What are the causes of semen non-liquefaction? Experts from the Sperm and Egg Network point out that common causes of semen non-liquefaction 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 coagulation, while the proteolytic enzyme and fibrinolysin produced by the prostate liquefy the semen. Once the seminal vesicle or prostate becomes inflamed, it can cause secretion disorders of these factors, leading to an increase in coagulation factors or a decrease in liquefaction factors, resulting in semen non-liquefaction.
Therefore, the key to treating semen non-liquefaction lies in curing diseases of the seminal vesicle and prostate. For most patients, semen non-liquefaction improves after the cure of prostate and seminal vesicle diseases.
In Traditional Chinese Medicine (TCM), the cause of semen non-liquefaction is attributed to liver and kidney dysfunction. For example, yin deficiency generates internal heat, which consumes semen; or the decline of vital energy leads to kidney essence deficiency; or liver stagnation transforms into fire, disturbing the spermatic chamber, all of which can affect the normal liquefaction of semen, leading to infertility. Semen non-liquefaction is often caused by cold凝聚, heat scorching, phlegm obstruction, and blood stasis. Its etiology and pathogenesis commonly include the following:
1. Insufficient innate kidney yang or postnatal malnourishment, prolonged illness, or external cold invasion damaging kidney yang, all of which can lead to semen being affected by cold, preventing its liquefaction.
2. Excessive alcohol consumption, sexual activity, or mental strain, or emotional disturbances transforming into fire, all of which can deplete kidney yin, leading to yin deficiency with hyperactivity of fire, which scorches body fluids, making the semen thick and unable to liquefy.
3. Regular consumption of spicy, rich, greasy foods causing damp-heat accumulation inside, or external damp-toxin invasion, both of which can scorch body fluids, mixing clear and turbid essences, making the semen viscous and unable to liquefy.
4. Overconsumption of cold drinks damaging spleen yang, or other diseases affecting spleen yang, leading to spleen deficiency affecting the kidneys; or kidney yang deficiency causing spleen yang deficiency, resulting in spleen-kidney yang deficiency, where water-dampness cannot be transformed, forming phlegm, blocking the spermatic orifice, hindering qi transformation, preventing semen liquefaction.
5. Qi deficiency with blood stasis or constitution prone to blood stasis, leading to blockage of the spermatic orifice, preventing semen liquefaction.
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