Fertility issues affect about one in seven couples who have tried to start a family but have been unsuccessful despite having regular, unprotected sex for at least a year. Men may be partly to blame for their partners not being able to have children in as many as 50% of these cases.
Male infertility is caused by sperm that doesn’t work well, doesn’t make enough sperm, or can’t get to the egg. Several things, including illness, injury, chronic health issues, lifestyle choices, and more, can cause male infertility.
Male infertility is a common problem, but many ways exist to treat it and help couples get pregnant.
What causes male infertility?
Medical conditions and therapies can affect male fertility.
Varicocele are testicular vein swellings; male infertility is the most prevalent reversible cause. Varicoceles induce infertility, possibly due to irregular blood flow. In addition, varicoceles diminish sperm quantity and quality.
Infections can disrupt sperm production or health or generate scarring that inhibits sperm. These include gonorrhea, HIV, and epididymitis or orchitis. Sperm may usually be recovered from testicular infections.
Retrograde ejaculation is when semen enters the bladder instead of the penis during orgasm. Diabetes, spinal injuries, medicines, and bladder, prostate, and urethra surgeries can induce retrograde ejaculation.
Cancers and tumors that aren’t cancerous can directly affect a man’s reproductive organs through the pituitary gland or other sources that aren’t well understood. In addition, tumor surgery, radiation, and chemotherapy can impact male fertility.
Some boys’ testicles don’t move down from the abdomen to the sac (scrotum) that holds them when they are in the womb. As a result, men with this disease have lower fertility.
The hypothalamus, pituitary, thyroid, and adrenal glands can cause infertility and testicular problems. In addition, low testosterone (male hypogonadism) and other hormonal issues have many causes.
Sperm tubule defects.
Many tubes contain sperm. They can be obstructed by surgery, infection, trauma, or genetic disorders like cystic fibrosis.The testicle, its tubes, the epididymis, the vas deferens, the ejaculatory ducts, or the urethra can all become blocked.
In inherited diseases such as Klinefelter’s syndrome, when a male is born with two X chromosomes and one Y chromosome, his reproductive organs develop abnormally. Cystic fibrosis and Kallmann’s syndrome also cause infertility.
These include things like not being able to get an erection, ejaculating too soon, having painful sex, having a physical problem like hypospadias, or having mental or relationship problems that make it hard to have sex.
Gluten intolerance causes celiac disease, a digestive ailment. Male infertility may result. Gluten-free diets may boost fertility.
Sperm production and male fertility can be affected by treatments like testosterone replacement therapy, long-term use of anabolic steroids, chemotherapy, treatments for ulcers and arthritis, and other drugs.
Sperm can’t get into your ejaculate if you’ve had a vasectomy, surgery on your scrotum or testicles, surgery on your prostate, or extensive abdominal surgery for testicular or rectal cancer.
Sometimes, fertility doctors just don’t know what’s going on when it comes to infertility. Even if the exact cause is unknown, your fertility doctor at the best fertility center in Delhi may be able to recommend treatments or procedures that will lead to conception.
When a couple can’t have children, the female partner should also be checked out. Your spouse may benefit from specialized care. The alternative is that you find out that ART is a good choice for you and decide to move forward with that.
Among the options for treating male infertility, we find:
Surgery. Surgery is an option for problems including varicoceles and vas deferens blockages. Vasectomy reversal surgery is possible. Sperm can usually be taken from the testicles or the epididymis when there are no sperm in the ejaculate.
Infection treatment. An infection in the reproductive system can sometimes be treated with antibiotics, although this doesn’t always result in full fertility being restored.
Sexual intercourse treatment In cases of erectile dysfunction or premature ejaculation, treatment with medication or psychotherapy might boost fertility.
Hormone therapies and medicines
Medical and therapeutic interventions involving hormones If your infertility is related to an imbalance in hormone levels or the way your body processes hormones, your fertility doctor may offer hormone replacement therapy or medication.
Assisted reproductive technology (ART)
According to fertility doctors, reproductive technology aids in conception (ART). ART treatments can use sperm from a natural ejaculation, a surgical extraction, or a donor, depending on the needs and preferences of the person. After that, these sperm are used for in vitro fertilization, intracytoplasmic sperm injection, or putting into the vaginal canal of a woman.