Male Infertility, Causes & Treatment Options

What is male infertility?

Male infertility refers to an illness in which the man adversely affects the chances of starting a pregnancy. The most common is that these problems arise when the man produces badly developed sperm or, in severe situations, does not produce them.

Male Infertility

Infertility affects 10-20% of couples of childbearing ages. The cause is usually 40% male, 40% female and 20% both or unknown. In this field we offer the following coverages:

• Diagnosis of the infertile male:
  • Physical exploration
  • Semen analysis (Seminogram)
  • Hormonal Profile
  • Genetic analysis Karyotype
  • Deferentography
  • Transrectal ultrasound of seminal vesicles
  • Scrotal Doppler Ultrasound
• Surgical treatment:
  • Microsurgical Correction of the Varicocele
  • Testicular biopsy with microaspiration and seminal cryopreservation (Coordination with the Assisted Reproduction Service) to perform ICSI (Intracytoplasmic sperm injection)
  • Microsurgical techniques of vasectomy reversal (Vaso-Vasotomy, Epididymis-Vasotomy, and Tubule-Vasotomy)
  • Transurethral Resection of the Ejaculatory Ducts

Infertility is a common but complex problem that affects approximately 15 percent of couples trying to have children. In more than 50% of couples who have difficulty getting pregnant, the problem is at least partly related to male reproductive issues. It is essential that men get advice to determine the treatable and non-treatable causes of this disease.

Fortunately, with today's high-tech procedures and the powerful drugs available, a diagnosis of infertility can simply mean that the road to parenthood is a challenge but not an impossibility, the best urologist in Ghaziabad.

What causes male infertility?

The sexologist in Noida will ask about any factor, including possible structural or other defects in the reproductive system, hormonal deficiencies, diseases and even some trauma that may be affecting your fertility. The research will focus on the greatest possible combination of factors, among which the most common are:

• Sperm disorders: Problems with the production and development of sperm are the most common of male infertility. The sperm may not be fully developed, may have an abnormal shape or be unable to move. Or, it may happen that the sperm produced is normal but that the amount produced is not enough (oligospermia) or that it does not occur directly (azoospermia).
• Varicocele: They are dilated scrotal veins that are present in 16 percent of men but are more common in infertile men (40 percent). They inhibit the development of spermatogonia because they prevent an adequate flow of blood. The varicoceles are easily detectable with a physical examination since the veins appear markedly to the touch like a bag of worms. They can also be large and twisted enough to be visible in the scrotum. This is the most common correctable cause of male infertility.
• Retrograde ejaculation
• Immune infertility: It is caused by the immune response of man to his own sperm, the antibodies are usually the result of injuries, surgeries or infections.
• Obstruction: Obstructions block the normal passage of sperm and may be due to a variety of factors, such as repeated infections, previous surgery, inflammation or other developmental problems. Any part of the male reproductive tract, such as the vas deferens or the epididymis, can be obstructed and thus prevents the normal transport of sperm from the testes to the urethra, where it leaves the body during ejaculation.
• Hormonal: Responsible for stimulating the testicles to produce sperm, the hormones of the pituitary gland have a very important participation in fertility. Therefore, when hormone levels are extremely low, the result may be low sperm development.
• Genetics: Genetics has a central role in fertility. The presence of abnormalities in the number of chromosomes and their structure, as well as missing parts in the important Y chromosome that is present in normal men, can also have an impact on fertility.

How is male infertility diagnosed?

The process begins with a complete clinical interview and physical examination, and blood and semen analysis (semen analysis) are usually continued. From a sample of semen, the sexologist in Ghaziabad can evaluate factors - volume, count, concentration, movement and even structure - that may facilitate or hinder conception. If the semen analysis shows low levels of sperm or even absence of it, this does not necessarily indicate absolute infertility. It may be necessary to perform a testicular biopsy when the semen analysis is abnormal and the urologist in Ghaziabad was still unable to determine the cause. This study is performed in an operating room under general or regional anesthesia through a small cut in the scrotum. A small piece of tissue is removed from each testicle for evaluation under the microscope.

In addition to the analysis of semen, the best sexologist in Noida can request the realization of a hormonal profile to determine the production capacity of the testicles and to rule out serious diseases. For example, the follicle-stimulating hormone (FSH) is the pituitary hormone responsible for stimulating the testes to produce sperm. The presence of high levels may indicate that the pituitary gland is trying to stimulate the testicles to produce sperm and they are not responding.

How is the treatment of male infertility?

The treatment of male infertility will depend on the specific problem. In severe cases, there is no treatment available. However, there is often a combination of medications, surgical approaches and assisted reproductive techniques (ART) that can be used to overcome many of the underlying fertility problems. The options are:

• Surgery: To repair dilated scrotal veins (varicoceles), minor surgery is usually used (varicocelectomy - varicocele microsurgical treatment) without the need to admit the patient (UCSI). There are studies that show that the repair of these dilated veins improves the movement of the sperm, as well as its concentration and structure. In some cases, the obstruction that infertility generates can also be corrected surgically.
• Medications: While drugs are a key resource for correcting retrograde ejaculation and immune infertility, hormone treatment with drugs such as clomiphene or gonadotropin can help correct endocrine imbalances.

If these techniques fail, sexologist in Vaishali can turn to a variety of other high-tech assisted reproduction techniques that promote conception without relationships. Depending on the problem, the best sexologist in Ghaziabad may consider performing:

• Intrauterine insemination (IUI)
• In vitro fertilization (IVF)
• Intracytoplasmic sperm injection (ICSI)