Nearly one in seven couples are infertile because they haven't been able to conceive while having frequent, unprotected sexual activity for a year or longer. Male infertility has an effect on up to half of these couples.
Male infertility may be caused by low sperm production, impaired sperm function, or blockages that prevent sperm from reaching the uterus and by conditions, accidents, long-term health problems, lifestyle decisions, and other factors.
The problem of male infertility can be frustrating and upsetting, but there are numerous treatments available.
Male infertility is mostly characterized by the inability to conceive a child. There may be no other obvious symptoms or warning signs.
However, in certain cases, the signs and symptoms are brought on by a deeper problem, such as an inherited illness, a hormonal imbalance, dilated veins near the testicle, or a condition that inhibits sperm from flowing through. Observable symptoms and indications consist of:
MALE INFERTILITY Procedure
Surgery can be used to treat some structural causes of infertility, usually as an outpatient procedure or in one day.Men may have direct sperm extraction from the testicles or ducts, sperm duct opening, tissue biopsies, varicocele treatment, vasectomy reversal, or varicocele treatment.
At Washington University, males and sperm producers have a variety of surgical options at their disposal, including:
The varicocele (a tangled mass of veins that can restrict regular blood flow from the testicles) is tied off through a lower abdominal incision. About 67% of the time, sperm counts rise within six months of surgery, although the success of the procedure is highly dependent on the age of the targeted carriers and how they contributed to the family's infertility. Finally, there is no proof to support surgery for a varicocele that is not visibly present.
Microsurgery on the sperm duct
Sperm duct microsurgery is used to clear obstructions in the ductal system that carries sperm to the penis. Sperm often regain their normal motility within two years.
Microsurgical sperm retrieval
For patients who do not have any sperm in the ejaculate, have major erectile dysfunction, or have other medical conditions that prevent ejaculation, healthy sperm can be surgically removed from the sperm ducts in the testicle. Any sperm collected surgically may only be utilised through IVF-ICSI.
A vasectomy reversal, an outpatient procedure, is frequently used to reverse a previous vasectomy and enable the patient to release sperm into their semen once more. The age of the intended carrier must be taken into consideration, and in general, the length of time following the vasectomy is inversely correlated with the effectiveness of the reversal. The wives of patients seeking to have their vasectomy reversed as well as the patient themselves are encouraged to meet with a reproductive endocrinology and infertility specialist.
• Urinalysis These might indicate the presence of an infection.
• Semen Examination Sperm motility, or movement, as well as sperm morphology and maturity, ejaculate volume, actual sperm count, and ejaculate fluidity are all measured during the examination.
• Hormone evaluation Tests for testosterone and FSH (follicle-stimulating hormone) are used to determine the precise level of sperm production as well as the general hormonal balance. Additional hormonal tests, such as those for serum LH and prolactin, may be carried out if initial testing considers them required.
Additional testing may be required after the initial evaluation if a diagnosis is not readily obvious. One or more of the following tests might be recommended:
To assess the sperm's ability to fertilise, use the Sperm Penetration Assay (SPA); testing for anti-sperm antibodies to find any that may cause infertility; Ultrasound In order to check the testicles for varicoceles (varicose veins) or duct obstructions in the prostate, scrotum, seminal vesicles, and ejaculatory ducts, testicular biopsies are carried out. Vasography To determine whether sperm production is hampered or blocked, to evaluate the anatomy of the duct system and identify any obstacles. Men without the vas deferens may undergo genetic testing to rule out underlying changes in one or more Y chromosome gene regions or to test for cystic fibrosis.
Following completion of the diagnostic evaluation, the patient may get medication or endocrinologic therapy, surgical correction, or sperm processing or manipulation in an effort to become pregnant.
Causes male infertility
Several biological and environmental factors may have an effect on your fertility. The options include
Kasturi is the best choice for thousands of couples seeking to experience the joy of motherhood. Our team of specialists, which includes doctors, ensures that we adhere to strict quality standards and make every effort to achieve your goal. We promise secrecy, excellent service, and cutting-edge solutions to all of your infertility concerns. We offer a range of treatments and remedies to deal with the numerous infertility problems that both men and women experience.
• Compile a list of every prescription medication, vitamin, and nutritional supplement you take. This includes any previous use of anabolic steroids, alcohol, cigarettes, marijuana, or other recreational drugs.
• Bring a friend with you. Your partner might need tests as well to rule out any reproductive abnormalities that might be preventing pregnancy. Having your companion there is also a good idea since they may help you recall any instructions your doctor gives you or ask questions you might not think to.
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