicles great value have vitamins E and A. Both of these substances stimulate the formation of sperm, and vitamin A (retinol) also affects sexual desire.

Classification asthenoteratozoospermia

Like any disease or pathological condition, asthenoteratozoospermia has several degrees of severity. They must be taken into account to choose the right treatment tactics. The classification is based on sperm motility. To ensure the reliability of the result, the counting of mobile male germ cells is carried out an hour after ejaculation.

first degree of severity. Seminal fluid contains 50% or more sperm, which have a normal structure and high mobility;
second degree of severity. Normal structure and sperm motility are maintained in the range from 30 to 49%;
third degree of severity. The total number of normal sperm with high mobility in the ejaculate is less than 29%.

Whatever the severity asthenoteratozoospermia, clinical manifestations a man won't. Symptoms can only be present in another pathology or disease that causes asthenoteratozoospermia. And then, with complaints about the underlying disease, the man seeks medical care. Or pathological changes in the seminal fluid are discovered during a search for the causes of infertility in a married couple.

Diagnostics asthenoteratozoospermia

Ideally, a man should see an andrologist (a specialist in diseases of the male reproductive system and methods of their treatment). The doctor conducts an examination, finds out information about previous diseases, injuries and other points that will help in making the correct diagnosis.

Subsequently, two spermograms (study of sperm composition and its biochemical characteristics) are prescribed at intervals of 14 days. The study itself is carried out under a microscope on glass slides. Counting chambers can also be used in which quantitative composition sperm. To receive biochemical parameters special reagents are used.

Before examining a spermogram, a man needs to prepare:

sexual abstinence for 3-5 days (if fewer days pass, there will be insufficient quantity sperm for analysis, more - unreliable results are possible due to deterioration in sperm quality);
on preparation days, you need to avoid overheating the body (avoid visiting the sauna, wearing tight underwear, taking a hot bath);
refrain from drinking alcoholic beverages and other substances that can negatively affect the quality of sperm;
avoid heavy physical activity and overwork on the eve of analysis.

IN medical institution There is a specially equipped room for donating ejaculate.

voids before the examination bladder;
a hygienic procedure for the genital organs is carried out;
The ejaculate is collected in a sterile container through masturbation.

Decoding the spermogram

In 2010, WHO established the following standards for spermogram:

ejaculate volume 1.5 ml or more;
the total number of sperm in the sample is from 33 to 46 million;
the concentration of male germ cells in 1 ml of sperm is from 12 to 16 million;
the presence of motile sperm of category A (with rapid forward movement, which are the most promising from the point of view of conception) from 31 to 34%;
in total, sperm of category B (with slow forward movement) and category A should be 38-42%;
the number of viable germ cells is 55-63%;
acidity more than 7.2 pH(at her deviation, sperm will not be able to move normally);
morphologically normal cells should be at least 4%;
presence of leukocytes—less than 1 million/ml.

White blood cells in a sample are quite difficult to recognize because they resemble immature forms of sperm. Therefore, special dyes are used for differentiation. If their number exceeds the specified norm, then there is a high probability of acute or chronic inflammation, and also do not exclude sexually transmitted infections. Therefore, with the diagnosis: “ejaculate leukospermia, asthenoteratozoospermia", further thorough examination, because . at inflammatory process the function of germ cells is sharply impaired.

From non-quantitative sperm indicators are taken into account:

color: normally whitish-grayish. Color deviation allows you to draw preliminary conclusions about some pathologies;
smell: unpleasant or pungent odor may indicate an inflammatory process or infection;
viscosity: normal seminal fluid immediately after ejaculation it becomes jelly-like, and after 30-40 minutes it becomes liquid. Thick sperm is difficult to penetrate into a woman's cervical canal .

For maximum reliability of the results, the study should be carried out no later than an hour after ejaculation. Upon diagnosis asthenoteratozoospermia in the ejaculate, sex cells of category C predominate (movement non-linear– in one place or in a circle) and category D ( absolutely motionless).

As for changes in the structure of sperm, the following disturbances are observed:

altered shape of the sperm head (irregular contours, size) or its complete absence (this causes a change in the trajectory of the cell);
altered neck or body of the sperm (curvature, lengthening or shortening);
altered shape or size of the flagellum, increase in number (doubling), complete absence of the flagellum (which is the cause of absolute immobility).

When identifying asthenoteratozoospermia The spermogram is examined three times (with an interval of 10-14 days) for greater reliability of the results.

The most accurate method for determining abnormal forms of sperm is the Kruger study. With this technique, a smear that is dried and stained using a certain method is studied. It is believed that the proportion of abnormally changed sperm in a smear should not exceed 85%. In addition, the index is determined With permal disturbances (1 cell) and index teratozoospermia (average number of pathologies per 1 abnormal sperm). Only after this research can we reliably talk about asthenoteratozoospermia.

Additional Research

Additional studies are carried out to identify the cause of the pathological condition:

general and biochemical blood tests;
determination of blood glucose levels;
determination of hormonal levels (study of testosterone, prolactin, estrogen levels);
Ultrasound of the scrotum and pelvic organs;
computed tomography of the pelvic organs;
digital examination of the prostate gland;
study on on presence of pathogens of sexually transmitted infections (urethral smear, blood test on antibodies);
MAR test (analysis for antisperm antibodies). We are talking about the body's antibodies against its own sperm. Such a violation occurs when there are “failures” in immune system. Antibodies, connecting to the flagellum of the germ cell, block its movement;
genetic tests are carried out in cases of severe abnormalities of spermatozoa (the patient’s blood is examined) .

Treatment asthenoteratozoospermia

The main thing in normalizing a man’s sperm is the treatment of the underlying disease or pathological condition that led to asthenoteratozoospermia. According to reviews of men suffering from this pathology, with the exclusion of the provoking disease, and sometimes simply changes in lifestyle, the spermogram indicators improved significantly after some time. Therefore, you should not brush aside the doctor’s persistent recommendations to give up bad habits, switch to proper nutrition and lead active image life.

To stimulate full spermatogenesis with asthenoteratozoospermia the following drugs are used:

Folic acid (vitamin B 9). Daily dose tableted folic acid should be 400 mcg (at the discretion of the attending physician, it may exceed the recommended amount). The vitamin stimulates the formation of new cells and improves their morphology. In addition to tablet forms of folic acid, you are encouraged to include foods rich in it in your diet. These products include: greens (spinach, cilantro, basil), cabbage, meat and fish products ( beef liver, horse mackerel, cod liver, offal), dairy products (fat cottage cheese and feta cheese, sour cream), rye flour products, eggplants, walnuts.

Vitamin E improves the absorption of folic acid in the body and also helps maintain the proper level of the testosterone hormone. Thus, vitamin E indirectly through the hormone helps improve spermatogenesis. Vitamin E is included in one of the drugs prescribed for asthenoteratozoospermia– “Selzinc plus”. At its core, the drug is biologically active additive, and in addition to vitamin E contains:

zinc ions (on which the qualitative and quantitative characteristics of sperm depend);
vitamin C (has an antioxidant effect and improves the metabolism of folic acid in the body);
beta-carotene (converted to vitamin A in the body).

The dosage regimen and dosage are prescribed by the attending physician. The same applies to the use of the drug Spermaktin, which also applies to biological additives. It is produced in the form of packaged powder of 5 g. The powder contains natural metabolites and amino acids that contribute to normal maturation and increased sperm motility. In addition, Spermactin components improve metabolic processes, stabilize cell membranes male germ cells, and also improve the fertilizing properties of sperm. The drug should be used with caution in chronic liver diseases.

In complex treatment asthenoteratozoospermia use the drug T ribestan, which contains 250 mg of dry extract of the herb Tribulus terrestris in 1 tablet. It has a positive effect not only in this pathology, but also in immunological infertility, erectile dysfunction(impotence). The course of treatment is at least 90 days. Repeated course therapy is carried out at the discretion of the doctor. Tribulus terrestris extract is also contained in the complex action preparation Verona. The course of treatment with this drug is 8 weeks.

contact IVF ( in vitro fertilization). In common parlance, this method is called “in vitro fertilization”, because the most complete sperm and egg “meet” in specially created laboratory conditions. After that fertilized the egg is implanted into the uterus, where it develops naturally;
ICSI. A method in which the most viable sperm is injected into the egg using a special needle. And then, just like with IVF, the egg is implanted into the uterus.

It is not always the woman’s health that is to blame for a couple’s failure to get pregnant—male fertility disorders are no less common. For example, the cause may be one of the forms male infertility– asthenoteratozoospermia.

What is asthenoteratozoospermia?

Spermatogenesis – the development and maturation of germ cells – constantly occurs in a man’s body, resulting in the formation of full-fledged sperm. The testicles located in the scrotum are responsible for the process. Inside, they consist of seminiferous tubules, where spermatids appear. The latter, after a series of divisions, lengthen, acquire a head and turn into sperm. After maturing from the testicle, they move to the epididymis, and this process lasts about 74 days.

The disease asthenoteratozoospermia implies a combination of such disorders in men as low mobility spermatozoa and a malfunction in their structure. Pathology means a defective condition of sperm when more than 20% of the cells are abnormal.

The term is deciphered as follows:

“astheno” - weakness;
"teratos" - ugliness;
"zoo" - living creature;
"sperm" - male seed.

Thus, asthenoteratozoospermia literally means “weak, ugly living seed.” If normally the sperm is a “tadpole” from the nucleus, middle part and flagellum, then with this pathology both the shape and internal structure cells can change. The disease code according to ICD-10 is N46 “Male infertility”.
In the video, spermatozoa with asthenoteratozoospermia:

Causes of pathology

When studying pathology, experts found that chronic inflammatory and infectious pathologies male genital area. Particularly dangerous is viral mumps, or mumps, which a boy can contract in childhood. If a man becomes infected as an adult, the risk of remaining infertile is very high. With poor treatment, mumps causes testicular atrophy.

The same consequences for the body can be caused by common STIs - herpes type 2, chlamydia, gonorrhea, trichomoniasis and others. They negatively affect the quality of sperm, especially with prolonged absence of therapy. Nonspecific infections (prostatitis,) also have a bad effect on the male reproductive system.

Risk factors for the occurrence of asthenoteratozoospermia that act throughout life are recognized as follows:

Injuries of the testicles, appendages;
Wearing tight synthetic underwear;
UV rays, x-rays, radiation;
Drug addiction, alcoholism;
Hormonal disorders (decrease in testosterone, increase in prolactin, estrogen, etc.);
Thyroid diseases;
Diabetes mellitus;
Poor, monotonous diet, vitamin deficiencies.

Abuse of baths, saunas, and hot baths also harms sperm, because they mature at low temperatures and die when it rises. Also, with congenital defects of the structure of the testicles, a man may have asthenoteratozoospermia, for example, with testicular hypoplasia, anorchism, monorchism.

Stages of pathology

Highlight next stages(degrees) of asthenoteratozoospermia:

Grade 1 - more than 50% of sperm function normally.
Grade 2 - only 30-50% of sperm are correct.
Stage 3 - less than 30% of a man’s reproductive cells are normal.

Forms

Experts classify sperm motility into the following groups:

Group A. Sex cells move up to 30 cm/hour, the nature of the movement is only forward.
Group B. The speed of the cells is very low, they also move forward.
Group C. The activity and speed of the cells are not impaired, but the trajectory is incorrect (they move backward, rotate).
Group D. Spermatozoa are immobile or inactive.

If a man has more than 25% of group A cells in his sperm, and more than 38% of them together with group B, this is normal. Otherwise, a diagnosis of asthenoteratozoospermia may be made.

Clinical picture

By clinical signs It is very difficult to identify asthenoteratozoospermia, because the external genitalia are formed correctly, have normal size(exception is structural anomalies that caused the disease). The man’s sex life is also normal, there are no problems with ejaculation.

But symptoms appear from the reasons that caused the disease:

With – visually noticeable dilation of the veins, pain in the scrotum, pulling sensations, general discomfort.
At inflammatory diseases genital area - leukocytosis in blood and urine tests, pain, increased local and general temperature.
With leukospermia - leukocytosis in semen tests, pain in the lower abdomen.
With oligospermia, there is a small volume of sperm.

If the causes of asthenoteratozoospermia are associated with in the wrong way life or other hidden phenomena, the only sign is the inability to conceive a child. In some cases, conception occurs, but consequences are possible in the form of a frozen pregnancy at a very early stage.

In many patients, asthenoteratozoospermia is combined with other pathologies, for example, polyspermia. In this case, an increased volume of sperm is observed when there are too many active sperm, and they have disturbances in structure and shape.

Diagnostics

In order to make a diagnosis, a spermogram is performed three times with an interval of 14 days. In order for the analysis to give correct results, a man must carefully prepare for it.

Preparation is carried out according to the following rules:

Stop drinking alcohol and smoking (preferably);
Do not visit the bathhouse, sauna, or take a bath with hot water;
Do not wear tight underwear, especially synthetic ones;
Do not practice heavy physical activity;
Don't overwork yourself;
Avoid stress;
Do not have sex 3 days before the test.

In a medical facility, a man must empty his bladder, wash his genitals and donate ejaculate (he is given a separate room for the procedure). Next, the liquid will be examined under a microscope on glass, studying the main indicators. Exposure to a number of reagents is also used (biochemical analysis of sperm).

Normal sperm parameters are:

Volume – from 1.5 ml;
The number of sperm is 33-46 million, in 1 milliliter – 12-16 million;
Number of motile sperm (group A) – 25-35%;
The total number of cells of groups A and B is 38-42%;
Acidity – above 7.2 pH;
Leukocytes – less than 1 million/ml;
Color – white-gray;
Odor – neutral (pungent, unpleasant odor – a sign of infection);
Viscosity – jelly-like, but not too thick.

Dyes are used to detect white blood cells, since these blood cells resemble immature forms of sperm in appearance. If leukocytosis is diagnosed, a series of studies should be carried out to identify an acute inflammatory process.

With asthenoteratozoospermia, the following deviations from the norm are usually found:

The predominance of type C and D cells in sperm.
The shape of the sperm head is irregular, the contours are changed, the size is small or too large. Also, the head may be completely absent.
The neck of the germ cells and their body are short or long, curved.
The sperm flagellum doubles or does not exist at all, the shape and size are incorrect.

To identify the cause of the pathology and select a treatment algorithm, a number of clarifying examinations are required:

BAC, blood biochemistry;
Blood sugar;
Hormone levels, including thyroid hormones;
Ultrasound of the pelvis, scrotum;
Rectal examination of the prostate gland;
Smear tests for STIs;
Test for antisperm antibodies.

If obvious reason for pathology no, a number of recommended genetic research to search for congenital problems of spermatogenesis.
On the video, the causes and diagnosis of asthenoteratozoospermia:

How to treat?

Without addressing the causes of the disease, it will be difficult to cure the pathology. Therefore, a man must stop drinking alcohol, smoking, lead an active lifestyle, cure STIs, stop prostatitis, etc. Treatment can take up to several months and require significant effort from the patient himself.

Various drugs can be used to stimulate spermatogenesis:

Vitamin B9 (folic acid). Usually 0.4 g/day is recommended, as well as increased consumption of vitamin-containing foods - liver, fish, basil, spinach, cottage cheese, walnuts, eggplant.
Vitamin E. Take it in tablets or change your diet - include more nuts, vegetable oil, beans, lard, beef.
Spermactin. Helps the maturation of germ cells and their development, improves metabolism in testicular tissue.
Tribestan. The medicine is used for all types of impotence and infertility.
Selzinc-plus. This vitamin complex includes zinc, vitamin A, ascorbic acid, selenium, serves as a powerful antioxidant, improves metabolic processes.

A course of physiotherapy is often recommended if inflammatory diseases- taking antibiotics. Used for hormonal imbalances hormone therapy. Almost all men are advised to take immunomodulators. The operation is usually performed only for varicoceles, scars and adhesions.

Is it possible to get pregnant?

Getting pregnant naturally is not always possible, depending on the cause of asthenoteratozoospermia and its degree. If the degree is severe, pregnancy is almost impossible.

The treatment and a healthy lifestyle help improve sperm count in a number of men, so pregnancy becomes real.

In other cases, especially with autoimmune and genetic problems, it is recommended to become pregnant through IVF or ICSI. Specialists will take healthy sperm from the ejaculate, of which very little is needed. After artificial insemination the embryo is implanted into the uterus. Only when complete absence viable cells, pregnancy will become impossible even with the help of IVF, ICSI.

Prevention of disease

To prevent asthenoteratozoospermia you need:

Maintain a healthy lifestyle;
Avoid STIs;
Treat all infections and inflammations in a timely manner;
Eat right, take vitamins;
Do not overheat;
Do not wear low-quality and tight underwear;
Avoid injury to the genitals;
Have regular sex life;
Control body weight.

Forecast

It is difficult to make an accurate prognosis; it is impossible to guarantee a cure. Recovery will be problematic in advanced stages of asthenoteratozoospermia. It all depends on the effort, the duration of the course, and compliance with all the doctor’s instructions. The psychological attitude is also important - with a strong desire, a man can do a lot for his recovery.
In the video about whether it is possible to get pregnant with asthenoteratozoospermia:

Asthenoteratozoospermia in men: symptoms, types and treatment of the disease. Traditional medicine in the fight against asthenoteratozoospermia.

Today, many couples trying to conceive a child face quite a large number of problems. Very often, one of the partners is diagnosed with infertility or other diagnoses related to reproductive dysfunction.

Previously, such diseases were mostly diagnosed in women. Nowadays, the ratio of reproductive system diseases in men and women has become equal.

In this article we will try to understand one of the fairly common diseases today - asthenoteratozoospermia.

Asthenoteratozoospermia in men: causes

As such, the main reason for the appearance of such a difficult-to-pronounce diagnosis in men has not been identified to date. However, a list of factors has been established that influence the condition of the genital organs and provoke the appearance of asthenoteratozoospermia:

This childhood disease, like mumps or in common parlance “mumps”, is quite often accompanied by inflammation of the ovaries. Moreover, having contracted mumps in adulthood, a man risks getting more serious complications of the reproductive system than a boy who had it in early childhood.
Mechanical injuries to the external genitalia as a result of horseback riding or cycling, as well as wearing uncomfortable, unsuitable underwear
Exposure to high temperatures. In men who are fond of bath procedures and who like to lie in a hot bath, the risk of asthenoteratozoospermia increases significantly, since high temperature negatively affects the testes
Congenital ovarian pathologies, such as anorchidism, monorchidism, polyorchidism, cryptorchidism, ovarian hypoplasia
Inflammation genitourinary system(prostatitis, infection and inflammation of the testicles)
Hormonal disorders, thyroid problems, diabetes
Exposure to X-rays or other rays. The fact is that in some cases, after exposure to irradiation, spermatozoa will even be able to fertilize an egg, but the development of the fetus itself may be associated with various kinds anomalies and pathologies
Chronic infections of the reproductive system. Infections such as chlamydia, herpes, trichomoniasis or gonococcus can both interfere with sperm production and contribute to a deterioration in their quality
Chemotherapy
Taking strong medications
Bad habits (smoking, overuse alcohol, drug addiction)
Poor nutrition and excess weight
Lack of regular sex life
Age changes

All these factors can gradually worsen the condition of a man’s reproductive system and ultimately lead to infertility.

Asthenoteratozoospermia: degrees

Like any other disease, asthenoteratozoospermia has its own classification. In this case, there are three degrees. The degree of complexity of the disease depends on the concentration of physically active and healthy sperm in the seminal fluid. So, the degrees of asthenoteratozoospermia:

The first degree implies the presence of at least fifty percent of motile and properly structured sperm in the ejaculate
In the second degree of asthenoteratozoospermia, the concentration of good sperm is from thirty to fifty percent
The third degree counts up to thirty percent of active, healthy sperm

It is worth noting that asthenoteratozoospermia is a disease in which its degree in no way affects the manifestations of the disease. Until a certain period, the patient may not even suspect the presence of this disease. It can manifest itself only with unsuccessful attempts to conceive or with severe symptoms of another pathology that provoked asthenoteratozoospermia.

What is asthenoteratozoospermia, and how to treat it? Diagnosis of the disease

Ideally, the sperm has an oblong body with a tail. The so-called “head” of the sperm contains the cell nucleus, that is, all the genetic information. Sperm move very quickly. The likelihood of conception largely depends on their speed. The faster the sperm moves, the greater its chances of being the first to reach the egg and fertilize it.
However, it happens that, due to the above reasons, the function of spermatogenesis is disrupted. In this case, the sperm produced may have an abnormal structure (too large or too small a head, several heads or several tails), as well as a rather low speed of movement. All this leads to a decrease in the likelihood of conception or abnormalities in fetal development. Such disorders of spermatogenesis are called asthenoteratozoospermia.
As mentioned above, the disease does not reveal itself in any way. Such a diagnosis can be made to a man only if he goes to the doctor with manifestations of other diseases that have caused asthenoteratozoospermia. Another option for identifying such a disease may be unsuccessful attempts to have a child.

In all of the above cases, to make a diagnosis of asthenoteratozoospermia, the patient will need to undergo a series of tests, of which a spermogram will be mandatory. Only this study can reveal the concentration of sperm in the semen.

As a rule, after the first analysis, a spermogram is prescribed to the patient again after two weeks. This is done in order to confirm the doctors’ concerns and exclude random factors that may have influenced the poor result of the previous study.

Before undergoing a spermogram, a man will need to adhere to a certain regime and abstain from certain things:

Abstain from sexual intercourse three to five days before the test
Avoidance mechanical damage genital organs and their overheating
Elimination of alcohol, smoking and other factors that negatively affect the condition of sperm
Avoiding overwork and excessive exercise

If necessary, the doctor may prescribe other tests required to identify the causes of the disease (urine and blood tests (extensive, for sugar, for hormones), ultrasound abdominal cavity and pelvis, examination of the scrotum and prostate, computed tomography and magnetic resonance imaging).

As such, asthenoteratozoospermia does not require special treatment. It is necessary, first of all, to prescribe treatment for the diseases that provoked it.

Asthenoteratozoospermia: treatment. Drugs for the treatment of asthenoteratozoospermia

Spermogram - the only way studies of the condition of the ejaculate

Treatment of asthenoteratozoospermia has two directions. The first implies the exclusion of all factors that can provoke this disease.
The second is aimed at healing chronic diseases and improvement of sperm condition.

The first direction includes the following set of measures:

Getting rid of bad habits
Proper nutrition
Playing sports without heavy loads and pressure on the genitals
Regular sex life with one partner
Avoiding overheating and frostbite
Wearing comfortable underwear made from natural materials

Sometimes only such changes in a man’s life are enough for successful conception.

The second direction of treatment can be based on the following manipulations:

If the cause of asthenoteratozoospermia is chronic genital tract infections, then, if necessary, treatment is prescribed to both partners. This treatment usually consists of a course of antibiotics.
To protect other organs from the effects of antibacterial drugs, in parallel they are prescribed immunomodulating (Immunal, Cycloferon), anti-inflammatory (Indomethacin in suppositories) agents, enzymes (Mezim, Enzistal), prebiotics and multivitamins. During the treatment period, it is better for partners to abstain from sexual intercourse or use condoms during sex
Taking hormonal drugs to restore a man’s hormonal levels, as well as activate sperm production
The use of general strengthening and blood circulation stimulating drugs (zinc, vitamin E, folic acid). Quite often, in the treatment of asthenoteratozoospermia, El-carnitine is prescribed, a tonic and strengthening drug for the male body.
Although in lately Many doctors began to doubt the effectiveness of this remedy; no harm was recorded from its use. In addition, it has a fairly positive effect on the general condition of the body. Also, some andrologists may recommend taking such active dietary supplements like Spermactin and Tribestan
Surgical intervention. This therapy is used in cases where there is some obstacle to the production of sperm in the form of a scar, adhesions or constriction

Asthenoteratozoospermia: is it possible to get pregnant naturally?

The likelihood of getting pregnant naturally with asthenoteratozoospermia directly depends on its degree. The higher the degree, the less chance of natural fertilization.

However, do not despair - sometimes only a change in a man’s lifestyle causes dramatic improvements in sperm parameters. That’s why it’s worth starting small.

If the spermogram revealed a large amount fast sperm, but with multiple deformities, it is better to refuse conception until more suitable results.

After all, such sperm are capable of fertilizing an egg, but can lead to the development of an unhealthy fetus with abnormalities
If the treatment does not give the desired results, the doctor may suggest married couple fertilization by IVF or ICSI. With these methods, you will need a minimum number of healthy and active sperm to conceive.
However, world practice knows cases where both partners diagnosed with infertility, thanks to strict adherence to the doctor’s recommendations, managed to conceive and bear absolutely healthy children. Therefore, you should never despair - there will always be a way out

Treatment of asthenoteratozoospermia with folk remedies

Ginseng takes first place in the hit parade of traditional medicine. Grind one hundred grams of fresh ginseng root in a blender or meat grinder and pour it into a liter of May honey. We put the jar in a dark place for a month. We eat the finished infusion one teaspoon three times a day. Dried or fresh ginseng root is infused in half a liter of vodka for a month in a dark place. We drink four tablespoons of the tincture three times a day. You can also take the root of this plant in dried form in powder form, 0.3 g four times a day. Duration of treatment is a month
Plantain can be used as a decoction or infusion: Place a tablespoon of dry plantain leaves in a glass of boiled water and let them brew for an hour. Drink 50 ml of infusion four times a day. Pour three tablespoons of plantain seeds into 750 ml of boiling water and put on water bath for five minutes. We take 250 ml of the decoction orally
Tribulus. Pour a tablespoon of tribulus into 200 ml of boiled water and place in a water bath. Steam the broth for about thirty minutes and strain it. Drink 60 ml decoction three times a day
Sage. Pour one tablespoon of dry sage into a cup of boiled water and leave until it cools completely. After cooling, strain the infusion and take one third of a cup three times a day before meals.
Adonis. Pour a tablespoon of adonis into 250 ml of boiling water and leave in a thermos for a couple of hours. Strain the infusion and divide the resulting amount three times a day
Adam's root. Pour two tablespoons of crushed Adam's root into a glass of boiling water. Infuse and take the resulting infusion three times a day
Ramishia. Pour three tablespoons of ramishia into half a liter of boiling water and leave in a warm place for about eight hours. The entire resulting infusion is divided into three doses per day.
Sagebrush. Pour one tablespoon of wormwood seeds into a glass of boiled water and infuse them. Strain the infusion and take it internally
Red rose. Petals of red and burgundy roses can be used as jam or tea
Mumiyo. Add 0.2 g of mumiyo to a glass of carrot, sea buckthorn or blueberry juice and take it on an empty stomach in the morning and evening. Shilajit can also be taken with honey or chicken yolks.

However, no matter how praised and miraculous folk remedy combating asthenoteratozoospermia, it is better to take it in consultation with your doctor. Only a doctor can determine whether it is appropriate to use such a medicine in a given case.

Those men who have been diagnosed with asthenoteratozoospermia can be wished patience and perseverance. After all, only by adhering to all the doctor’s instructions and following a certain regimen can you overcome this disease.

Video: Asthenoteratozoospermia and pregnancy

Asthenoteratozoospermia, what is it? This term, common in reproductology, has Greek roots and is formed from several parts. “Astheno-” means weakness, lethargy, “terato-” means ugliness, monstrosity. “Zoo-” characterizes living things, and, finally, “spermia” indicates seed, sperm.

Accordingly, the answer to the question of asthenoteratozoospermia, what it is, asks itself. Under asthenoteratozoospermia in medical practice understand a significant violation motor function And morphological characteristics sperm of a sexually mature man. This is a disorder of spermatogenesis. The condition in question is relatively rare, affecting 1 man in 10,000 people. What should you know about asthenoteratozoospermia?

We are talking about a complex, systemic violation of the reproductive characteristics of germ cells, since not only their lethargy is observed, but also a defective structure. In practice, this means that with a high degree of probability several factors are involved. Let's consider what causes of asthenozoospermia can be named.

First of all, these are infectious and viral diseases of a generalized nature. According to the latest medical research The greatest danger for representatives of the stronger sex is the so-called mumps (mumps). Without therapy, this disease provokes orchitis and severe damage to the testicles. The result is already clear - a violation of spermatogenesis and the formation of defective germ cells.

Traumatic damage to the testes entails a temporary acquired pathological condition. With proper treatment, the functions and composition of sperm are restored to normal indicators(this happens, on average, 3 months after the injury).

Hyperthermia. Normal spermatogenesis is possible only if the testicular temperature does not exceed 34.5 degrees Celsius. Visiting baths, saunas, taking hot baths, wearing tight synthetic underwear are all factors in the development of severe asthenoteratozoospermia. However, as with trauma, we're talking about O temporary disorder reproductive function.

Abnormal development of the testicles is usually congenital. The most dangerous disease is cryptorchidism - a condition when the testicles cannot exit the retroperitoneum into the scrotum. With a 50-60% probability, even unilateral damage to the testes entails persistent impairment of fertility. Additionally, among the anomalies of testicular development are hypoplasia (underdevelopment), anorchism (absence of testicles) and others.

Endocrine pathologies. Most often we talk about:

excess male sex hormones (excessive production of androgens);
diabetes mellitus in the decompensation phase, if no treatment was prescribed or the patient receives incorrect and ineffective therapy;
hypothyroidism is a deficiency of the thyroid gland;
the presence in the blood of an increased concentration of the hormone prolactin due to diseases of the pituitary gland (usually we are talking about tumors of the chiasmatic-sellar region);
excessive concentration of estrogen.

Radiation effects on the body of a representative of the stronger sex. Due to frequent X-ray studies, conducting radiation therapy, service on submarines, work at nuclear power plants. Intoxication damage to the body of a chronic nature. Lead, ethyl alcohol, silicates, etc.

Sexually transmitted diseases. In other words, sexually transmitted infections.
Physical inactivity. Lack of movement. Hyperdynamia, which entails a decrease in testosterone concentration. Incorrect menu. The nutritional reason plays an important role.

As a rule, there is the whole complex pathological reasons, therefore we can rightfully call asthenoteratozoospermia a polyetiological and multifactorial condition. The pathology in question is never primary. It is always secondary to one disease or another. The most common culprits are prostatitis and infectious viral diseases.

Symptoms

As a rule, asthenoteratozoospermia does not manifest any symptoms at all. Main external sign- this is the inability to conceive a full-fledged child for a long time. In what cases are we talking about infertility? The combination of three factors is important:

The frequency of sexual intercourse is at least once a month.
No problems with the reproductive system of the spouse.
The duration of attempts is from six months or more.

However, even if the situation corresponds to all the above signs, we are not talking about asthenoteratozoospermia. It can only be identified through objective research. The first examination that a representative of the stronger sex must undergo is a spermogram.

Degrees

Medical practice developed in 2010 World Organization Health care, knows about three degrees of severity of asthenoteratozoospermia:

First degree. When the number of healthy and full-fledged germ cells is half or more of all cytological units.
Second degree. In this case we are talking about a range from 31 to 50% of healthy cytological units.
Finally, the third stage is spoken of in a situation where the number of sperm capable of fertilization does not exceed 30%. This condition occurs most often, because patients, due to their own carelessness, turn to the doctor too late.

The severity of the process can only be determined through a spermogram.

Diagnostics

Asthenoteratozoospermia can be diagnosed by an andrologist or reproductologist. They are the ones you should contact first if you suspect problems in the sexual sphere. On initial appointment the doctor interviews the patient, determines the nature and extent of the complaints, their duration. It is important to tell everything accurately and not forget details. Additionally, anamnesis is collected. Factors such as injuries received, infectious and inflammatory diseases, etc. play a huge diagnostic role.

A spermogram puts an end to the question. According to the same medical practice, a healthy seed must meet the following criteria:

The volume of semen should be at least 1 milliliter or more (about a full teaspoon).
The number of cytological units is 30-45 million.
The concentration of germ cells per milliliter of seminal fluid is about 10-16 million units.
The number of active germ cells is about 60%.
Acidity no more and no less than 7.
Leukocytes are normally single.
The number of defective cells is no more than 1-2%.

It is important that you need to donate sperm for analysis according to certain rules. What recommendations are we talking about?

Before the start of the study, you should give up sexual contact 4-5 days. Otherwise the result will be false.
Overheating of the testicles must be eliminated within a few days, otherwise spermatogenesis will be disrupted.
Alcohol is eliminated for a week. Ethyl alcohol has a negative effect on sperm.
Stress and physical overload should be avoided.

Therapy

IN mandatory appointed drug treatment, as well as diet. Among the drugs, preference is given to pharmaceuticals to eliminate the primary pathology that caused such a difficult condition. These are anti-inflammatory, antispasmodic, antibacterial drugs and other medicines. Specific names are selected by a specialist based on the severity of the underlying disease.

Importance is also given to the right image life:

Smoking is excluded.
You can't drink alcohol, even in minimum quantities. Ethanol is the enemy of a healthy reproductive system.
It is important to adhere to the optimal physical activity, but do not overwork.
The diet should contain as many nuts, seafood, vegetables, and fruits as possible.
No canned food, semi-finished products, fried, smoked, fatty foods.
You should wear comfortable, loose cotton underwear.
Additionally, vitamin and mineral complexes are prescribed to maintain the health of the reproductive system as a whole.

Consequences

We have already figured out asthenoteratozoospermia, what it is and how to treat it. However, one more question remains. Both men themselves and their spouses are interested in the question of whether it is possible to become pregnant naturally with asthenoteratozoospermia. The answer will be twofold.

On the one hand in current state When the sperm count is low, the likelihood of conception is minimal. However, one must also take into account the fact that the degree of violations is always different. At the first stage, conception is quite possible. It should be remembered that teratozoospermia, which is part of the structure of the disease described, is fraught with the development of a defective embryo. The result is spontaneous termination of pregnancy, severe course gestation and the likelihood of having an unhealthy child (with genetic mutations).

On the other hand, you can always go complex treatment and normalize the composition and structure of seminal fluid. This is not easy and requires a whole range of actions on the part of the stronger sex.

Asthenoteratozoospermia - complex disease, requiring urgent correction. You cannot do without the help of a doctor. If there is a problem with fertility, you should consult a specialist. Perhaps the condition in question is to blame. Fortunately, it can be corrected using modern methods, although it will require a lot of effort from the man.