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Treatment options for Oligoastheno spermia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   My husband has been diagnosed with OAT , what to do next
Doctor :   Hi
User :   Hi
Doctor :   iam. dr.XXX
User :   hi
User :   My husband was diagnosed with OAT recently
Doctor :   may i know his age?
User :   31
Doctor :   since when is he diagnosed?
User :   it has been 2 months since we started trying for a baby
Doctor :   is he a smoker?
User :   no
User :   no bad habits at all
User :   he has given his hormone & blood tests today
Doctor :   Do you mean oat cell cancer of lungs?
User :   no
User :   oligoasthenotetrazoospermia
User :   no nothing
Doctor :   What was his last count?
Doctor :   WHERE was he working?
User :   the problem is the report did not say count
User :   its said occasional motile and immotile spermatozoa seen
User :   he is working in a Oligoastheno spermia
Doctor :   ok
Doctor :   do you have any children till now?
User :   nope
User :   we have been married since 2 and half yrs
Doctor :   Oligoasthenospermia is the most common identifiable anomaly found in semen analysis, and it can be treated or improved in many cases
Doctor :   twofold approach is helpful in both natural and assisted fertilization. ART are, however, an excellent alternative when other therapies fail.
Doctor :   Clomiphene which you're taking (ubiphene) can help some men with certain conditions increase their sperm count.
User :   we were wooried when the lab technician said the sperm count is less than miiliions
Doctor :   Oligoastheno spermia (OAS) is a condition in which low sperm count associated with low sperm motility.
User :   this is OATS
Doctor :   was he examined by an surgeon
User :   no not yet
User :   he has given blood and hormone test
User :   and once the report are there the dr is plannign to see him
Doctor :   The administration of anti-oestrogens is a common treatment because anti oestrogens interfere with the normal negative feedback of sex steroids at hypothalamic and pituitary levels in order to increase endogenous gonadotropin-releasing hormone secretion from the hypothalamus and FSH and LH secretion directly from the pituitary
Doctor :   In turn, FSH and LH stimulate Leydig cells in the testes, and this has been claimed to lead to increased local testosterone production, thereby boosting spermatogenesis with a possible improvement in fertility
User :   oh ok
Doctor :   Anti-oestrogens appear to have a beneficial effect on endocrinal outcomes, but there is not enough evidence to evaluate the use of anti-oestrogens for increasing the fertility of males with idiopathic oligo-asthenospermia.
User :   ok
Doctor :   does he have varicocele?
Doctor :   For men with a motile sperm count of more than 5 million in the ejaculate, logically IVF would be the first treatment offered.
Doctor :   ICSI treatment is better for asthenospermia than IUI
Doctor :   Modern research has shown that the reason some men have a low sperm count maybe because of a microdeletion on the Y-chromosome.
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