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12 de September, 2024

Seminal infections

The seminal tract is the tube through which sperm travel from the testicles to the outside of the body. If there is an infectious process at any point along this route, the sperm are forced to pass through the infected area, damaging them and affecting their ability to fertilize the egg.

Most seminal infections can be easily treated and cured with antibiotics. In case the quality of the sperm is insufficient, in vitro fertilization with intracytoplasmic sperm injection (IVF + ICSI) is the treatment of choice to achieve pregnancy.

What are seminal infections?

The seminal tract is the tube through which sperm travel from the testicles to the outside of the body. If there is an infectious process at any point along this path, the sperm are forced to pass through the infected area, damaging them and affecting their ability to fertilize the egg.

Seminal infections affect fertility in several ways:

  1. By obstructing the seminal ducts, they can prevent sperm from being expelled during orgasm (azoospermia) or cause oligozoospermia, i.e. low sperm concentration in the ejaculate.
  2. By adhering to sperm, they can reduce their mobility (asthenozoospermia) and prevent them from moving to the egg.
  3. They can cause changes in sperm morphology (teratozoospermia).
  4. They can increase the rate of sperm DNA fragmentation, which compromises embryo implantation and pregnancy development.
  5. They promote the production of antisperm antibodies and reduce the probability of fertilization.
  6. They can infect the woman's reproductive organs by spreading through semen.

The main symptoms of seminal infections

Because seminal infections rarely present symptoms, it is common for them to remain unidentified for a long time and generate sequelae that can lead to infertility.

In some cases, seminal infections can cause:

  • Abnormal semen
  • Irritation
  • Itching
  • Burning when urinating
  • Urethral discharge
  • Infertility

If you have any of these symptoms, you should stop having sex and see a doctor immediately.

Causes of seminal infections

Seminal infections can be caused by the presence of harmful microorganisms in the prostate, seminal vesicles, vas deferens, epididymis, and testicles.

These microorganisms are usually transmitted during unprotected sex. Any sexually active man can develop a seminal infection, however, the risk is proportional to the number of sexual partners he has or has had.

How are seminal infections diagnosed?

In addition to an analysis of your medical history and a genital examination that takes just a few minutes and is painless, a sperm culture or microbiological control of the semen is necessary.

Current microbiological diagnostic techniques facilitate the detection of a large number of germs that affect semen quality and lead to male infertility, including parasites, bacteria, and fungi.

The diagnosis must be made by an experienced specialist since there are numerous types of seminal infections and each requires a specific treatment.

Similarly, it is advisable to perform a spectrogram or sinogram to rule out problems with sperm concentration, motility, and morphology.

Treatments to achieve pregnancy when suffering from seminal infections

In most cases, seminal infections can be easily treated and cured with antibiotics.

Infected men should abstain from sexual relations until they and their sexual partners have been treated. Otherwise, they are at high risk of being reinfected and experiencing serious complications to their reproductive health. To ensure that the therapy has been effective, a follow-up check is recommended.

In case of insufficient sperm quality, in vitro fertilization with intracytoplasmic sperm injection (IVF+ICSI) is the treatment of choice to achieve pregnancy thanks to the fact that it makes it possible to inject a single sperm directly into the cytoplasm of a mature egg using a microscopic needle.

If the patient has an infection or the presence of leukocytes is determined in the sinogram, he or she must undergo appropriate treatment before starting an in vitro fertilization cycle.

Similarly, it is advisable to perform a sperm DNA fragmentation test before starting any assisted reproduction treatment, since a high fragmentation rate could affect the success rates of these procedures.

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