Abnormal Semen Liquefaction and Prostatitis in Men - Urology

Dr. Xu Weikai reply Urology

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1.
Is abnormal semen liquefaction a common symptom in men? Is this symptom usually congenital or acquired? A: Some individuals naturally have a longer liquefaction time, which is related to their constitution and does not require treatment.
Others may experience prolonged liquefaction due to various reasons, such as certain infections, which can improve with treatment.
The presence or absence of liquefaction does not have an absolute relationship with normalcy or fertility.
2.
Does abnormal semen liquefaction affect fertility? A: It depends on the underlying cause.
If it is due to constitutional factors, it will not affect fertility.
However, if it is due to infections, bacteria can interfere with conception.
3.
Is there an absolute relationship between prostatitis and abnormal semen liquefaction? A: There is no absolute relationship.
Some individuals naturally have a longer liquefaction time (due to a lack of a specific liquefaction enzyme).
It is similar to how some people flush when drinking alcohol while others do not; you cannot say that one group has a problem.
4.
Can chronic prostatitis be completely cured? A: Chronic prostatitis refers to scarring or other fibrotic or calcified changes in the prostate due to long-term inflammation.
If there are no symptoms, there is no need for treatment.
What does "cure" mean? If you have a scar from a skin injury that remains but is not painful or itchy, do you consider that injury to be completely healed? Chronic inflammation is like that scar; it depends on how you view the meaning of a cure.
5.
My doctor found my white blood cell count to be 6-10 HPF, but I have never experienced any pain or discomfort in my urination, ejaculation, or urinary system in the past 25 years.
After prescribing a week's worth of medication, the doctor told me that if I had no discomfort, I did not need to return for a follow-up.
Is this diagnosis reasonable? (I consulted the urology department at Cathay General Hospital in Xizhi, and I only underwent semen analysis because I suspected an abnormal color.) A: As I mentioned in the previous question, if there are no symptoms and only a scar, would you want treatment? Similarly, general semen inflammation usually presents with symptoms such as pain, blood in ejaculation, or swelling.
If the examination shows only mild inflammation (WBC: 6-8/HPF), medication may not be necessary.
You can also perform a bacterial culture on the semen; if no bacteria appear after one week of culture, you can disregard it.
If bacteria are cultured, appropriate antibiotic treatment can be given based on the type of bacteria.
6.
If I still have no discomfort after taking the medication (I estimate I won’t, as I have never had any...), what would you recommend as the next step? ...
(Observation)
7.
I saw online that the standard for semen analysis indicates that a normal morphology is only required to be above 30%.
A: Previously it was 60%, and it has now been revised down to 50%.
I am not sure where your 30% data comes from.
Note: Normal morphology indicates that these sperm may be normal.
Abnormal morphology means the sperm are definitely not good and cannot achieve fertilization.
Just think, how could nature allow for 30% normal sperm to reproduce abundantly and dominate the Earth?
8.
Based on your past clinical experience, if inflammatory symptoms are completely resolved, can the quality of sperm return to normal? A: The formation of sperm takes about two and a half months.
In other words, if your body condition has remained excellent for the past 70 days, then that batch of sperm will be 100% healthy.
Of course, if treatment is successful, along with maintaining a regular lifestyle and avoiding bad habits (especially quitting smoking), there will definitely be improvements.

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Reply Date: 2009/12/06