Spermiogram: when it is useful to perform it – Dr. Massimo Gabellini


Spermyogram: when it is useful to perform it

Considered for a long time as a simple ancillary examination to be referred to only in selected cases, the spermyogram should become part of the routine examinations that precede the start of trichological therapy, especially when anti-DHT drugs are used.

We know from clinical experience that occasionally therapy for the treatment of androgenetic alopecia may be associated with the appearance of temporary side effects concerning the sexual sphere and in rare cases is accompanied by alterations in the quali and quantitative values of seminal fluid, especially in long-term therapy at standard dosages: unfortunately, however, the real correlations between taking anti-DHT drugs and alterations in the spermiogram are still a debated topic, capable of creating considerable confusion among both physicians (especially non-experts in the field) and patients, who are often reluctant towards anti-DHT drug therapies.

The spermiogram is a simple test that allows us to analyze the seminal fluid of an individual in order to assess the latter’s fertilizing capacity, but more importantly it allows us to understand whether there are any real contraindications to the use of certain categories of drugs.

The result of the examination obviously depends on many variables, and with this premise it becomes clear how important it is to rely on competent laboratories that routinely perform this type of examination and are able to guarantee the standards required by the most current guidelines.

Performing this simple and quick test allows us to shelter ourselves from unpleasant surprises: in recent years we are witnessing an exponential growth of sub-infertility conditions in young patients, where environmental pollutants play a major role.

The possible correlation between infertility and the use of anti-DHT drugs, as mentioned, remains uncertain, as well as the opinion of many distinguished experts on the subject is discordant, but relying on competent physicians who have experience in the use of such drugs remains a must, and performing a spermiogram is the first step to take before embarking on a course of treatment for the treatment of androgenetic alopecia.

It also turns out to be important to combine it with some blood tests that allow a more accurate reading.


Article edited by Massimo Gabellini.


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