Infertility بانجھ پن
Causes of Male Infertility
An unhealthy lifestyle (overweight, smoking, drugs, alcohol, stress) environmental factor
(Pollutants, pesticides) usually, damage the fertility of men and women equally. However, there are gender differences in physical causes.
What are the Findings of Semen Analysis?
An infertile man usually produces insufficient semen or immotile sperm. A normal fertile male (ejaculate) should contain about 20 million sperm per ml. Sperm quantity is not a single factor at least 30 percent of these cells have to be shaped normally and at least 50 percent have to be mobile. If there is sufficient sperm of good quality, a free transport route is ultimately required. This means from the testicles into the epididymis and then via the vas deferens to the outside, made possible by ejaculation.
Is Male Infertility Due to Poor Sperm Quality?
If a man is unable to produce, it is often due to the poor quality of his sperm. Either there are too few, too many slow or too many malformed sperm cells. If all three problems apply, doctors speak of oligo-asthenic-teratozoospermia (OAT syndrome).
Even if the sperm appear to be fit and fast at first glance, a changed gene can prevent them from making it through the endometrium. Incidentally, age also plays a role in men: the older men, the fewer and slower the spermatozoa.
If there are too few sperm in the ejaculate (oligozoospermia), either the production or the transport of the sperm cells does not work optimally.
What Is Decreased Sperm Production?
Only an intact testicular tissue produces fertile sperm. Numerous factors, which sometimes already exist at birth or in infancy, can damage the testicles and limit the production of semen and thus the fertility of men in adulthood:
- Mumps Disease (Mumps Orchitis) or Other Infections (E.g. Chlamydia)
- Congenital Malformation (E.g. Undescended Testicles)
- Hormone Deficiency: Too Little Male Hormone (Testosterone) Due to an Underactive Testicle (Hypogonadism), Which Usually also Reduces the Libido
- Operations (E.g. Prostate)
- Injury (E.g. Testicular Torsion)
- Genetic Abnormalities (E.g. Klinefelter Syndrome: Man Has Two X Chromosomes, Too Little Testosterone)
- Tumour Disease (E.g. Testicular Cancer, Chemotherapy)
Is Heat Damage the Sperms?
Permanent overheated testicles, in particular, are damaged. If the temperature in the testicles increases due to varicose veins (varicocele), circulatory disorders, undescended testicles, special sports or working conditions above 32 degrees Celsius, or use of Laptop on the lap, then amount of sperm decreases.
When There Is Disturbed Transport Route?
Sometimes a glued or severed vas deferens prevent the sperm from arriving (obstructive azoospermia). This form of male infertility can be triggered by:
- Inflammation of the Testicles, Epididymis (Orchitis, Epididymitis) and Prostate (Prostatitis) or Narrowing of the Urethra
- Infections (E.g. Chlamydia)• Operation (Inguinal Hernia)
- Cystic Fibrosis (Cystic Fibrosis)congenital Malformation
- Defective Urinary Bladder Obstruction (Retrograde Ejaculation): Ejaculation Ends Up in the Bladder (In the Urine); Due to Surgery, Diabetes, Nerve Damage or Enlarged Prostate• Psyche: Stress Can Negatively Affect Libido and Sperm Quality
- Erectile Dysfunction
- Immunological Sterility: Antibodies Against Your Own Sperm• Hormone Changes: Testosterone Deficiency, Hormones of the Thyroid or Pituitary Gland
- Taking Anabolic Steroids (Bodybuilding)
What Are the Signs of Male Infertility?
Except for functional sexual or erectile dysfunction, the inability to conceive is usually not physically noticeable in men. The first signs of developing infertility in men can be weight gain or loss and swelling of the testicles. A discharge from the penis or pain when urinating or in the testicles indicates an infection that can also affect fertility.
How to Diagnosis Male Infertility?
If the gynecologist is the point of contact for female sterility, the urologist or andrologist diagnoses male infertility in men. You have to undergo some examinations until diagnosis:
- Objective Examination of the genital organs
- Assessment of hair/physique
- Ultrasound of the testicles
- Ejaculate examination (spermiogram)
- Hormone levels (blood test)
- Testicular biopsy
What Is the Treatment of Infertility in Men?
If it does not work immediately with conception, you should check your lifestyle: healthy eating, diet, exercise, abstaining from nicotine and alcohol as well as reducing stress can improve a bad spermiogram.
Incidentally, daily sex does not increase the chances of success, but rather reduces the number of sperm in the ejaculate. Sexual intercourse every three days seems to be advisable for fertility problems.
If a physical cause is found, the treatment depends on the diagnosis and should be given after detailed advice from an experienced urologist/andrologist or at specialized fertility centres.
Here are the following options available:
• Psychotherapeutic treatment
• Operation of varicose veins or glued vas deferens
• Infections: antibiotic (for both partners)
• Drug treatment for hormone deficiency or erectile dysfunction
• vacuum pump
• Penile implant these measures do not help, doctors support the sperm on their way to the egg.
What Is Sperm Extraction?
If the sperms are fertile and only cannot find their way out, you can use testicular sperm extraction (TESE, “testicular sperm extraction”)
The sperm is removed from the testicular tissue using a testicular biopsy. New techniques with which mature sperm can be identified (PICSI, “physiological intracytoplasmic sperm injection”) or less suitable sperm can be sorted out (IMSI, intracytoplasmic morphologically selected sperm injection) promise better chances of success in infertility. So men and women can often be helped. Artificial fertilization With the sperm selected in this way, various techniques of artificial insemination (ART) can be used to fulfill the desire to have children:
- Intrauterine Insemination (IUI): semen transfer to the uterus
- In vitro fertilization (IVF): test tube fertilization
- Intracytoplasmic sperm injection (ICSI): a special form of IVF, sperm is injected directly into the cytoplasm of the egg cell under the microscope
- Artificial insemination using sperm donation (Western culture usually)
Conclusion of Talk About Male Infertility:
Common Path The diagnosis of infertility strains the couple relationship. Whoever is the trigger for infertility, men and women should agree on the decision for sterility treatment and want to take this path together. Understanding, patience and open discussions are particularly important during this time. Professional psychological support can increase the success of therapy for male infertility.