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.
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.
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