Skip to main content

Synopsis

Necrozoospermia is a condition where dead sperm is found in a fresh semen sample. Read to know more about necrozoospermia treatment offered at Indira IVF!

Necrozoospermia is the medical term that describes presence of dead sperms in fresh semen sample. It is a common cause of male infertility.

Definition:Necrozoospermia is a condition in which there is a low percentage of live sperms and a very high percentage of immotile spermatozoa in semen.

It can be classified into :
Moderate –50 to 80% dead sperms
Severe –>80% dead sperms

Causes of Necrozoospermia

Several pathological mechanisms may be involved which can be due to

1. Testicular cause:Abnormally high Temperature as in Hyperthyroidism, varicocele, hot tub baths

2. Post testicular:Epididymal necrozoospermia, vasectomy reversal, anti-sperm antibodies, seminal plasma abnormalities, adult polycystic kidney disease

3. Toxins:Exposure to toxins such as lead, pesticides, mercury or cadmium

4. Hormonal:Hypogonadotropic hypogonadism

5. Infectionsof male reproductive tract

6.Advanced Paternal age

7.Testicular cancer

8.Spinal cord injuries

9.Prolonged periods of no ejaculation

 

 

Diagnosis

It can be diagnosed by a semen analysis done in a Laboratory by using an Eosin test or Hypo-osmotic flagellar coiling test.

However it should not be confused with Asthenozoospermia where sperms are non-motile but they are not dead.

Also there can be a possibility of False Positive diagnosis in cases where
1.Sperm is collected in condoms having spermicidal cream
2.Sperm is collected by using lubricants that are spermicidal
3.Sperm is collected in an unsterile container

In cases where in Necrozoospermia is given in a report, it should be rechecked by doing a repeat semen analysis and avoiding possible spermicidal exposure and can also be done by giving 2 semen samples in a day.

Treatment options

1. Etiologicali.e. directed towards the cause by avoiding exposure to high temperatures or toxins and giving antibiotics to treat the infections.

2.Some medications likeAntioxidantsorAnti-inflammatory drugscan be used but there are currently no guidelines to recommend their use.

3. IVF with ICSI:Fertilization rates are lower with Necrozoospermia but in vitro fertilization with ICSI improves the chances of conception.

4. IVF with TESE & ICSI:Also in cases of Necrozoospermia due to post testicular causes, IVF with ICSI using sperm sobtained by TESE is the best treatment possible wherein sperms are obtained directly from the Testis by taking a small incision and removing a small tissue.

5. IVF with DONOR SPERMS:Alternatively in vitro fertilization with Donor sperms should be considered if other treatment fails.


Comments

Articles

2023

Male Infertility

What is abnormalities in sperm?

IVF Specialist

Sperm is a crucial component of the reproductive system in males. It is a spec...

2023

Female Infertility Male Infertility

How many days Sperm Live in Female Body after Intercourse?

IVF Specialist

While it depends on the correct circumstances and the stage of the woman's men...

2023

Male Infertility

Testicular Atrophy

IVF Specialist

Do you feel at times that the size of your testicles has increased or decrease...

2023

Male Infertility Infertility Problems

What is Hyperspermia?

IVF Specialist

Hyperspermia is a rare health condition affecting just about 4 per cent of men...

Male Infertility Infertility Treatment

Varicocele - Causes, Symptoms and Treatments

IVF Specialist

What is a Varicocele? Let’s first understand the varicocele meaning. The ...

2022

Infertility Problems Male Infertility

Male Fertility Conditions

IVF Specialist

Sperm is also an important factor in conceiving a baby. Many people in India a...

2022

Infertility Problems Male Infertility

Male Infertility

IVF Specialist

MALE INFERTILITY – Overview If you are facing male infertility you are no...

2022

Infertility Problems Male Infertility

Male Infertility Causes

IVF Specialist

Male Infertility Causes – Introduction Infertility is defined as, when a ...

Tools to help you plan better

Get quick understanding of your fertility cycle and accordingly make a schedule to track it

© 2023 Indira IVF Hospital Private Limited. All Rights Reserved.