Showing posts with label Male infertility treatment in bangalore. Show all posts
Showing posts with label Male infertility treatment in bangalore. Show all posts

Sunday, January 17, 2021

Advanced semen analysis

Advanced semen analysis : One of the main reasons for infertility in couples - in up to 50% of cases - is male infertility. Male infertility is not necessarily related to male health, as a healthy man can produce poor quality sperm that make conception difficult.

Advanced Semen Analysis
Advanced Semen Analysis in Bangalore

It is therefore very important to perform a semen analysis to determine the fertility potential of the man. A normal semen analysis or seminogram looks at the concentration, motility and morphology of the sperm cells in a semen sample.

While these factors are important in assessing basic sperm quality, there are other components that are far more important in determining the capacity of the sperm to create pregnancy. These other factors can give patients a better insight into the diagnosis and thus a more appropriate treatment plan. These evaluations are categorized as Advanced Semen Analysis.

In the Joshi's Andrology & Urology Centre laboratory, it is possible to perform an advanced Semen analysis.

Advanced semen analysis: DNA fragmentation index test for sperm.

The presence of fragmented DNA in the nucleus of sperm cells has a negative impact on reproductive results. The sperm DNA fragmentation test measures the stability of the chromatin and estimate the percentage of sperm cells that have fragmented DNA.

Any couple doing an assisted reproductive treatment can take the DNA fragmentation test for sperm. This test is especially recommended for men over 35 years of age, history of recurrent miscarriages, history of failed IVF and IUI, history of exposure to gonadotoxins, who have a genitourinary infection or who have received cancer treatment etc..

The DNA fragmentation test can be useful for couples who have had multiple miscarriages, unsuccessfully completed multiple cycles, or who cannot find a reason for their infertility.

·         Advanced semen analysis: Apoptosis -Annexin V test

Apoptosis or cell death plays an important role in spermatogenesis by eliminating sperm cells with structural or functional defects. The presence of an abnormally high level of dead sperm in the ejaculate can adversely affect male fertility.

The Apoptosis -Annexin V test determines the number of damaged sperm cells in the ejaculate and / or the sperm samples reserved for assisted reproduction. The assay uses the Annexin V protein to mark the damaged cells, which are then counted. The quality of samples with abnormally high apoptosis can be improved by specifically removing damaged sperm cells, using the Annexin V MACS Technique.

·         Advanced semen analysis: Oxidative Stress test (ROS)

The sperm cells produce small amounts of reactive oxygen species (ROS, short for reactive oxygen species) that are essential for their normal functioning. This amount of ROS is controlled by the antioxidants present in the fluid from the prostate and seminal vesicles.

However, as the balance between reactive oxygen component production and antioxidant activity shifts, ROS levels will increase. This causes oxidative stress, which damages the sperm and decreases fertility. Increasing the levels of ROS can be reduced through lifestyle changes and a diet rich in antioxidants.

 

·         Advanced Sperm Analysis: Y Chromosome Microdeletion Test

The microdeletions in the AZF factor of the Y chromosome are responsible for about 10-15% of azoospermia and 5-10% of oligospermia cases in men. The Y chromosome microdeletion test examines parts of the Y chromosome by PCR: AZFa, AZFb, AZFc. This identifies possible causes of male infertility.

 

 


Joshi's Andrology & Urology Centre

Address: Neelamma Complex, Opposite Unlimited mall, No 44/2 1st floor, 60 Feet Rd, G Block, Sahakar Nagar, Bengaluru, Karnataka 560092

Appointments: https://joshiuroandrology.com/Pages/Contact-Us, 

Phone: 080 4207 0577

Tuesday, December 22, 2020

Reduced fertility in men | Male infertility treatment in Bangalore

Reduced fertility in men| Male infertility treatment in Bangalore 

Fertility disorder is on the rise and about 35- 40% of cases male factors may be the cause. Many factors influence male fertility. Often these are due to abnormalities in the sperm cells.


Male infertility treatment in Bangalore

Causes

Fertility problems in men are often related to abnormalities in the sperm cells. These are related to disorders in:

  • Production of sperm cells
  • Transport of sperm cells
  • Hormones that stimulate sperm production

Nevertheless, it is important to realize that in at least half of the cases a good medical explanation cannot be found for reduced fertility in men.

Production of sperm cells

Problems in the production of sperm cells can lead to a reduced number, reduced mobility or an abnormal shape of the sperm cells.

Numerous factors can cause this:

  • ·         Infection or inflammation of the testes
  • ·         Twisting (torsion) of the testes, cutting off blood flow to the testes
  • ·         Undescended testes or other abnormal positions
  • ·         Genetic abnormalities
  • ·         Damaged secretions between seminal ducts and blood vessels
  • ·         Medicines that (sometimes temporarily) reduce fertility (e.g. anabolic steroids)
  • ·         Chemotherapy and radiation
  • ·         Pesticides and chemicals
  • ·         Transport of sperm cells

If the sperm cells are of good quality, they still have to get to the egg. Sperm transport disorder is another cause of reduced fertility in men.

Possible reasons for a disturbance in transport:

Erectile dysfunction, in which the penis is not rigid enough or is not rigid long enough for normal sexual intercourse.

Premature ejaculation, where the semen is ejaculated very early may not be introduced into the vagina.

Retrograde ejaculation, where the semen enters the male's bladder. Some of the causes for this are diabetes and prior surgeries on bladder neck.

Obstruction of the sperm ducts, so that there are no sperm cells in the ejaculate (eg with cystic fibrosis or after sterilization)

Hormones that stimulate sperm production

Sometimes the body does not make enough hormones that stimulate sperm production.

Such a disorder therefore leads to reduced fertility in men.

Investigations and diagnosis

In a suspected case, we may have to perform a few tests.

Semen Analysis

Blood test for male fertility problems

Male blood tests that screen for infectious diseases, genetic abnormalities and other factors that can lead to reduced fertility. The blood test is a standard test for fertility problems.

Examination of the quality of sperm cells and the amount of sperm cells.

Andrological examination

Consultation with the Uro-andrologist Dr. Praveen Joshi, who examines the male reproductive organs.

Scrotal scan may have to be done in some of the cases in order to evaluate the testicular conditions and other details like varicocele.

Therapy

Here are some possible treatments for this condition. After the diagnosis, your doctor, together with you and the other doctors on the team, will choose the best solution for you. Your Male infertility treatment may need a team effort.

Lifestyle modification

Varicocele correction by microsurgical procedure

Testicle aspiration, biopsy, microsurgical procedures for sperm retrieval in cases of azoospermia (Sperm count is zero). This type of sample can be stored. The frozen material can later be used for fertilitytreatment.

Hormonal treatment

Hormonal or drug treatment for hormonal disorders.

We, Joshi’s Andrology and Urology Centre have more 10 years of experience in treating men with various fertility problems. In fact, it has become an important specialty. We see positive results in many patients. We don’t give up on any of our patient no matter how bad the condition might appear.

Make an appointment

Would you like an appointment or would you like to meet? Call 080 – 42070577, +918197371247 or Submit your e-mail address or telephone number on Website Enquiry page Male infertility treatment in Bangalore, and we will email or call you when it suits you.

Friday, November 27, 2020

Why counseling is important during fertility treatment

There is no doubt that undergoing fertility treatment is very stressful - and it is a process that involves some unique strains. Managing these unique tensions through specialized counseling that provides relevant and specific coping mechanisms will not only help you deal with the challenges and hurdles during your fertility treatment, but can also improve the outcome of the treatments you receive.



The unique stress of fertility treatments

Male infertility treatment in Bangalore, our resident clinical psychologist at best andrologist in Bangalore, DR, Praveen joshi, explains that fertility patients go through very unique strains, which are briefly discussed below.

Physical Demands - Undergoing fertility treatment is often a physically challenging journey. Infertility is a medical condition and in many cases requires treatment that involves following medical procedures and receiving or administering medications for extended periods of time. The burden on the physical side of fertility treatment can be exacerbated if patients are nervous about medical interventions and procedures.

Emotional Roller Coaster "- Most women and men expect to become parents someday, so the diagnosis of infertility is an unexpected and shocking emotional blow, exposing both partners to a range of intense emotions, such as insecurity and diffidence, and fear, and from joy to disappointment.

Financial stress - Fertility treatments can be expensive and often require more than one treatment cycle. The financial stress that can be part of fertility treatment is often exacerbated by the fact that fertility treatments such as IVF are usually not covered by most of the open medical devices in India.

Lack of Control - The physical demands, emotional ups and downs and financial strains of the infertility experience can affect life at home, at work, and with family, leaving couples feeling out of control.

Higher Incidence of Depression - The emotional rollercoaster that accompanies infertility often makes people feel helpless. Couples may fear the actual medical process, but waiting for results is often the most difficult part of treatment. Days seem to pass very slowly and it can be a time of acute vulnerability and sensitivity, making it difficult to focus on normal life.

Higher Incidence of PTSD - Infertility counselors are beginning to see infertility treatment and coping in line with post-traumatic stress disorder (PTSD). The experience of infertility is literally the death of a dream. It can be a painful and difficult condition.

Sense of Isolation - Many couples feel stigmatized by their infertility and feel unable to share their experiences with family or friends.

Independent coping - Increasing the feeling of isolation is independent coping, where each partner deals with it alone, rather than seeking the support of their partner. Men and women deal with the stress of fertility on different levels and this can put a lot of strain on the relationship. Partners may feel alienated in the relationship and feel helpless in the face of their partner's distress. They may become angry and bigoted with their husbands or avoid each other for fear of saying the wrong thing or upset the other.

High-level decision-making - During your fertility journey, you will have to make many decisions and what you decide can affect you, your partner, and your future child. Decision-making can be difficult when you are feeling emotional. Expert guidance can help you make informed and rational decisions from a good place.

Specialized counseling provides relevant coping mechanisms

Dealing with these unique tensions surrounding a fertility journey requires specialized guidance that provides relevant and proven coping mechanisms.

Speaking to a counselor who understands the unique stress of fertility treatments is vital, as are coping mechanisms relevant to fertility patients and proven effective in fertility journeys.

Coping mechanisms that are both relevant and practical allow fertility patients to exercise some degree of control over their fertility journey. It provides a focal point for their attention and a way to contribute to a successful outcome. It is empowering in the face of a situation that often seems helpless, contributes significantly to better managing the infertility treatment process, and also creates a greater chance of getting pregnant.

At best andrology doctor in Bangalore, our counseling focuses on helping fertility patients become aware of the unique stresses they face and recognize the triggers or hooks that generate typical stress responses, which become stress cycles.

A hook refers to any situation, event, condition, or event that provokes a negative response. These may be unpredictable, but they are usually predictable, such as due to traffic jams or attending someone else's baby shower. These hooks can also be real (e.g. an accident), but are usually self-caused, such as leaving late in the morning and getting stuck in traffic as a result.

At andrologist doctor near me, our counseling helps people recognize their typical four responses to these hooks: their physical response; talking to themselves; their thinking; and their behavior.

fertility patients learn how to avoid the hooks or triggers they find upset when possible, and also to realize that their strength lies in their ability to control their responses and thus break their stress cycles.

Other coping mechanisms that our patients find very helpful are relaxation techniques, assertiveness training and cognitive reconstruction. Mr, Praveen joshi, we also treat a specific stress called Time Urgency Perfectionism Stress (TUPS). TUPS is common in people who are perfectionist, constantly chasing deadlines and experiencing exceptionally high levels of stress. The higher the TUPS, the more difficult it is for patients to cope with fertility, the lower their resilience and the greater the risk of postpartum depression.

Counseling can improve clinical outcomes

Of course, facing the unique stress of fertility treatment doesn't mean you won't get pregnant, but what we know for sure from studies and experience is that you have a higher chance of getting pregnant if you manage this stress properly.

International studies have now shown that stress affects fertility and affects the ability to conceive. In addition, recent literature - as well as studies conducted under the auspices of Male infertility treatment in Bangalore has shown that the reduction of stress can lead to higher pregnancy rates. The bottom line is that the right counseling can help you manage the stress of fertility treatment and give you a greater than average chance of getting pregnant.

Infertility - and its treatment - is a journey that most couples simply did not expect or envision, and while there is much cause for hope, the treatment process can also be very challenging. Coping successfully with the unique stress through relevant fertility counseling will not only increase pregnancy rates, but will also improve your ability to make important decisions, give a sense of control over your fertility journey and improve your overall quality of life in the long term.

For this reason, counseling and support are part of the fertility treatment package at joshi's andrology & urology centre. The overall well-being of our patients is a critical aspect of fertility treatment, and we encourage our patients to take advantage of the many resources we have developed to meet the emotional needs they may have as part of their fertility journey.

If you would like to learn more about fertility or infertility counseling , or to meet our experienced fertility counselor, Dr. Praveen Joshi, we invite you to simply contact us. Click here or contact us by phone at 080 4207 0577.


We look forward to meeting you at joshi's andrology & urology centre !