Does lumpy semen cause infertility?

On June 14, Master, Doctor Vo Duy Tam, Men's Health Center, said that after taking the patient's medical history, he said that for the past 2 weeks, his semen had been lumpy and slightly yellow, so he was very afraid of becoming infertile.

Through examination, the young man's penis and testicles were found to be normal. However, when performing paraclinical diagnostic tests, the semen analysis results returned quite poor results, with reduced sperm count, poor sperm quality, and low sperm motility.

Lumpy semen is one of the common semen complaints in men.

"At the same time, the number of white blood cells in the semen increased (more than 1 million/ml of semen). This shows that the patient's lumpy semen suggests an infection inside the vas deferens. White blood cells in the semen can produce free radicals, causing negative effects on sperm," Dr. Tam shared.

After being treated with antibiotics and drugs that improve sperm quality, the patient's condition changed positively. After more than 14 days of monitoring, a re-test of the semen showed that the white blood cell count had decreased significantly, the quality and quantity of sperm had returned to normal; the condition of the semen clumping had also improved and was no longer as foul-smelling as before.

According to Dr. Tam, if semen is lumpy due to infection, there is a risk of affecting fertility. Because if the infection is not treated properly, satisfactorily and promptly, it can leave sequelae on the vas deferens, causing inflammation or blockage of one or both vas deferens. Sperm may then have difficulty or be unable to move through the vas deferens to the outside.

Normal semen after ejaculation will be quite thick, sometimes there will be colloidal bodies that look like jelly particles. Semen will quickly liquefy, becoming clear about 15-30 minutes later.

According to Dr. Tam, lumpy semen is one of the common complaints in men. However, it is necessary to distinguish clearly that "lumpy" can be a normal colloidal structure of semen, or a pathological condition. Be careful when there are signs of urinary tract infections such as cystitis, urethritis, etc.

When there are unusual signs, go to a medical facility to have a semen test and consult a urologist.

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