Can chronic prostatitis affect fertility? Those couples who want to have children after marriage are most concerned about and worried about this problem. Whether prostatitis affects fertility depends on its type and sperm quality.
1. In chronic bacterial prostatitis, prostatic fluid contains a large number of bacteria, bacterial toxins and inflammatory secretions. Inflammation also affects the epididymis, seminal vesicle and other adjacent genitals, where sperm mature. For example, there is inflammation in the epididymis and other places. The above harmful substances not only consume the nutrition and oxygen in the semen, but also affect the vitality and vitality of sperm, affect the maturation of sperm, and make it difficult for sperm to enter the egg. Sperm and egg did not meet. How can you get pregnant without the kiss of life? Therefore, it can be said that chronic bacterial prostatitis is most likely to cause male infertility. However, the proportion of bacterial prostatitis in chronic prostatitis is very low, but about 5%~10%, so the impact is limited. Not to mention acute prostatitis.
2. What about chronic aseptic prostatitis? In the case of prostatitis, the secretion of internal glands of the prostate may be reduced, resulting in the reduction of semen, which is not conducive to the survival and activity of sperm. In addition, due to the decrease of liquefaction factor-enzyme activity and the increase of coagulation factor in prostate fluid, the semen is discharged, which is difficult to liquefy for a long time. Long-term freezing can delay the liquefaction time of semen. The so-called non-liquefaction or incomplete liquefaction of semen hinders sperm activity, or sperm movement, which consumes too much energy, reduces activity, and even leads to sperm mortality; However, the author encountered a lot of incomplete liquefaction, but the case with sperm vitality A greater than 25% soon became pregnant.
3. When suffering from prostatitis, the pH value of semen may change, making the semen acidic or alkaline. When the pH value of semen exceeds the minimum requirements that sperm can adapt to, sperm vitality and viability will decrease, and may also have a negative impact on fertility.
4. There are some biologically active substances in the prostatic fluid that are closely related to the reproductive process, such as fibrinolytic enzyme affecting semen liquefaction, hyaluronidase determining the ability of sperm to penetrate the egg, lecithin body providing essential nutrients and energy for sperm activity in semen, etc. These bioactive substances are produced or decreased during inflammation, which will affect the survival and quality of sperm.