Can vacuolar spermatozoa be able to conceive naturally?

Question
Hello doctor,
My husband and I have been married for 1 year and still have not had a baby. Last month, my husband and I went to a private hospital for infertility examination. My results are normal. Her husband's semen analysis results are as follows: Color: Normal, dysentery: 30 minutes, semen pH: 7.5, volume: 3.1, total sperm count: 204.6, density: 66, motility: PR =45; NP=8, IM=47, Survival: 68, normal shape: 2, foreign cells = 0. Result: 78% of first spermatozoa had many vacuoles. Can the vacuolar spermatozoa be able to conceive naturally?
Anonymous customer
Reply
Hello,
To the question “Can the vacuole spermatozoa be able to get pregnant naturally? "The doctor would like to answer as follows:
Sperm head has acrosome enzyme that helps orient the sperm to find the egg position and penetrate to conceive. In the case of spermatozoa with no or few acrosomes, round-headed spermatozoa or vacuolar spermatozoa are formed.
If a man has more spermatozoa with more vacuoles, the chances of having a baby will decrease. The reason is that these sperm are not able to fertilize the ovum naturally due to the lack of acrosome and acrosin enzyme to help sperm penetrate the protective membrane of the ovum and fertilize as usual.
In fact, the condition of the first sperm with many vacuoles can hardly be improved. According to the information you provided, you are likely to get pregnant naturally. However, if it has been 1 year and you have not had it, you and your wife should go to the doctor to be reevaluated.
If you still have questions about whether the vacuolar spermatozoa can have a natural pregnancy, you can go to the nearest medical facility or Vinmec Health System Hospital to be examined and examined by a doctor. more detailed advice.
Best regards!

Answered by Master. Doctor Nguyen Ngoc Chien - Reproductive Support Center - Vinmec Times City International General Hospital.