{"id":947,"date":"2025-09-24T09:59:44","date_gmt":"2025-09-24T07:59:44","guid":{"rendered":"https:\/\/iextra.cz\/?p=947"},"modified":"2025-09-24T09:59:45","modified_gmt":"2025-09-24T07:59:45","slug":"kdy-jit-na-vysetreni-spermiogramu","status":"publish","type":"post","link":"https:\/\/iextra.cz\/?p=947","title":{"rendered":"Kdy j\u00edt na vy\u0161et\u0159en\u00ed spermiogramu?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Biologick<\/strong><strong>\u00e9 hodiny netikaj\u00ed jen \u017een\u00e1m, ale i mu\u017e\u016fm. Vy\u0161\u0161\u00ed v\u011bk p\u0159irozen\u011b znamen\u00e1 ni\u017e\u0161\u00ed \u0161ance na po\u010det\u00ed. Jak se d\u00e1 mu\u017esk\u00e1 plodnost vy\u0161et\u0159<\/strong><strong>it? Co v\u0161e se z vy\u0161et\u0159en\u00ed spermiogramem dozv\u00edme a kdy na n\u011bj zaj\u00edt? Zjist\u011bte v\u00edce v na\u0161em \u010dl\u00e1nku.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kolem 40. roku \u017eivota doch\u00e1z\u00ed u mu\u017ee v souvislosti s andropauzou <strong>k poklesu produkce testosteronu<\/strong>. Ten ovliv\u0148uje nejen fyzickou a psychickou str\u00e1nku, ale i tvorbu a kvalitu spermi\u00ed. Na jejich rychlost, vy\u0161\u0161\u00ed v\u00fdskyt genetick\u00fdch mutac\u00ed a schopnost oplodnit vaj\u00ed\u010dko maj\u00ed krom\u011b v\u011bku vliv i dal\u0161\u00ed faktory jako nadm\u011brn\u00e9 kou\u0159en\u00ed, po\u017e\u00edv\u00e1n\u00ed alkoholu, stres, nevhodn\u00e1 strava i zne\u010di\u0161t\u011bn\u00e9 \u017eivotn\u00ed prost\u0159ed\u00ed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Co je spermiogram a jak funguje?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Spermiogram je laboratorn\u00ed vy\u0161et\u0159en\u00ed ejakul\u00e1tu. Sleduje se <strong>koncentrace<\/strong>, tedy kolik spermi\u00ed obsahuje jeden mililitr. D\u00e1le zda se spermie <strong>pohybuj\u00ed <\/strong>spr\u00e1vn\u00fdm sm\u011brem a <strong>dostate\u010dn\u011b rychle<\/strong>, a do t\u0159etice je\u0161t\u011b <strong>spr\u00e1vn\u00fd tvar <\/strong>hlavy, oc\u00e1sku a kr\u010dku.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Krom\u011b t\u011bchto z\u00e1kladn\u00edch parametr\u016f se hodnot\u00ed tak\u00e9 celkov\u00fd objem <strong>ejakul\u00e1tu a jeho viskozita<\/strong>. Tyto ukazatele dohromady poskytuj\u00ed detailn\u00ed obraz o plodnosti mu\u017ee a mohou odhalit do\u010dasn\u00e9 i dlouhodob\u00e9 probl\u00e9my. V\u00fdsledky spermiogramu slou\u017e\u00ed l\u00e9ka\u0159\u016fm jako z\u00e1kladn\u00ed vod\u00edtko pro dal\u0161\u00ed vy\u0161et\u0159en\u00ed a doporu\u010den\u00ed l\u00e9\u010dby.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Kdy l\u00e9ka\u0159i spermiogram doporu\u010duj\u00ed?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00e1v\u0161t\u011bvu je vhodn\u00e9 podstoupit <strong>po roce pravideln<\/strong><strong>\u00e9ho nechr\u00e1n\u011bn<\/strong><strong>\u00e9ho pohlavn\u00edho styku, kdy se po\u010det\u00ed neda\u0159\u00ed<\/strong>. Jde o definici ofici\u00e1ln\u011b stanovenou WHO a aktu\u00e1ln\u011b ji spl\u0148uje zhruba 20 % p\u00e1r\u016f v produktivn\u00edm v\u011bku. Z vy\u0161et\u0159en\u00ed nen\u00ed pot\u0159eba m\u00edt obavy, b\u00fdv\u00e1 rychl\u00e9 a diskr\u00e9tn\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Existuj\u00ed v\u0161ak i situace, kdy se doporu\u010duje test spermiogramu neodkl\u00e1dat. Konkr\u00e9tn\u011b jde o mu\u017ee, kte\u0159\u00ed:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prod\u011blali z\u00e1n\u011bty mo\u010dov\u00fdch cest a varlat,<\/li>\n\n\n\n<li>jsou po operac\u00edch v oblasti pohlavn\u00edch org\u00e1n\u016f,<\/li>\n\n\n\n<li>maj\u00ed neplodnost v rodin\u011b<\/li>\n\n\n\n<li>a pl\u00e1nuj\u00ed d\u00edt\u011b a\u017e pod 35. roce v\u011bku partnera.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Pokud v\u00e1m <strong>vy\u0161et\u0159en\u00ed doporu\u010d\u00ed l<\/strong><strong>\u00e9ka\u0159, poji\u0161\u0165ovna v\u00e1m ho proplat\u00ed<\/strong>. V p\u0159\u00edpad\u011b, \u017ee na vy\u0161et\u0159en\u00ed jdete bez \u017e\u00e1danky, zaplat\u00edte kolem 1 000 K\u010d. Odb\u011br se prov\u00e1d\u00ed zhruba po 2 a\u017e 7 dnech sexu\u00e1ln\u00ed abstinence, ide\u00e1ln\u011b p\u0159\u00edmo na klinice. Chcete-li, m\u016f\u017eete vzorek odebrat i doma, jen ho n\u00e1sledn\u011b mus\u00edte do 60 minut doru\u010dit v pokojov\u00e9 teplot\u011b do laborato\u0159e.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Spermiogram um\u00ed odhalit, zda m\u00e1 mu\u017e spermi\u00ed dostatek a zda jsou schopn\u00e9 oplodnit vaj\u00ed\u010dko. Je to kl\u00ed\u010dov\u00e9 vy\u0161et\u0159en\u00ed p\u0159i \u0159e\u0161en\u00ed pot\u00ed\u017e\u00ed s po\u010det\u00edm. V p\u0159\u00edpad\u011b, \u017ee spermiogram <strong>odhal\u00ed abnorm\u00e1ln\u00ed vlastnosti vzorku<\/strong>, vy\u0161et\u0159en\u00ed se zpravidla po n\u011bjak\u00e9m \u010dase zopakuje. Pokud se v\u00fdsledky prvn\u00edho vy\u0161et\u0159en\u00ed potvrd\u00ed, <strong>kliniky doporu\u010duj\u00ed nechat si spermie zamrazit<\/strong>, proto\u017ee se d\u00e1 p\u0159edpokl\u00e1dat, \u017ee se bude jejich kvalita s v\u011bkem zhor\u0161ovat.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Co uk\u00e1\u017e\u00ed v\u00fdsledky spermiogramu?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hodnocen\u00ed v\u00fdsledk\u016f ejakul\u00e1tu vych\u00e1z\u00ed z hodnot stanoven\u00fdch WHO z roku 2010. Nastat m\u016f\u017ee n\u011bkolik stav\u016f.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Normozoospermie <\/strong>je ozna\u010den\u00ed, kdy se v ejakul\u00e1tu nach\u00e1z\u00ed dostate\u010dn\u00e9 mno\u017estv\u00ed pohybliv\u00fdch a tvarov\u011b norm\u00e1ln\u00edch spermi\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.erekce.cz\/oligozoospermie\/\">Oligozoospermie<\/a>odhaluje situaci, kdy ejakul\u00e1t obsahuje ni\u017e\u0161\u00ed po\u010det spermi\u00ed, ne\u017e je stanoveno, tedy pod 15 mili\u00f3n\u016f \/ mililitr).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u00edzk\u00e1 pohyblivost se ozna\u010duje jako <strong>asthenozoospermie<\/strong>,a pokud m\u00e1me n\u00edzk\u00fd v\u00fdskyt tvarov\u011b norm\u00e1ln\u00edch spermi\u00edch, jde o <strong>teratozoospermii<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Dal\u0161\u00ed vy\u0161et\u0159en\u00ed souvisej\u00edc\u00ed s mu\u017eskou plodnost\u00ed<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Je dobr\u00e9 m\u00edt na pam\u011bti, \u017ee neplodnost u mu\u017e\u016f kliniky se 100% jistotou odhal\u00ed a\u017e z dal\u0161\u00edch vy\u0161et\u0159en\u00ed, nejen podle spermiogramu. Ov\u011b\u0159it neplodnost lze i p\u0159es <strong>vy\u0161et\u0159en\u00ed na pohlavn\u011b p\u0159enosn<\/strong><strong>\u00e9 choroby<\/strong>. N\u00e1kaza m\u00e1 na kvalitu spermi\u00ed z\u00e1sadn\u00ed vliv.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V p\u0159\u00edpad\u011b, \u017ee se ve va\u0161\u00ed rodin\u011b nach\u00e1z\u00ed z\u00e1va\u017en\u00e1 onemocn\u011bn\u00ed, je mo\u017en\u00e9, \u017ee v\u00e1m l\u00e9ka\u0159 doporu\u010d\u00ed <strong>genetick<\/strong><strong>\u00e9 vy\u0161et\u0159en\u00ed<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Imunologick\u00fd <\/strong><strong>testem<\/strong> se zji\u0161\u0165uje, zda si t\u011blo partnerky vytv\u00e1\u0159\u00ed proti partnerov\u00fdm spermi\u00edm protil\u00e1tky. To m\u016f\u017ee br\u00e1nit v oplodn\u011bn\u00ed, i kdy\u017e je spermiogram v norm\u011b.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tip pro \u010dten\u00e1\u0159e:<\/strong> Pokud v\u00e1s zaj\u00edm\u00e1, jak souvis\u00ed mu\u017esk\u00e1 plodnost s v\u011bkem a kdy je vhodn\u00e9 za\u010d\u00edt m\u00edt obavy, <a href=\"https:\/\/21stoleti.cz\/2025\/04\/02\/muzska-plodnost-a-vek-kdy-zacit-mit-obavy\/\">pod\u00edvejte se na tento \u010dl\u00e1nek<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Podle Sv\u011btov\u00e9 zdravotnick\u00e9 organizace (WHO) klesla pr\u016fm\u011brn\u00e1 koncentrace spermi\u00ed u mu\u017e\u016f celosv\u011btov\u011b <strong>za posledn\u00edch 40 let o v\u00edce ne\u017e 50 %<\/strong>. To ukazuje, \u017ee probl\u00e9m s mu\u017eskou neplodnost\u00ed je \u010d\u00edm d\u00e1l aktu\u00e1ln\u011bj\u0161\u00ed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Zdroj obr\u00e1zku: diy13 \/ stock.adobe.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Biologick\u00e9 hodiny netikaj\u00ed jen \u017een\u00e1m, ale i mu\u017e\u016fm. Vy\u0161\u0161\u00ed v\u011bk p\u0159irozen\u011b znamen\u00e1 ni\u017e\u0161\u00ed \u0161ance na po\u010det\u00ed. Jak se d\u00e1 mu\u017esk\u00e1 plodnost vy\u0161et\u0159it? Co v\u0161e se z vy\u0161et\u0159en\u00ed spermiogramem dozv\u00edme a kdy na n\u011bj zaj\u00edt? Zjist\u011bte v\u00edce v na\u0161em \u010dl\u00e1nku. Kolem 40. roku \u017eivota doch\u00e1z\u00ed u mu\u017ee v souvislosti s andropauzou k poklesu produkce testosteronu. Ten [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":948,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_sitemap_exclude":false,"_sitemap_priority":"","_sitemap_frequency":"","tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[15],"tags":[],"class_list":["post-947","post","type-post","status-publish","format-standard","has-post-thumbnail","category-zdravi"],"_links":{"self":[{"href":"https:\/\/iextra.cz\/index.php?rest_route=\/wp\/v2\/posts\/947","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iextra.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/iextra.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/iextra.cz\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/iextra.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=947"}],"version-history":[{"count":1,"href":"https:\/\/iextra.cz\/index.php?rest_route=\/wp\/v2\/posts\/947\/revisions"}],"predecessor-version":[{"id":949,"href":"https:\/\/iextra.cz\/index.php?rest_route=\/wp\/v2\/posts\/947\/revisions\/949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/iextra.cz\/index.php?rest_route=\/wp\/v2\/media\/948"}],"wp:attachment":[{"href":"https:\/\/iextra.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=947"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/iextra.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=947"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/iextra.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}