Male Infertility :
Infertility is the failure of a couple to become pregnant after one year of regular, unprotected intercourse. Infertility, also known as subfertility, may be due to a single cause in either you or your partner, or a combination of factors that may prevent a pregnancy from occurring.
About 8% to 10% of couples of reproductive age experience infertility, and in approximately 40% of these cases male infertility is the major factor. More than 90% of the male infertility cases are due to low sperm counts, poor sperm quality, or both.
Causes of male infertility can be divided into three main categories:
1.Sperm production disorders affecting the quality and/or the quantity of sperm;
3.Other factors such immunological disorders.
The general examination to determine a man's fertility should look at:
Around 30 to 40 percent of men evaluated for infertility have been found to have a varicocele. Study shows that varicocele is the number one cause of male infertility. A varicocele is a condition of enlarged veins in the scrotum that causes abnormalities in the temperature regulation of the testis. Enzymes that are responsible for both sperm and hormone (testosterone) production have an optimal temperature at which they operate most effectively. If this temperature is elevated by even one degree, sperm and testosterone production are adversely affected.
As explained above, male infertility is responsible for approximately 40% of all diagnosed cases of infertility. The male infertility refers to problems within the male reproductive system or the sperm. Good sperm quality is essential to male reproductive health.
The five main factors that contribute to sperm quality
Many factors can interfere with optimal sperm quality in men.
The main causes are described below:
The doctor will ask you about the following :
Sexual history such as sexual practices, timing of intercourse and sexual habits,
Medical history such as illness and infections
Working Conditions such as exposures to chemicals, pesticides and high temperatures
Lifestyle history such as smoking, intake of alcohol and use of drugs.
You will be asked to abstain from ejaculation for approximately 72 hours prior to the doctor visit. When you visit the doctor, you will be asked to provide a semen sample for analysis. The semen sample will provide valuable information. Multiple parameters are examined such as the volume of the ejaculate, the sperm density, motility percent and speed to see if the minimal standards of adequacy are attained.
A physical examination will be performed and you will be evaluated for factors that may contribute to infertility, including, a varicocele. If hormone imbalance is supected, hormone levels will be drawn.
The treatment plan begins with counseling regarding sexual practices. You will be informed about the optimal timing for intercourse, cautioned to avoid lubricants, since lubricants can impair sperm survival. Even saliva can impair sperm survival.
You can be advised about Lifestyle changes since alcohol, tobacco, and drugs are all considered toxic to sperm.
If hormonal abnormalities are found to be the cause of the infertility, hormonal replacement therapy is prescribed. This may be either in the form of an injection self-administered periodically throughout the week, or a tablet taken every day.
Treatment with antibiotics may be prescribed if you show an infection or inflammation in any of the organs associated with sperm production or transportation.
If you are diagnosed to have varicocele then a surgical procedure called varicocelectomy or varix ligation is recomended. Studies show that pregnancy rate in couples where men with varicoceles underwent surgery was three times higher than when men did not undergo surgery.
The sperm count is the total number of sperm found in semen. A normal
sperm sample has at least 40 million sperm cells. If the sperm count is
lower than 40 million, this does not necessarily imply that the man is
infertile, however it may take longer to achieve conception.
The concentration is the number of sperm cells per milliliter of semen. A concentration of at least 20 million sperm per milliliter is considered "normal".
Sperm motility refers to the ability of the sperm to move or "swim". The ability of the sperm to travel through the cervical mucus and to the fallopian tubes is essential. Enough sperm should be able to move quickly enough and in a straight direction to be capable of fertilization. “Normal" sperm motility is about 50%.
Speed is sometimes referred to as "rapid linear progression". It refers to the number of sperm that are the fastest swimmers and are likely to fertilize the egg.
Morphology is the size and shape of the sperm. Normal sperm have an oval "head" and a long tail. Defects in sperm morphology may impair the swimming strength or the ability of the sperm to penetrate and fertilize an egg. In a semen analysis, 15% or more of the sample should be normal sperm.
Varicocele is varicose (enlarged and twisted) veins located in the testicles. Varicocele can impair sperm production and therefore reduce sperm counts.
Hypogonadism is a condition that results in markedly decreased levels of the hormone testosterone. This deficiency negatively impacts sperm production and therefore sperm count. Typically hypogonadism is a congenital (present at birth) problem, however it can develop later in life from various brain tumors, radiation treatments, or rarely, unknown causes.
Both men and women can have anti-sperm antibodies, which are proteins in the body that "attack" sperm cells and disable them, preventing them from reaching and fertilizing a viable egg. Anti-sperm antibodies can attach to either the head or the tail of sperm, causing the sperm to stick together or preventing them from penetrating the egg. Thus, the antibodies mainly affect sperm motility and morphology.
Drugs - recreational, anabolic steroids
Research has indicated that use of drugs such as heroin; amphetamines,
cocaine, and PCP have been associated with decreased libido, erectile
failure, and ejaculatory problems. Furthermore, drugs such as heroin are
known to interfere with normal hormonal production, leading to decreased
and testosterone levels. Anabolic steroids, frequently used by athletes
to increase muscle mass, significantly impact sperm production, and reduce
Are boxers or briefs most suitable when trying to conceive? It is recommended that the man wear loose fitting clothing, which means boxer shorts and loose trousers. The reason for this is that tight clothing can increase the temperature in the scrotum and as a result, decrease the sperm production.
Timing of Sexual Intercourse
Exposure to heavy metals, particularly lead, pesticides, and anesthetic gases has been associated with potential impairments to sperm quality. Radiation treatment (perhaps for cancer) may affect sperm production, and therefore impact fertility. If you work with environmental chemicals or are exposed to radiation on a Timing sexual intercourse around the time of ovulation is one of the easiest and most effective strategies that you can take to enhance your chances of conception. The man is constantly making sperm, however the woman's fertile period only happens once a month! Therefore, it is important to time intercourse during that fertile period.
Calcium Channel Blockers
Medications known as calcium channel blockers can cause male infertility. These medications are typically used to control blood pressure in individuals with hypertension. If you are taking a medication for high blood pressure and are not sure if it is a calcium channel blocker, ask the doctor. He may be able to switch you to an alternative antihypertensive medication that does not interfere with your fertility.
Retrograde ejaculation is a condition where sperm are forced backwards into the bladder instead of forward through the urethra. This occurs because the muscles of the urethra are not functioning properly during ejaculation (orgasm). Retrograde ejaculation is frequently associated with diabetes, multiple sclerosis, and spinal cord injury, and can significantly affect sperm count.
Genetic disorders -
Conditions such as undescended testes or congenital malformations of any part of the male reproductive system can lead to mild to severe reduction in sperm counts, depending on the specific problem and degree of malformation.
The key test that will be performed is a semen analysis. The sample will be examined for the:
Investigations indicated to diagnose a case of Infertility:-
Hormone replacement therapy or other medication, depending upon the cause.
Surgery may be indicated in case of varicocele or other obstructions.
male infertility, male infertility treatment, male infertility drugs, male infertlity factors, male and female infertility
Various SEO Factors and More on Website
Member of easy2source.com