Post Date December, 03 2023
After a woman's first miscarriage, a detailed examination is required to clarify the root cause of the miscarriage; "Or earlier, when planning for pregnancy, a comprehensive pre pregnancy examination should be carried out, not only for women, but also for men, including routine blood tests and sperm quality testing.". In modern life, there are more and more factors that harm male sperm. We should pay more attention to sperm health issues and prepare for healthy pregnancy preparation and safe pregnancy in advance.
Chromosome abnormality
Chromosomes record the basic information necessary for fetal development, and if it goes wrong, it can easily lead to miscarriage. Chromosome problems are not uncommon. According to statistics, about 20% to 55% of early abortions are due to chromosomal abnormalities in the embryo. Chromosome problems are a clear cause of miscarriage and embryo arrest in many women, so it is often necessary to check chromosomes when visiting a reproductive center.
[Response]: If it is indeed a chromosome problem that causes recurrent miscarriage, it is usually done through PGD (pre embryo transfer genetic diagnosis), commonly known as "third generation in vitro baby technology" to assist in pregnancy. This method can filter out embryos with chromosome problems.
The semen is infected
Chlamydia trachomatis infection and ureaplasma urealyticum infection are important causes of recurrent miscarriage. These microscopic pathogens can attach to the sperm surface and subsequently affect the health of fertilized eggs or embryos, leading to miscarriage.
[Response]: Targeted treatment and elimination of chlamydia trachomatis and ureaplasma urealyticum can reduce the risk of miscarriage and fetal arrest.
Sperm doesn't look good
The term "sperm appearance problem" refers to a problem with the morphology of sperm. Common abnormalities such as acrosome abnormalities in the sperm head can prevent sperm from penetrating the egg, resulting in loss of fertilization ability, leading to infertility or miscarriage. Another example is abnormal chromatin in sperm, which often manifests as abnormal head morphology (such as large headed sperm). The possibility of miscarriage increases significantly after this type of sperm binds to the egg.
[Response]: For patients with severe dysspermia, if drug treatment is ineffective, ICSI (egg cell
Intraplasmic sperm injection (ICSI), commonly known as "second generation IVF technology", can help select healthy sperm with normal appearance.
Poor sperm motility
Previously, it was believed that sperm with poor motility could not swim into the cervix, uterus, or fallopian tube by themselves, and meet with the egg to become pregnant. However, some studies have shown that sperm with poor motility may also cause a woman to become pregnant, and the probability of miscarriage after pregnancy is significantly higher than that of the normal population.
[Response]: Cooperate with a doctor to find out the cause of poor sperm motility (asthenospermia) and treat it. Common diseases include varicocele, epididymitis, seminal vesicular adenitis, and so on.
High sperm DNA fragment rate
The high rate of sperm DNA fragments indicates that the integrity of genetic material within the sperm is poor, and the integrity of genetic material within the sperm is extremely important for fertilization and the development of fertilized eggs. Studies have shown that people with a sperm DNA fragment rate higher than 30% have a significantly higher probability of infertility or spontaneous abortion in the first trimester of pregnancy.
[Response]: Currently, most patients with high sperm DNA fragment rates are treated with vitamin based antioxidant drugs, and the condition of most patients will improve. In some cases, repeated treatment is ineffective, and sperm can be removed through testicular puncture and then used as a test tube baby to successfully conceive.
Bad living habits
Excluding the female factor, the male has no obvious abnormalities in various examinations, but there is still a possibility of recurrent miscarriage, usually related to age, environment, smoking, drinking, and other adverse lifestyle factors.
[Response]: Within the optimal reproductive age (preferably before the age of 35), stay away from alcohol and tobacco, avoid hot spring saunas, wear less tights, and refrain from abusing chemical drugs to develop good living habits.
