After the examination of the semen and receiving the result that it is OAT Syndrome, a large number of men usually want to understand what this state means, what causes it arises from, and how there can be a systematic approach to care

This article explains OAT Syndrome from the clinical point of view, from the mechanisms that may lie behind it through to the choices in assessment and restoration under the care of a physician

What is OAT Syndrome

OAT Syndrome, or Oligoasthenoteratozoospermia, is a state in which the result of the examination of the semen finds abnormalities together in 3 respects, namely

Oligozoospermia — the amount of sperm is lower than the standard
Asthenozoospermia — the movement of the sperm is abnormal
Teratozoospermia — the shape of the sperm is abnormal

The result that follows is that the ability in fertilisation reduces, which is one of the important causes of the state of difficulty in having a child on the side of the man

The mechanisms that may lie behind OAT Syndrome

The process of creating sperm (Spermatogenesis) arises inside the sperm-producing tubules of the testicles, and must rely on a suitable environment, both a temperature lower than the core of the trunk by about 1–2 degrees Celsius, and a complete system of capillary circulation (Microcirculation), in order to help deliver oxygen and nutrients to the tissue concerned

When this environment loses its balance, such as when oxidative stress (Oxidative Stress) arises, a state of varicose veins at the testicle (Varicocele), or chronic inflammation in the pelvic floor, the quality of the sperm produced in that cycle may reduce, both in respect of the amount, the movement, and the shape

The symptoms and signals that may be connected

Those who have the state of OAT Syndrome may observe the following symptoms or accompanying factors:

Having tried to have a child for more than 1 year without contraception, but not yet succeeding
Having symptoms of heavy pain, feeling heavy, or feeling a swollen blood vessel at the area of the scrotum
Reduced sexual desire or having a state of weakened sexual capability as well
Having a history of smoking, drinking alcohol, not resting enough, or working in an environment that has high heat
Having a state of being overweight, high fat in the blood, or high blood pressure, which may affect the peripheral blood vessels

These symptoms and factors are signals that should receive further assessment; they are not a standard for diagnosing oneself

The clinical assessment

The assessment of OAT Syndrome should look at several dimensions together. The physician may examine by palpation in order to assess the size and the volume of the testicles, search for a state of varicose veins, assess the muscles of the pelvic floor, and consider the physical characteristics that may indicate a state of deficiency of the male hormone as well

The diagnosis with technology

AI-Assisted Semen Analysis — using artificial intelligence to analyse the density, the Kinematics, and the Dysmorphology at the level of the micrometre, in order to give detail higher than examination with the naked eye
High-Resolution MSK Ultrasound (Scrotal Color Doppler) — assessing the structure and the rate of blood circulation with the Color Doppler mode, in order to check the severity of the state of varicose veins and abnormalities of the tissue of the testicle

The approach to care and restoration at PYONG MEN

The cycle of creating sperm takes about 72–74 days. Care and restoration must therefore rely on continuity of at least 2–3 months, so that the environment at the level of the cell has the opportunity to adapt

The approach to care at PYONG MEN is designed according to the level of severity, the cause found on assessment, and the suitability for each individual, and it may consist of the Superdose Activated Purified Growth Factor for a number of 1–3 sessions, together with Transrectal QMR, Focused Shockwave (f-ESWT), and the Advanced Pelvic Neuro-Vascular Protocol or the Pelvic Protocol continuously, in order to support the restoration of the environment at the level of the cell, the circulation of the blood, and the working of the system of the pelvic floor that may be connected with the quality of the sperm

Generally, the plan of care is assessed individually throughout a period of 2–3 months, according to the cycle of creating sperm. The preliminary estimated budget is in the range of about 45,000–250,000 baht, depending on the complexity of the symptoms, the number of procedures, and the approach that the physician sees as suitable after the examination and assessment

The suitable approach therefore depends on the real cause and on the assessment of the physician, and it can be changed to suit the convenience of the one receiving the service

In short summary

OAT Syndrome is a state in which the result of the examination of the semen finds abnormalities together, both in the amount, the movement, and the shape of the sperm
The possible causes include oxidative stress, Varicocele, and chronic inflammation in the pelvic floor
The assessment uses both AI Semen Analysis and Scrotal Color Doppler together with a clinical examination
The length of time in care and restoration is at least 2–3 months, according to the cycle of creating sperm
At PYONG MEN the plan of care is designed specific to the individual after the assessment, and it may consist of the Superdose Activated Purified Growth Factor, Transrectal QMR, Focused Shockwave (f-ESWT), and the Advanced Pelvic Neuro-Vascular Protocol or the Pelvic Protocol, according to the cause and the suitability for each individual

Frequently asked questions (FAQ)

1. What does OAT Syndrome mean? It is a state in which the sperm has abnormalities together in 3 respects, namely a low amount, abnormal movement, and an abnormal shape

2. Can OAT Syndrome be treated so that it improves? The response depends on the cause and the severity. Suitable care and restoration after the assessment may help support the creation of sperm in the following cycle

3. How long must the restoration take? Because the cycle of creating sperm takes about 72–74 days, the care generally must have continuity of 2–3 months at least

4. If there are varicose veins at the testicle, must there always be surgery? It depends on the level of severity and on the assessment of the physician. The surgery Varicocelectomy is the standard in some cases, while in some cases another approach may be considered

5. Does the OAT result always affect the chance of having a child? The state of OAT has an effect on the ability in fertilisation, but the result depends on several factors together, including the health of the partner. A complete assessment is therefore important