Male Infertility Assessment

MALE INFERTTILITY

What on earth is male infertility?

Having a child/baby is a simple and normal experience for most couples. Nevertheless some couples find it very hard to conceive naturally. Male fertility generally relies on the volume of the man’s semen as well as his sperm concentration.

If the quantity of sperm a person ejaculates is low or perhaps if the sperm are of a poor quality, it will be difficult, {and sometimes frequently and quite often impossible, for him to be able to cause a pregnancy}

Male infertility  is usually is definitely diagnosed when, after testing and assessing both partners, reproductive system problems have been found in the male.

How prevalent is male infertility?

Infertility is now a  widespread problem . For example,  in approximately 1 in 5 couples the problem seems to be solely with the male partner. An estimated 1 in 10  men have some kind of fertility issues with low numbers of sperm seen in the ejaculate (low sperm count). What’s even more scary is that about 1% of the male population may not have any sperm in the ejaculate a condition called Azoospermia.

What are the common symptoms of male infertility?

Most of the time infertility symptoms are not too obvious at first. Couples can engage in intercourse and most of the time erections and ejaculations happen pretty much normally. The semen to the naked eye will also appear pretty much normal. One cannot look at the semen and predict whether the sample has a low sperm count or any other pathology. A medical test known as a semen analysis can help in diagnosing male fertility issues

What are the causes male infertility?

Male infertility is caused by any pathological process that affects either sperm production or the sperm transport. This can be easily identified with appropriate testing of the male partner. About 30% of men may have a small problem with the sperm production process. What this means is that either the produced sperms are not being made in the normal quantity or the sperm produced are just not working properly.

Problems with sperm transport also affect at least 20 to 30% of men too, obstructions in the tubes that transport the sperm from the testis to the penis can lead to male infertility

Problems with sperm transport also affect at least 20 to 30% of men too, obstructions in the tubes that transport the sperm from the testis to the penis can lead to male infertility.  

All the known causes of male infertility is summarized in the table below

Problems with sperm production

  • Undescended testis (the testis here fails to descend at birth)
  • Testis Torsion
  • Testis Trauma
  • Genetic Issues
  • Chemical and Radiation exposure
  • Idiopathic(Unknown)

Problems with the sperm transport

  • Congenital absence of the vasa
  • Prostate surgeries
  • Infections
  • Vasectomy

Sexual Problems

  • Erectile dysfunction
  • Retrograde ejaculation
  • Pain during sex
  • Spinal cord injury
  • Prostrate surgery
  • Ejaculation failure

Hormonal problems leading to male infertility

  • Pituitary tumours
  • Anabolic steroid abuse
  • Congenital lack of FSH and LH

How can male infertility be diagnosed?

Male infertility is easily diagnosed with a help of a simple laboratory test called the Semen Analysis. This test remains the Gold standard test for investigating male infertility. Other tests for diagnosing male infertility include genetic tests and a procedure known as testicular biopsy (done in select patients)

Is there a cure for male infertility?

Male infertility can be treated by numerous ways. Depending on the severity of male infertility, male infertility management strategies include

  1. Naturally treating male infertility with medication and giving a specialized diet
  2. Hormonal injections when there is a hormonal deficit and problem
  3. Intrauterine Insemination (IUI)
  4. In vitro fertilization (IVF)
  5. Intracytoplasmic sperm injections (ICSI)
  6. Testicular sperm retrieval and ICSI (TESE-ICSI)
  7. Using Donor sperm for men with Azoospermia were a TESE-ICSI has failed

Meet Dr. Shah at the Male Infertility & Sexual health Clinic

Dr. Shah is Consultant Andrologist and Sexologist in Chennai. His passion for helping men facing infertility issues stems from the fact that “Men never ever get the care they deserve as far as fertility treatments is concerned”

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