Causes and treatment of Male Infertility

Male infertility is on the rise in India. Stress, poor lifestyle, smoking, alcohol consumption, chewable tobacco (gutka) etc. are the leading causes. 30% of failure to conceive among couples is due to the infertility among men. Balance is contributed equally by women and other causes.

Male infertility is caused by low sperm production, poor sperm quality or problems with the sperm transport process. The most common cause of male infertility is a problem in the sperm production process in the testes. This could be attributed to the pituitary gland not sending the right hormonal signals to the testes leading to low testosterone levels and a failure of the testes to produce sperm.

Normally, the sperm is produced in the testes and transported through vas deferens tubes. A physical or functional blockage in these tubes may lead to a complete lack of sperm in the semen. Other disorders ranging from hormonal disturbances, physical problems and psychological problems also cause male infertility.

Additionally, sperm abnormalities can be a major cause for infertility. These disorders may be genetic by origin. Southern Gem Hospital experts led by Dr.Sweta Agarwal diagnose the causes of infertility to identify the problem. Post isolation of the problem the team works on the infertility in the man to help the couple conceive a child.

Hormonal deficiency is treated with medicines. Some men with sperm abnormalities can be treated with clomiphene citrate tablets and HCG injections in an attempt to improve the sperm count in the semen. If there is a varicocele, it can be surgically treated. However, several studies have shown that there is not much increase in pregnancy rates with surgical correction of varicocele.

In cases of azoospermia (no sperm in semen), we perform surgery to retrieve sperm from the testis. Alternatively, if the couple is willing, donor sperm treatment can also be offered. The clinic can arrange donors who are aged between 21 & 35 years. They have complete physical and psychological examination. The donors are free of hepatitis B & C, HIV, VDRL & other sexually transmitted diseases. They undergo screening for genetic abnormalities and are also for common genetic disorders such as thalassemia.

If the desired results of conception are not achieved, the couples are advised further higher varieties of treatment options.

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