End your doubts about Male Infertility here

       End your doubts about Male Infertility here


                             


  Which males are at risk for infertility? 

   If you have any (one or more) factors listed below, your chances of getting your partner pregnant, decrease.

  • You are overweight or obese.
  • Your age is 40 or more.
  • You consume tobacco, marijuana or alcohol.
  • You are taking medication such as cyproterone. flutamide, spironolactone, steroids, cimetidine or ketoconazole.
  • You work in a hot environment that raises the temperature of your testes. those who frequently use a sauna or hot tub might experience this.
  • You have a history of undescended testicle(s)
  • You have a history of hormonal imbalance such as a thyroid disorder
  • You have varicoceles (widened veins of the scrotum)
  • You have a history of exposure to radiation, chemotherapy (cancer trating drugs) or environmental toxins such as lead, calcium, pesticides or mercury.
  • Certain medical conditions which make you prone to infertility include diabetes, cystic fibrosis and infections of the genitals
  • When to see a doctor?
  • Couples should reach out to their healthcare provider if they have not been able to conceive after one year of trying.
  • Male partners should see their doctor earlier if any of the following apply-
  • Erectile dysfunction (ED)
  • Problems with ejaculation, such as delayed ejaculation or retrograde ejaculation
  • Low sex drive
  • Pain or swelling in the genital area
  • Having previously undergone a surgery in the genital area


How is male infertility evaluated and diagnosed?

Your doctor will first take a detailed medical history. During this time, they will ask about your overall health, habits, your sexual history and factors that could impact your fertility.

This will be followed by a complete physical examination in order to identify any physical issues which may affect your fertility.

If the physical examination and history do not reveal any obvious reason for your inability to conceive, the next step should be to order tests to identify the cause of infertility.

Physical issues which may affect your fertility.

If the physical examination and history do not reveal any obvious reason for your inability to conceive,the next step should be to order tests to identify the cause of infertility.


What tests are done?

Your healthcare provider will do a semen analysis which helps determine the following:

  • Semen volume (per ejaculate).
  • PH of semen : A measurement of acidity or basicity.
  • Total sperm count : Number of sperms in the entire ejaculate.
  • Sperm concentration :Number of sperms in the every milliliter of semen.
  • Motility :How fast the sperms move.
  • Morphology :Size and shape, and thus the quality of the sperms.
  • Viscosity :How quickly the semen liquefies.

Understanding certain terms which may reflect on your report of semen analysis-
  • Azoospermia- No Sperms
  • Oligospermia- The production of low- poor quality sperms.
  • Mallformed sperm (Poor Morphology) : Sperm that cannot live long enough to fertilize the egg.
  • Astheniospermia- Immotile or barely -moving sperms
Depending on the history, initial examination and the reports of the semen analysis, your doctor may want to perform additional tests such as-
  • Hormone Testing
  • Genital Ultrasound
  • Genetic Testing
How is male infertility treated?
With modern technology and methods, the number of treatment options for male infertility has expanded. Depending on the cause of infertility, treatments may include:

Medications:
  • Hormone therapy to increase the number of sperms.
Lifestyle changes:
  • Maintain a body weight that's healthy for you.
  • Consume a healthy diet
  • Stop smoking, drinking.
  • Stop any recreational drug use.
  • Reduce stress.
Rarely, you may be advised a surgery. A surgery can treat the obstructions which may be preventing the sperms from being present in the ejaculate. It can also correct conditions such as varicocele. In some cases, sperm can be retrieved directly from the testicles after which it can be used in ART treatments.

Others:
  • Intracytoplasmic sperm injections: It is an Artificial technique of reproduction where a single sperm is physically injected into an egg. This technique helps overcome even the most severe male factor infertility. Thanks to this technique, 90% of all infertile males have realized their potential to conceive their own genetic child.
  • In Vitro Fertilization: For some couples dealing with male infertility, In virto fertilization ( IVF ) is the treatment of choice.
  • If you're going to go through cancer treatment, talk to your infertility specialist about sperm banking.
Because of modern technology, 90% of all infertile males have the potential to conceive their own genetic child.
There are treatments for the causes of infertility, lifestyle changes you can make to prevent infertility and there are surgeries and procedures to try.
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