Treatment For Male Infertility
IVF, IUI, ICSI, FET, TESA
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11 January 2017

Treatment For Male Infertility

Treatment For Male Infertility
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Written by Dr. Neha Gupta
Men have various options in terms of infertility treatment that range from ICSI, IVF to IUI and Insemination. Here is a list of infertility treatments for men.

Men have various options in terms of infertility treatment that range from ICSI, IVF to IUI and Insemination. Here is a list of infertility treatments for men.

A diagnosis of male infertility can be one of the hardest challenges a man can face. Not being able to father a child can make a guy feel like he’s failing at one of his most primary responsibilities. Unfortunately, some men have to cope with the reality that nothing can be done about their infertility and seek for some infertility treatment. But for other men, advances in male infertility treatment offer real help.

How To Understand Male Infertility?

Sperm is made in the testicles. They're then stored in the epididymis, which lies on top of each testicle. Sperm is nourished by semen, which is made by glands along the way. When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis. This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system.

IUI, IVF

What is Ovulation?

Ovulation happens about 14 days after menstruation. Sex any time in the five days before ovulation can increase the chances of pregnancy.

It is advised to couples to seek fertility evaluations if they are unable to conceive after 12 months of unprotected intercourse. About 85% of couples will have had a pregnancy by that point. If they are over 30, they should seek evaluation after six months and seek for the infertility treatment.

artificial insemination, IVF

What Are The Common Causes Of Male Infertility?

The “male factor” contributes to infertility around half the time, and about one-third of the time, it's the main cause of infertility. Most often, the problem lies in the process of either making or moving the sperm.

Any of the followings can cause a man to have a low sperm count or abnormal sperm:

  1.  Undescended testicle
  2. Infections in the testicle (orchitis), the prostate (prostatitis)
  3. Chemotherapy for cancer
  4. Medicines such as anabolic steroids or anti-seizure medicines
  5. Genetic abnormalities

An evaluation by a physician is the only way to know about infertility treatments. Sometimes, making sperm isn't the problem. The problem is getting the sperm where they need to go. Men with this type of male infertility have normal sperm in the testicles. But the sperm in the semen is either abnormal, very low in number, or not there at all. Causes of this kind of infertility include:

  1. Retrograde ejaculation. In this condition, semen ejaculates backward into the bladder instead of out of the penis.
  2. The absence of the main sperm pipeline known as the vas deferens. This condition is a genetic problem.
  3. Anti-sperm antibodies. Antibodies can abnormally attack a man's own sperm on their way to the egg.

What Are the Male Infertility Tests?

Identifying the cause of a man's infertility is as much an art as a science. The first step is an evaluation by a physician specializing in male infertility. Experts differ in their approach, but here are some of the tests you can expect:

male infertility, male infertility

  1. Sperm and Semen Analysis- You provide a fresh sample of semen. Experts then assess your sperm count, their shape, movement, and other variables.
  2. Physical Examination- A thorough physical exam can detect varicocele and give clues to hormone problems.
  3. Hormone evaluation- Testosterone and multiple hormones made in the brain control sperm production.
  4. Testicular biopsy- This is done for men with very low or no sperm in their semen. A needle biopsy of the testicle can show whether a man is making healthy sperm. If abundant good sperm is found in the testicle, there's likely a blockage somewhere.
  5. ​​​​​​Genetic testing- Genetic tests can identify specific obstacles to fertility and problems with sperm.
  6. TESA and MESA- To perform many infertility treatments like IVF, IUI and ICSI TESA and MESA is done. This is a sperm retrieval process via which sperms are retrieved to perform artificial insemination, IVF, IUI or ICSI. Sperm is retrieved from the testicles and then after washing it can be used for artificial insemination, IVF, IUI or ICSI. 

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3 Comments

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Vedhika Dewan
Aug. 21, 2017, 1:09 p.m.
Male infertility has several factors like poor diet, genetic abnormalities or any early cancer treatments. In most cases, there are no obvious signs of infertility. Intercourse, erections and ejaculation will usually happen without difficulty.
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Kavya Garg
Aug. 21, 2017, 1:42 p.m.
Now a days..artificial insemination is not a big issue. There are fertility centres and IVF centres.....where these treatments are carried out easily. Intrauterine Insemination (IUI) is the most commonly used method of artificial insemination, and it is the method with the best success rate, meas...
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Trisha Malhotra
Aug. 21, 2017, 1:44 p.m.
Infertility is a widespread disease which is rapidly increasing. Now it has been too common among people where the ratio came that 20 men out of 100 are found infertile. In such cases, IVF has helped number of couples.Some of the IVF centers provide cost effective treatment and any body can affor...
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