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Unfulfilled Desire to Have Children: Sperm Antibodies in Men and Women

Many couples struggling with infertility have already visited numerous gynecological clinics and endocrinological labs. This journey can be emotionally and physically exhausting. Often, the labs focus only on sperm activity or the woman's hormone status. But: infertility can also be caused by sperm antibodies!

What Are Sperm Antibodies?

Sperm antibodies are immune defense proteins that can occur in both men and women. They are produced by the immune system and can prevent pregnancy altogether.

Effect in Women

In women, sperm antibodies neutralize the man's sperm before fertilization can occur. Most often, the sperm are blocked in the cervical mucus and never reach the egg.
However, these antibodies can be detected in a blood test and treated accordingly.

Effect in Men

It may sound surprising, but men can also develop sperm antibodies. Due to a malfunction of the immune system, the male body produces antibodies against its own sperm, rendering them inactive. Sperm motility and vitality can become severely limited—or even completely blocked.
These antibodies can also be detected using the so-called MAR test.

How Can Sperm Antibodies Be Treated?

Good news: sperm antibodies are generally treatable. Since the root cause is immunological, the treatment must also be immunological. In men, sperm antibodies can be neutralized effectively using desensitization procedures, similar to how allergies are treated.
In women, a special antibody neutralization targeting specific immune cells from the male partner is required. These autoimmune desensitization therapies and immunotherapies have shown great success.

At the Schleicher & Brückl practice, we always strive for a holistic fertility therapy approach. For example, detoxification or eliminating chronic infections may also be necessary.

Learn more on Dr. Schleicher-Brückl’s fertility blog!

September 23, 2020