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The incapacity of the male partner to impregnate his fertile female partner is defined as male infertility. It is quite a common and stressful condition for males that requires proper medical attention. Infertility affects nearly 7% of all men. There can be numerous causes to it such as poor quality of semen, low sperm production, erectile dysfunction, etc.
However, you don’t have to worry about it as effective treatment is now easily available. Pristyn Care specialist doctors in Gurgaon provide the best treatment for male infertility.
Treatment
The treatment of male infertility depends on the cause of the problem. Treatment of male infertility can broadly be classified into 3 types:
Non-surgical therapy for male infertility is suggested if the man suffers from any of the following condition.
Anejaculation is when there’s no semen. It’s not common, but can be caused by:
Drugs are often tried first to treat this condition.
CAH is a rare cause of male infertility. It involves congenital problems in certain enzymes. CAH causes abnormal hormone production. CAH is most often diagnosed by evaluating the steroid level in the blood and urine. CAH can be treated with hormone replacement.
Retrograde ejaculation is a condition in which the semen flows back instead of going out of the penis. It can be caused by:
Retrograde ejaculation can be treated with drugs.
Surgical treatment for male infertility is recommended in case of infertility caused due to the following conditions:
While most cases of male infertility can be diagnosed and treated, there are also conditions, where it becomes difficult to tell what is the exact cause of infertility in a man. Such conditions are known as ‘idiopathic’ or ‘non-specific’ male infertility. In cases where the cause is not clearly determined, or where no other forms of treatment work, infertility specialists suggest the patient undergoes the following infertility treatment techniques.
If all other infertility treatment fails to provide desired results, there are ways by which a couple can get pregnant without having sex. These methods are called assisted reproductive techniques (ARTs). Based on the specific type of infertility and the cause, the infertility specialist may suggest any of the following ARTs.
In Our Doctor's Words
MBBS, MS - Obstetrics & Gynaecology, DNB, MRCOG (Part 1) FIRM
14 Years Experience
"While rarely heard, more than 50% of the times the reason is male infertility. Just a few years back, AIIMS reported how the sperm count of a normal Indian adult male has reduced to just 20 million/ml as compared to 60 million/ml three decades ago. We believe it is precisely because of increasing dependence on smoking, tobacco, alcohol and recreational drugs. Then, the pollution, stressed work life and improper diet also contribute in their own way. These collectively cause male factor infertilty and bar conception. However, once diagnosed on time, they can well be solved. So, I’ll suggest if you face difficulty with erection/ ejaculation or the volume of ejaculated fluid is very less, see these early signs and contact an infertility specialist the soonest. The sooner the diagnosis, the better the treatment."
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With the correct treatment in the early stage, infertility issues in men can be treated to a large extent. But, the effects of infertility can be different from man to man. Only your doctor can say the answer to this question after proper diagnosis.
Following are some of the common symptoms which can tell that a man is infertile – abnormal change in his hair growth, low sexual desire, swelling, lump or pain in and around the testicles, problems having an erection, and small and firm testicles.
Low sperm count can make it more difficult to conceive naturally. However, there are successful pregnancies which have been recorded from time to time. Problems with sperm, including a low sperm count and problems with sperm quality, are quite common. The problem occurs 1 in 3 couples who are struggling to get pregnant. But with proper healthcare, a couple can be benefited.
The quantity of sperm cells that a man produces varies widely. Generally, it is said that men can produce between two milliliters and five milliliters of semen each time or per ejaculation and that each milliliter may contain from 20 million to 300 million sperm cells.
Sperms are counted per milliliter.
Most of the ejaculated fluid is not sperm. Sperm is microscopic and the motility and quality can only be evaluated by doing a sperm analysis from trained lab technicians. Also, sperm health is not the only definitive factor in male infertility. It may also be caused by a structural blockage in the male reproductive area, hormonal imbalance, or unexplained reasons. This is why consultation with an experienced infertility specialist is extremely essential to understand the core of couple’s infertility.
The best quality of sperms are those that have 15 million/ milliliter or more sperm count and swim forward fast in a straight line – like guided missiles.
Anejaculation is when there’s no semen. However, not common, it can be caused by:
CAH is a rare cause of male infertility that happens because of abnormal hormone production. It is diagnosed by evaluating the steroid level in the blood and urine and treated through hormone replacement.
Yes. Data records smoking affects sperm quality in multiple ways. It makes the sperm cells smaller and slower while negatively affecting the seminal fluid ejaculated with sperm. It also harms the DNA of the sperm.
Yes. A man’s age has a direct correlation with his reproductive capacities. As a man reaches his 40’s, his sperm quality and quantity begins to decline. Therefore, if you are struggling with infertility, it is best you speak to an infertility specialist at the earliest.
An andrologist (urologist with additional training in reproductive organs) certified in infertility treatment treats male infertility. However, based on the symptoms and the root of your problem, your doctor may also recommend you to a reproductive endocrinologist (RE) or an OB-gynecologist.
An infertility specialist for males must include one/ more of the following qualifications:
You should consult an infertility specialist if you have been wanting to conceive for more than a year but have failed despite regular and unprotected sex. You should also consult a urologist or infertility specialist if you:
No. Regular masturbation has no direct or clinically proven correlation with infertility.
While wearing boxers instead of briefs is widely believed to be better for male infertility, the same has no clinically proven report or research. However, boxers do help keep the genital area more breathable, dry, and hygienic.
Yes. Data records, that oxidative stress caused due to high glucose levels can damage the DNA of the sperm. For the same reason, the fertility capacity declines. However, it can be finely managed with proper care and medical assistance at the right time.
Yes, data records a delayed hernia treatment or botched hernia surgery, especially in cases of inguinal hernia can result in male infertility. Therefore, hernia must be treated in the earliest and timely manner.
The cost of sperm retrieval is not definite and may vary depending on multiple factors upon including:
You might want to consider sperm preservation if:
1. Semen Analysis: As the name suggests, semen analysis is a lab test done to check the quality, number, and motility of your sperms. For this, you are required to masturbate and provide your sperm sample in a sterile cup. This sample is then sent for evaluation and checked for concentration, movement, and structure of the sperm.
2. Transrectal ultrasound: The transrectal ultrasound is an imagining test of the rectum and the nearby ejaculatory ducts. During the ultrasound, the healthcare provider can find out if there is any abnormality or blockage in your seminal vesicles or the ejaculatory duct.
3. Hormonal Profile :This test checks for your hormonal level and thus determines how well your testicles make sperm. The test is done through a blood sample evaluation and checks for the levels of Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Testosterone, Prolactin, and Sex Hormone Binding Globulin (SHBG).
4. Testicular biopsy: If need be, a testicular biopsy may be employed. The test examines a tissue sample from your scrotum and looks for any abnormalities causing infertility. This can be done at both clinic and lab and is performed under local or general anesthesia.
1. What is the root cause of my infertility?
2. Why is this particular treatment specifically best for my condition?
3. How do you ensure my confidentiality through this process?
4. What are the chances that I can father a baby after the treatment?
5. Can my partner accompany me during the procedure?
6. What is the bifurcation of all the costs of my infertility treatment?
7. Do you have a home sample collection facility?
8. What are my payment options?
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