Male Infertility

Male Infertility


It’s usually believed that infertility is a female related issue. In many cases, it has been seen that the female partner is usually blamed when a couple fails to conceive. This is a taboo in society and is far from reality. Men equally face infertility issues and one-third of the infertility cases worldwide are due to male infertility.

There are many causes of male infertility and in most of the cases, it is hard to diagnose. The issues of male infertility are mainly due to sperm production or delivery.

Causes:

There can be different causes of male infertility as follows:

  • Abnormal sperm production or function: This can be a result of genetic defects, diabetes, infections, undescended testicles, and enlarged veins in the testes.
  • Problems with sperm delivery: Premature ejaculation, structural problems, and genetic diseases can contribute to this issue.
  • Overexposure of certain factors: Exposure to radiation, pesticides and chemicals can cause infertility. Smoking, excessive use of alcohol, marijuana consumption, and certain medications can affect fertility in men.
  • Cancer Treatment and the damaged caused: Treatment of cancer such as chemotherapy, and radiation can affect fertility.

Diagnosis

  • Semen Analysis: This diagnosing test is done to evaluate the quality of semen in men.
  • Transrectal Ultrasound: It is an outpatient procedure that gets the images of the male prostrate glands to check if there are any abnormalities.
  • Testicular Biopsy: It is a procedure where a piece of tissue is removed from the testicles and is examined for any irregularities.
  • Hormonal Profile: Hormonal profile of a man is tested to check the male hormone balance in the body that can determine fertility.

Treatment

Treatment of male infertility depends on the cause.

  • Lifestyle modifications:  Decrease weight, stop smoking , Balance diet, Exercise, reduce the use of electronic gadgets, control blood sugar, hyper tension.
  • Medical management: Vitamins and Antioxidants are given to reduce stress related reactive oxidative species that damage the sperm and decrease of motility.
  • Surgical management: (a) Varicocelectomy – Severe bilateral
    Varicocele surgery  may improve motility and morphology of  sperms.
  • Fertility procedure for male infertility:
Authored by Dr. Radhika Meka

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