Can necrozoospermia be treated?

Don’t lose confidence in the treatment of necrozoospermia after it occurs. You should still actively cooperate with the treatment so that your body can return to normal. Moreover, necrozoospermia generally requires treatment of the original disease first. The most common one is prostatitis. This disease can easily lead to necrozoospermia after it occurs. Then antibiotics and other treatments are needed to improve the reaction to abnormal semen accordingly.

The key to treating dead sperm is to treat prostatitis and seminal vesiculitis. At the same time, attention should be paid to other causes of necrozoospermia and active treatment should be provided, such as surgical treatment of varicocele, use of hormone drugs to regulate endocrine function in the body, and supplementation of various nutrients. In addition, drug treatment that promotes sperm formation and improves sperm motility is also needed to comprehensively improve semen quality and increase women's pregnancy rate.

(1) Antibiotic treatment: mainly used for abnormal semen caused by chronic bacterial prostatitis or seminal vesiculitis. Choose an antibacterial drug that can diffuse into the prostate, with trimethoprim (TMP) being the first choice. Clinical practice has proven that the combined use of trimethoprim (TMP) and rifampicin (RFP?) can achieve better results. Specific usage: TMP80mg/tablet, RFP?300mg/tablet. Take 1 tablet each in the morning and 2 tablets in the evening for 15 consecutive days; change to 2 tablets each night, once a day for 15 days. Then change to 1 tablet each night, once a day, orally for 90 days, which is a course of treatment.

Clindamycin and erythromycin can be highly diffused into the prostate. The former is 1 gram three times a day; the latter is 0.2 to 0.5 grams 4 times a day. In order to avoid drug resistance, after taking the above various antibacterial drugs for 7 to 10 days, change to another antibacterial drug for 8 to 1 to 6 weeks. In addition, antibiotics such as cotrimoxazole, norfloxacin, kanamycin, ciprofloxacin, josamycin, and cephalosporin can be tried. It is generally recommended to use drugs in combination, preferably under the guidance of drug sensitivity testing. For patients with chronic gonorrhea, you can also consider using drugs such as Lymphatic and Bacterial. At the same time, drink more water and soften the stool. Avoid taking alcohol and coffee to reduce prostate congestion.

(2) Non-hormonal anti-inflammatory drug treatment: mainly used for chronic non-bacterial accessory gonad inflammation. Commonly used drugs include aspirin, indomethacin, phenylbutazone, ibuprofen, etc. For example, indomethacin 25 to 50 mg, 3 times a day, phenylbutazone 100 mg, 3 to 4 times a day. Continuously taking the medicine for 1 month can reduce accessory gland congestion and edema, and has a certain therapeutic effect on necrozoospermia. In addition, since chlamydia and mycoplasma infection cannot be ruled out, tetracycline 0.5g, 4 times/day and doxycycline 100mg, once/day for 1 to 2 weeks can be considered.

The traditional Chinese medicine "Dead Sperm No. 1" prescription can be used: 30g each of honeysuckle and salvia miltiorrhiza, 15g each of dandelion, rehmannia, and Dipsacus chuanxiong, 12g of angelica root, 9g each of anemarrhena, Phellodendron, red and white peony root, and licorice. One dose per day, decoction in water, 3 months as a course of treatment. It has good curative effect on necrospermia caused by prostatitis and seminal vesiculitis.