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sperm agglutination
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davidanderson posted:
hi,
I am 23 and also single. I am a university student and I study medicine.
I have this problem(sperm agglutination) for about 1 year. Before that my semen was normal but it is sticky since last year.I don't have any symptoms of UTI. Therefore I think it is because of antibodies.
I am so concerned about my infertility. What do you recommend me?
thank you
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amyaalc responded:
First of all sperm agglutination is motile sperm that sticks to other motile sperm when evaluated under a microscope not the consistency of the ejaculate.

I think you are having concerns with the hyperviscosity and liquefaction of the ejaculate. An ejaculate thickens after emission of the sample to help the sample remain in the female and buffer from the acidic vagina. Seeing a clumpy consistency is normal. After anywhere from 15-60 minutes it should become liquefied. The hyperviscosity deals with how stickly or mucous like characteristics of the sample. Again the sample as it liquefies should flow drop by drop when pipetted and not have long strands of over 2cm.

Simple things like dehydration and diet can effect your ejaculate. Make sure to keep fluids up. Unless you are having problems conceiving I would not worry about this issue.
Down the road if you are trying to reproduce and pregnancy is not happening after 6-12 months you should have a semen analysis to evaluate the sperm and quality. If the hyperciscosity is flagged as high you can take OTC Mucinex as direct on the package with increased water consumption. Take Mucinex around your partners ovulation window. If still no luck you can have your PSA tested to make sure you are not having any problems with your prostate which produces the chemicals that help liquefy the ejaculate.

Best of luck and thanks for the question!

Amy Perkins, MS, TS (ABB)
Laboratory Supervisor
Arizona Andrology Laboratory & Cryobank
International Center for Vasectomy Reversal
 
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davidanderson replied to amyaalc's response:
thank you very much for your help


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