ĐẶC ĐIỂM LÂM SÀNG VÀ TINH DỊCH ĐỒ CỦA NGƯỜI BỆNH SUY GIẢM TINH TRÙNG TẠI KHOA NAM HỌC VIỆN Y HỌC CỔ TRUYỀN QUÂN ĐỘI

Abstract

Background: Oligoasthelospermia is one of the leading causes of male infertility. Investigating the clinical characteristics and semen parameters in patients with Oligoasthenospermia is essential to support treatment and preventive strategies. Objective: To evaluate the clinical features, traditional medical syndromes and semen analysis of patients with oligoasthenospermia at Department of Andrology, Military Institute of Traditional Medicine. Methods: A cross-sectional study was conducted on 45 male outpatients with oligoasthenospermia and treated at the Department of Andrology from May 2024 to June 2025. Results: The most of patients were aged 31–40 (44.4%) and 41–45 (46.7%). The reasons for medical examination included unrelated to infertility (60%), primary infetility (11.1%) and secondary infertility (28,9%). Most patients had a normal BMI (53,3%), 35,6% were overweight (BMI ≥ 23), and 11,1% were underweight (BMI < 18.5). Patients had symtoms of lower backpain and knee pain (77.8%), fatigue (75.6%), and pale facial complexion (66.7%). Three traditional medical syndromes were Kidney Yang Deficiency (37,8%), Kidney Yin Deficiency (26.7%), and Dual Deficiency of Qi and Blood (35.6%). Semen analysis revealed a high prevalence of asthenozoospermia (80%), followed by oligozoospermia (40%) and teratozoospermia (22.2%). Conclusion: Most patients were over 30 years old, primarily sought treatment for conditions unrelated to infertility, had a normal BMI, were diagnosed with Kidney Yang Deficiency according to traditional medicine, and exhibited predominantly asthenozoospermia in semen analysis.