GDIFR Blog

By GDIFR Posted in Infertility Sunday, 16 February 2020

Male Infertility: Causes, Treatment and Prevention



Infertility affects approximately 15-20% of couples. An infertility diagnosis is given to a few who are unable to conceive over the course of 1 year. When the matter lies with the male partner it's mentioned as male infertility. Male infertility circumstances contribute to roughly 30% of all infertility cases, and male infertility only accounts for about one-fifth of all infertility cases.



There are 4 main elements of infertility in males:



  • A hypothalamic or pituitary disorder (1-2%)

  • Gonad disorder (30-40%)

  • Sperm transport disorder (10-20%)

  • Unknown causes (40-50%)



Much research remains to be performed on the subject of male infertility, as many cases still receive an “unknown cause” diagnosis. Male infertility usually occurs due to sperm that's abnormal, due to inadequate numbers of sperm, or problems with ejaculation.


Sperm is often considered abnormal for 2 possible reasons: an unusually short lifetime of the sperm and/or low mobility.



Sperm abnormalities could also be caused by one or more of the following:



  • Inflammation of the testicles

  • Swollen veins within the scrotum

  • Abnormally developed testicles



Reasons for a coffee sperm count or lack of sperm include one or more of the following:



  • A pre-existing genetic condition

  • Use of alcohol, tobacco or other drugs

  • Severe mumps infection after puberty

  • Hernia repairs

  • Hormone disorder

  • Exposure to poisonous chemicals

  • Exposure to radiation

  • A blockage caused by a previous infection

  • Wearing restrictive or tight underwear

  • Injury to the groin area


Male infertility also can occur when there are problems with ejaculation.



Ejaculation problems may include any of the following:



  • Premature ejaculation

  • Retrograde ejaculation, which occurs when the semen is forced back to the bladder

  • Erection dysfunctions

  • Complications from radiotherapy or surgery



Other causes of male infertility can include:



  • History of STD’s

  • Urinary tract infections

  • Use of certain sorts of medications




How is male infertility diagnosed?



Potential male infertility is going to be assessed as a part of a radical physical examination. The examination will include a medical record regarding potential contributing factors.



Your healthcare provider may use one or more of the subsequent tests to assess fertility:



  • Semen analysis to work out the amount and quality of sperm

  • A biopsy to see for infections or hormone problems. Hormone levels are even as important in male fertility as they're in female fertility

  • Making a culture of fluid from the penis to see for infections

  • Physical examination of the penis, scrotum, and prostate


Semen analysis is the most vital part of male fertility testing. Some men find it easier to try to semen analysis testing within the privacy of their own homes. SpermCheck may be a corporate sponsor of the American Pregnancy Association offering home semen analysis. you'll learn more here.




What are they trying to find within the testing?



When a semen analysis is completed, your health care provider is going to be trying to find some specific markers to access fertility.



  • Total amount or volume of semen – 2 millilitres is taken into account normal. A lower amount may indicate a problem with the seminal vesicles, blocked ducts or a prostate issue.

  • Sperm count – 20 million to 300 million per millilitre is taken into account within the normal range for sperm counts. Below 10 million is taken into account “poor.”

  • Morphology – the dimensions and shape of the sperm affect the sperms ability to succeed in and fertilize an egg. 30% is taken into account an honest amount of sperm that's shaped “normal.” And “strict” testing shows a good lower percentage as normal.

  • Motility – movement and number of active cells. Progress is rated from 0-4, with a grade over 3 considered good. the quantity of active cells is rated in percentages from 1-100%, with 50% considered the minimum.



How is male infertility treated?



Male infertility is most frequently treated by conventional methods that include one or more of the following:


  • Taking medications to assist increase sperm production

  • Taking antibiotics to heal an infection

  • Taking hormones to enhance hormone imbalance

  • Avoid taking lengthy hot showers, using warm tubs or saunas

  • Wearing loose underwear like boxer shorts versus briefs 


Sperm production can also improve by taking clinically proven supplements. Anything that increases the amount of healthy sperm increases the probabilities of conception. Many food stores and vitamin shops offer male fertility supplements. buy male fertility supplements.


Artificial insemination is a choice if the man’s sperm count is below. during this procedure, sperm is collected through multiple ejaculations. they're then manually placed within the female’s uterus or fallopian tubes.


In vitro fertilization is an alternative choice which will be wont to overcome male infertility factors. during this procedure, the sperm and egg are fertilized during a laboratory after which the embryo is placed within the female’s uterus.


If tests show that there's no sperm production or that other related problems are present, donor sperm is often wont to help facilitate conception. during this procedure, donor sperm is obtained from a depository and placed inside the female’s uterus or fallopian tubes through AI.



Can male infertility be prevented?


There is usually nothing which will be done to stop male infertility caused by genetic problems or illness. However, there are actions that men can fancy decrease the likelihood of infertility.


These include:


  • Avoiding sexually transmitted diseases

  • Avoiding illicit drugs

  • Avoiding radiation when possible

  • Avoiding exposure to toxic substances

  • Avoiding heavy or frequent use of alcohol

  • Observing good personal hygiene and health practices

  • Avoiding long, hot baths, hot tubs or saunas

  • Wearing loose-fitting underwear

We are the leading Infertility Treatment and IVF Clinic in Kolkata and are internationally recognized as a centre of excellence. At the helm is our Director - Dr. Sudarsan Ghosh Dastidar, a man with over 30 years of experience in this subject.

GDIFR - BANGLADESH

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DR. SUDARSAN GHOSH DASTIDAR

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