On June 14th, Dr. Vo Duy Tam, from the Men's Health Center, stated that upon reviewing the patient's medical history, it was reported that for the past two weeks, his semen had become clumpy and slightly yellowish, causing him great concern about potential infertility.
Examination revealed that the young man's penis and testicles were normal; however, diagnostic laboratory tests showed rather poor results in semen analysis, with reduced sperm count, poor sperm quality, and low sperm motility.
Clumpy semen is one of the common semen-related complaints in men.
"At the same time, the white blood cell count in the semen was elevated (over 1 million/ml of semen). This indicates that the patient's clumping of the semen suggests an infection within the seminal ducts. White blood cells in the semen can produce free radicals, negatively impacting sperm," Dr. Tam shared.
After treatment with antibiotics and medications to improve sperm quality, the patient's condition improved significantly. After more than 14 days of monitoring, a repeat semen analysis showed a substantial decrease in white blood cell count, with sperm quality and quantity returning to normal levels; the clumping of the semen also subsided and the odor was no longer as strong as before.
According to Dr. Tam, if semen clumping is due to infection, it can affect fertility. If the infection is not treated properly, adequately, and promptly, it can leave lasting effects on the seminal ducts, causing inflammation and blockage of one or both ducts. Sperm may then have difficulty or be unable to move through the seminal ducts to the outside.
Normal semen after ejaculation is quite thick, sometimes containing gelatinous substances that look like jelly particles. The semen will quickly liquefy and become clear within about 15-30 minutes.
According to Dr. Tam, clumping of semen is a common complaint among men. However, it's important to distinguish between "clumping"—which could be the normal colloidal structure of semen—and a pathological condition. Caution is advised if accompanied by signs of urinary tract infections such as cystitis or urethritis.
If you notice any abnormalities, you should go to a medical facility for a semen analysis and consultation with andrologists.
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