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seminograma fertility at home

What’s in a seminogram?

The great sophistication of current instruments allows us to perform assisted reproduction techniques with a few – very few – sperm. In fact, with the ICSI sperm microinjection technique, only one sperm is required for each egg that is covered, with the only requirement that it present some mobility – a direct sign of its vitality – although this is not progressive.

Obviously, specifying few sperm allows a reproductive expectation to be offered to couples that, naturally, could not reproduce. It allows men with cryptozoospermia or even azoospermia (sperm obtained directly from the testicular tissue) to see their desire for fatherhood fulfilled. At the same time, needing just a few sperm to achieve a pregnancy also gradually decreased the interest in knowing how it works, its physiology and understanding what qualities made it fertile. The sperm became the great forgotten fertility.

However, in recent years the importance of oxidative stress as a causal factor of sperm damage has been valued as it alters the permeability of its cell membrane, causing the breakdown of DNA chains and consequently, the impossibility of obtaining embryos or of evolutionary gestation.

So to argue correctly, I’d first try to answer another question: what’s behind a sperm?

I would reply immediately that behind a sperm there is a man. A man with a “factory” regulated by a series of biological functions, tissues and organs that require endocrine, neurological and vascular control, and also, a living being driven by desires, drives and wills. The seminogram offers the possibility of approaching all this, but it is only a tool for the doctor. What the reproduction specialist offers is a clinical and pathological diagnosis, evaluating not only the number and quality of sperm but also life habits, the possible pathologies that cause this alteration, trying not only to improve the chances of gestation but also , the general health of the male, from empathy and the ability to communicate results, solutions, possibilities and expectations.

I would reply immediately that behind a sperm there is a man. A man with a “factory” regulated by a series of biological functions, tissues and organs that require endocrine, neurological and vascular control, and also, a living being driven by desires, drives and wills. The seminogram offers the possibility of approaching all this, but it is only a tool for the doctor. What the reproduction specialist offers is a clinical and pathological diagnosis, evaluating not only the number and quality of sperm but also life habits, the possible pathologies that cause this alteration, trying not only to improve the chances of gestation but also , the general health of the male, from empathy and the ability to communicate results, solutions, possibilities and expectations.

Impairment of fertility has become one of the main reproductive health problems, and especially in developed countries, where the voluntary delay in the reproductive plan has led to a progressive increase in the age of motherhood, while an increase in the incidence of reproductive dysfunctions associated with germ aging. The influence of male age on infertility is also evident. It has been proven that it decreases from the age of 35 with a constant slope. In other words, male fertility (in the demographic sense) decreases by around 23% annually, starting at age 35.

This fact adds to the decrease in seminal quality described in different works by numerous authors, directly related to life habits and the industrialized world. The influence of environmental factors and lifestyle influences the highest frequency of infertility today. The toxicity derived from industrialization, from toxic discharges that remain in the subsoil contaminating the food chain, from dioxins and from estrogenic endocrine disruptors, obviously affect male fetal development and the formation and development of the male genital apparatus, altering the correct spermatogenesis and therefore sperm quality.

What do we analyze in a seminogram?

The seminogram is the systematic analysis of the different components that make up the ejaculate. It constitutes the most important laboratory test for the study of testicular reproductive function. Therefore, the main indication to perform a seminogram is the evaluation of the male component in conjugal subfertility or sterility. The result completes the medical history and the physical examination and, in case it is altered, can lead to new complementary explorations.

We carried out a macroscopic, biochemical and microscopic analysis of sperm and seminal fluid; with special attention to the count, mobility, morphology and, as we said, to the integrity of membranes and fragmentation of sperm DNA, as well as the presence of radicals of oxidative stress. The interpretation of all these data, together with the clinical history and the examination of the male, allows us to intervene on life habits and possible pathologies that cause sperm alterations, and thus, contribute to improving the chances of pregnancy and general male health.la salud general del varón.

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