What are the causes of semen not liquefying? Experts from Sperm and Egg Network point out that common reasons for semen not liquefying include insufficient fibrinolysin secreted by the prostate due to seminal vesiculitis and prostatitis; deficiency of trace elements (such as magnesium and zinc); and congenital absence of the prostate, etc. It is generally believed that secretions from the prostate and seminal vesicles participate in the coagulation and liquefaction process of semen. The coagulation factor produced by the seminal vesicle causes semen to coagulate, while the proteolytic enzyme and fibrinolysin produced by the prostate, which are liquefaction factors of semen, cause the semen to liquefy. Once inflammation occurs in the seminal vesicle or prostate, it can cause secretion disorders of these factors, leading to an increase in coagulation factors or a decrease in liquefaction factors, resulting in semen not liquefying syndrome.
Therefore, the key to treating semen not liquefying syndrome lies in thoroughly curing diseases of the seminal vesicle and prostate. For most patients, once the diseases of the prostate and seminal vesicle are cured, the condition of semen not liquefying will also improve.
In Traditional Chinese Medicine, the reason for semen not liquefying lies in the liver and kidney. For example, yin deficiency generates internal heat, consuming body fluids; or the decline of vital energy and kidney essence depletion; or liver depression transforming into fire, disturbing the spermatic chamber, all of which can affect the normal liquefaction of semen, thereby causing infertility. Semen not liquefying is often caused by cold coagulation, heat scorching, phlegm obstruction, and blood stasis. Its causes and pathogenesis commonly include the following:
1. Congenital kidney yang insufficiency, or lack of postnatal nourishment, long-term illness, damage to kidney yang, or invasion by cold pathogenic factors, damaging kidney yang, can all cause semen to be cold coagulated and fail to liquefy.
2. Excessive indulgence in alcohol and sex, frequent ejaculation, or excessive mental exertion, or emotional transformation into fire, can all consume kidney yin, leading to yin deficiency with hyperactivity of fire, scorching body fluids, making the semen thick and unable to liquefy.
3. Habitual consumption of spicy, sweet, greasy foods, damp-heat accumulating internally, or external exposure to damp-toxicity, can all scorch body fluids, causing the semen to be unclear and sticky.
4. Overconsumption of cold drinks, damaging spleen yang, or other diseases affecting spleen yang, spleen deficiency involving the kidney; or kidney yang deficiency leading to spleen yang deficiency, spleen-kidney yang deficiency, then water-dampness cannot be transformed, obstructing to form phlegm, phlegm-dampness blocking the spermatic orifice, qi transformation being unfavorable, then semen cannot liquefy.
5. Qi deficiency with blood stasis or blood stasis constitution, spermatic orifice blocked by stasis, semen also does not liquefy.
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