Male Fertility and ways to increase Sperm Count

Category: Male fertility

Male Fertility

Testicular Biopsy – Indications, Procedures, Risks and Results

posted on June 14, 2019, 3:05 p.m.
4.5/ 5 (1 Votes)

Infertility is the inability to conceive after trying for a year or more with natural intercourse. It can affect both men and women in a visible manner. The good news is that the condition can be reversed with the help of advanced medical technologies in infertility treatments. Male infertility today contributes to the occurrence of a high number of infertility cases in couples. Infertility in men poses no other outward symptoms other than the inability to impregnate the partner within a stated period of time. Treatments associated with male infertility are based on the underlying cause of infertility, or in the case of unidentified problem, evidence-based medical treatments to improve fertility levels are recommended by the best fertility doctors. Male infertility treatments include surgery to correct or repair anatomic abnormalities or damage which has occurred to any of the crucial parts of the reproductive system. There are certain lifestyle changes which can also help men to improve their fertility such as eating right, maintenance of the recommended weight as per height, reducing stress, and physical fitness levels. According to various highly popular research studies, hot testicles are considered less efficient at producing sperm. It is thus recommended that men should avoid wearing tight underwear, bathing in hot saunas and tubs. The success rates of testicular biopsy with micro-TESE, have been reported in men up in up to 63 percent cases. However, conventional and more limited sperm retrieval procedures have reported success rates of 20 percent in percutaneous testicular biopsies to 45 percent in open biopsies. Thus, testicular biopsy has contributed to tremendous cases with the highest success rates. This article gives detailed information about: What is Testicular Biopsy? What are indications for Testicular Biopsy? What are the uses of Testicular Biopsy? What are the Types of Testicular Biopsy? Preparation for Testicular Biopsy The procedure of Testicular Biopsy Testicular Biopsy for Testicular Cancer What is the recovery time of Testicular Biopsy procedure? What are the Testicular Biopsy Risks? Testicular Biopsy Results What is the cost of Testicular Biopsy? Frequently Asked Questions related to Testicular Biopsy Male infertility issues are a major concern for most of the couples who are not able to conceive naturally. Testicular biopsy is considered as the cornerstone of male factor infertility diagnosis for many years. This is particularly the scenario in men who are diagnosed with unexplained infertility and diagnosed with azoospermia. (1) Azoospermia is a medical condition in men where there is an absence of sperm in their semen. Azoospermia occurs in about 15 percent of infertile men and in 1 percent when men are considered at a global platform. This condition usually doesn’t pose any potential symptoms in men and is most probably diagnosed at the time of planning for a baby. The only sign of being diagnosed with Azoospermia is when a man is unable to impregnate his partner. Testicular Azoospermia takes place due to a groin injury and a childhood illness like viral orchitis. This leads to swelling in one or both testicles. Cancer treatments or certain radiation therapies are also considered among certain prominent causes of testicular Azoospermia. In some cases, Azoospermia also occurs due to reproductive tract obstruction or due to inadequate production of spermatozoa. In the past, the only treatment for azoospermia was reconstructive surgery (in case of obstruction) or donor insemination. Now, with the immense advancement in the field of Artificial Reproductive Technology (ART) procedures, Intracytoplasmic Sperm Injection (ICSI) has enabled many men suffering from Azoospermia to become biological fathers without taking the assistance of last resort procedures such as Surrogacy. Pregnancy rates with ICSI procedures are the same irrespective of the sperm retrieval technique used in the procedure. What is Testicular Biopsy? Testicular biopsy is a surgical procedure in which a piece of tissue is removed from the testicles in a male individual. This tissue is then examined under a microscope. The procedure of a Testicular biopsy, which is also known as needle aspiration involves removing a small amount of tissue from one or both testicles. This tissue is then sent to the medical laboratories for examination under a microscope. The tissue is examined to determine the presence of sperm and whether they can be frozen for future use or if they need to be used immediately for Assisted Reproductive Techniques (ART) procedure. Some men who are suffering from cancer are advised to undergo testicular biopsy procedure to check if the cancer treatment is the cause of infertility issues. (2) There are several treatments in cancer that may intrude with future fertility in men. These treatments include: Bone marrow therapy Chemotherapy or Radiation therapy Certain types of testicular or pelvic surgery Fertility issues may only occur for a short time until after their treatment is over. However, in some men, the presence of infertility following cancer treatments is seen to be permanent. Indications for Testicular Biopsy and Needle Aspiration: Testicular biopsy is indicated in the following scenarios: Obstructive azoospermia: Obstructive azoospermia is a condition which is referred to as complete absence of sperm from the ejaculate. Apart from several causes of azoospermia, obstruction of the ductal system is highly responsible for approximately 40 percent of cases. Non-obstructive azoospermia: Non-obstructive Azoospermia is a condition which is present in men who have areas of focal spermatogenesis. Testicular biopsy may also be offered to men who are unable to ejaculate during ICSI procedure. (3) Uses of Testicular Biopsy: The test is most often performed to find the cause of male infertility. It is performed when a semen analysis test shows the presence of abnormal sperm and when other tests have failed to find the cause. In some cases, sperm obtained from a testicular biopsy can be used to fertilize a woman's egg in a fertility lab. This process is called In Vitro Fertilization. A testicular biopsy is used for the following purposes: Diagnose causes of male infertility Diagnose the condition and location of a lump present in the testes Sperm retrieval for In Vitro Fertilization (IVF) To find out whether sperm production problems are caused by a blockage Diagnose testicular cancer To identify the cause of abnormally low levels of sperm Poor quality of sperm Azoospermia (absence of sperm) Diagnostic Uses of a Testicular Biopsy: A testicular biopsy is considered to be an important tool in diagnosing male factor infertility. However, it is not the first step. For the initial phase in a fertility evaluation, an experienced fertility doctor will take a medical history followed by suggested blood tests and semen analysis of the patient. Semen analysis helps in looking at the quantity and quality of the sperm. The initial semen sample is usually collected with the help of masturbation. Various problems are identified in the semen analysis test. Hormone and blood tests can identify the reasons for low sperm levels in the concerned individual. However, when these tests are not conclusive, the patient may need to undergo testicular biopsy procedure. Types of Testicular Biopsy: A testicular biopsy test/procedure is generally performed in order to investigate the cause of male infertility after conducting hormonal assays and semen analysis test. The procedure is also performed to evaluate infertile men with risks of testicular cancer. It is to be noted that testicular biopsy is usually conducted rarely to test testicular cancer as it can lead to the spread of cancer. There are two types of testicular biopsy procedure: Percutaneous Testicular Biopsy: Percutaneous testicular biopsy is a procedure conducted through the skin and it is also called as a "Fine Needle Biopsy". In this procedure, a thin biopsy needle is inserted through the skin of the patient. The needle contains a syringe on the end to obtain the testicular tissue of the respective man. This procedure does not require a cut or stitches. Percutaneous testicular biopsy procedure can be performed with a fine needle aspiration biopsy. The procedure can also be done with a trucut needle biopsy or core needle biopsy procedure. It is a convenient and effective procedure useful in small testicular lesions, hematological malignancies, multifocal lesions, and focal lesions in single testis. A core needle biopsy is a variation in this procedure. It is performed using a hollow, spring-loaded needle to remove a cylinder of cells. This is known as a 'core sample'. A core sample is a larger specimen as compared to one from a fine needle biopsy procedure. (4) The tissue is then examined at the labs under the microscope. Some important blood tests are performed prior to percutaneous biopsy in order to ascertain the risk of bleeding in the patient. The advantages of percutaneous testicular biopsy is that it is minimally invasive. Also, the procedure requires only local anesthesia. This medical test can also be performed on an outpatient basis. However, one of the theoretical disadvantages to percutaneous testicular biopsy has been the risk of tumors seeding due to a presumed scrotal violation. The theoretical basis for this relates to the differential lymphatic supply of the testis, which drains via para-aortic lymph nodes, and the scrotal skin, which drains to inguinal lymph nodes. This medical technique should be performed by an operator with experience of ultrasound-guided biopsy. No skin shaving is undertaken. A local anesthetic is infiltrated into the scrotal skin, which is moderately sensitive, and into the tunica vaginalis, which is sensitive. There are no pain fibers present in the testicular parenchyma. Also, in such cases no deeper infiltration is required. (5) Open Biopsy: An open biopsy is performed under sedation and local or general anesthetic to numb the targeted area. It is also called as a 'surgical biopsy'. In order to expose and remove tissues, a small surgical incision is made through the skin. The biopsy tissue is then examined under a microscope at the medical laboratory. An open biopsy is done at a doctor’s clinic or in the fertility hospital. The procedure is performed to ascertain the presence of cancer or any other abnormal cells in the body. Open surgical biopsy is referred to as the gold standard for retrieving testicular tissues and evaluation of spermatogenesis. Certain complications associated with open surgical biopsy are obvious pain, trauma, hematoma, and infection. In some cases, the procedure also leaves an impact on the testicular blood supply. This makes its application of the open biopsy procedure a limited one. (6) Preparation for a Testicular Biopsy: The preparations required for Testicular Biopsy procedure are minimal. The patient should inform the doctor about any current consumption of over-the-counter medications. The intake of these medications should be discussed with the doctor beforehand. For patients who are receiving general anesthesia, are asked not to eat and drink for at least eight hours before their test. If patients are given a sedative to take at home before the biopsy, they will not be able to drive themselves to the procedure. It is important for a patient to inform their doctor about the allergic reaction to certain medications or any bleeding problems. The drugs that may pose a specific risk during the treatment include: Anticoagulants (blood thinners) Non Steroidal Anti-Inflammatory Drugs (NSAIDs), including Ibuprofen or Aspirin Any medications affecting blood clotting Testicular Biopsy Procedure: Testicular biopsy can be performed in certain specific ways. Testicular Biopsy is done when a piece or sample of tissue is extracted from the testicles to analyze it in the fertility laboratories. The tissue is analyzed under a microscope in the laboratories. Testicular biopsy or aspiration is usually performed in cases when the male partner is diagnosed with obstructive azoospermia. In conditions such as azoospermia, sperms are taken either through aspiration or through a testicular biopsy. The sperms are then sent to the IVF lab for performing Assisted Reproductive Technology methods such as In Vitro Fertilization or Intracytoplasmic Sperm Injection (ICSI) procedures. Usually, the patient is discharged on the same day as the completion of the procedure. The patient is generally put on an oral course of antibiotics and is advised to avoid performing heavy activities for at least one week. The type of biopsy relies on the reason for the medical test being performed. The skin over the testicle is cleaned with an antiseptic or germ-killing medicine. The area around the testicle is covered with a sterile towel. To numb the area, a local anesthetic is given to the patient in the targeted area. A small surgical incision is made through the skin. A small piece of the testicle tissue is removed to be examined under the guidance of infertility specialist. The opening in the testicle is closed with the help of a stitch. Another stitch closes the incision in the skin. The procedure is repeated for the other testicle as and when necessary. Needle biopsy is usually performed in the doctor's office. The area is cleaned and local anesthesia is used, similar to open biopsy. A sample of the testicle is collected using a special needle. The procedure does not require an incision in the skin of the patient. It is entirely dependent on the reason for conducting the test that a needle biopsy would be recommended to the patient or not. (7) Testicular Biopsy for Testicular Cancer: Testicular biopsy is sometimes also used to effectively diagnose testicular cancer. Usually, it is done when the diagnosis is uncertain. This is because a biopsy, unfortunately, elevates the likelihood that cancer will spread. The physician is more likely to use ultrasound monitoring for cancer diagnosis. The testicle can also be examined and removed with the help of open surgery. This is known as a radical inguinal orchiectomy. A radical inguinal orchiectomy to diagnose testicular cancer includes the following steps: The physician will make an incision in the groin The testicles will be removed from the scrotum for further examination If abnormal tissue is found, a small portion will be taken for further analysis in labs. The tissue is examined by a pathologist. If the tissue sample is noncancerous, the testicle will be returned to the scrotum. The testicle will be removed if the tissue sample is cancerous. In such cases, the spermatic cord will be removed to prevent the spread of cancerous cells in other parts of the body. Other tests for Testicular Cancer include ultrasound of the testicles, blood tests for tumor markers, surgery, and imaging tests. (8) Recovery Time of Testicular Biopsy: A fertility doctor provides patients with certain important and useful instructions after the testicular biopsy procedure which helps the patient in recuperating from their illness. Instructions may vary depending on the type and severity of biopsy. In most cases, the patient is suggested to avoid sexual activity for a week or more after the procedure is performed to avoid any further infection. The patient is especially informed about the pain and discomfort at the site of the cut, swelling, or discoloration in the scrotum and a small amount of bleeding. These are the common side-effects of the testicular biopsy procedure, which are expected to get fixed in a few days. An ice pack can be used in order to reduce the swelling. Testicular Biopsy Risks: The advent of advanced technologies in the field of infertility treatments has reduced the risk of testicular biopsy. However, the patient should be aware of certain after-effects or side-effects and risks associated with testicular biopsy. The procedure usually has mild side effects in most of the cases. Only in some cases, major side-effects are also recorded in the patient. The side effects of testicular biopsy are: Unbearable pain or swelling in the biopsy area Blood soaking through the bandage or dressing Infection at the site of the incision Discolored scrotum One should talk to the fertility experts and discuss possible risk factors associated with testicular biopsy. Testicular Biopsy Results: An accurate biopsy interpretation is significant in determining both reproductive prognosis and therapeutic considerations for men diagnosed with conditions like Azoospermia. The use of standardized nomenclature for diagnosis as outlined in this article enhances the clinical benefit of the testicular biopsy. (9) The result of a testicular biopsy is normal when sperm development appears normal and no cancerous cells are found. What do abnormal results mean? Abnormal results of the test may mean a problem with the sperm or hormonal function in the male individual. A biopsy can help in finding the actual cause of the problem. In some cases, a semen analysis test shows no sperm or reduced sperm even when the sperm development appears normal in the testicles. This indicates an obstruction of the tube through which the sperm travel from the testes to the urethra. This blockage can be treated with the help of a surgery. Other causes of abnormal results: A cyst-like lump filled with dead sperm cells and fluid (spermatocele) Orchitis – inflammation of the testicles The fertility specialist will explain and discuss the possible abnormal results with the patient. Considerations after Testicular Biopsy: A healthcare provider who specializes in infertility treatments may suggest the patient wear an athletic supporter for some days after the testicular biopsy. In most cases, patients are recommended to avoid sexual activity for 1 to 2 weeks. Following considerations are suggested to patients after a biopsy: Using a cold pack on and off for the initial 24 hours to lessen the swelling and discomfort. Continue to consume using aspirin or medicines that contain aspirin for a week following the procedure. Try to keep the area dry as possible for several days after the completion of the testicular biopsy procedure. Cost of Testicular Biopsy: The cost of a Testicular Biopsy across the world ranges between Rs. 6,000 and Rs. 25,000 on an average. The testicular biopsy cost majorly depends on factors such as the qualification and expertise of the IVF doctors, availability of modern, and advanced medical equipment at the fertility clinics or hospital, testicular biopsy success rates, and the unique medical history of the couple with respect to infertility treatments. Patients can also search for healthcare insurance options while planning for this procedure to seek high success rates with the procedure. (10) Frequently Asked Questions (FAQ's) related to Testicular Biopsy: Q. Is the procedure of testicular biopsy painful? A testicular biopsy procedure is not painful. The procedure is performed under regional anesthesia and usually does not cause any kind of discomfort to the patient. When a testicular biopsy is performed under sedation, patients usually do not feel any pain or discomfort which occurs in the patient. Postoperatively, proper bed rest is only suggested for short periods of time, thus helping patients to carry on with their regular activities. Q. How long does it take to recover from testicular biopsy procedure? In most cases, the highly experienced fertility doctors use stitches that dissolve on their own (absorbable stitches) in 2 to 3 weeks and do not need to be removed. The cut made during the procedure will ooze fluid for about 3 to 4 days to allow fast and smooth recovery of the patient. Patients can expect to feel better each day, although they may face some mild to moderate discomfort for several days after the biopsy procedure. Q. Can you have a lump on the testicle and it cannot be cancer? Cancerous lumps are usually found on the sides of the testicle but can also be present on the front of the location in focus. Lumps on or attached to the epididymis are benign or non-cancerous in nature. If the patient finds a lump on the testicle or any of the other symptoms of testicular cancer, he should see a doctor, preferably a urologist, right away when diagnosed. It is a well-established fact that men don't like to discuss much regarding their infertility problems. Although this stereotype does often hold true, this should not be the case for each of the patients. Men must try and keep communication clear with their respective infertility experts. They don't have to broadcast it far and wide, but they should speak with a doctor, a nurse, a counselor, or a support group. It will ease their burden, and they might offer a new perspective and a chance for living a healthy life. To get the best recommendations regarding the right treatment and infertility expert, visit elawoman.com. For treatments like a testicular biopsy, the infertility specialists associated should be trained exclusively in the evaluation of male infertility and sexual dysfunction. At Ela, the infertility experts understand that even miracles require timely assistance. Ela provides fertility doctors who have a unique record of supervising and conducting a high number of deliveries. If you have any concerns related to male factor infertility or wish to know more about the testicular biopsy, Elawoman can help you out. For further information about a testicular biopsy or any other information related to infertility treatments like IVF procedure, visit elawoman.com and check out the different sections of the blog. You can also contact us at +918929020600 to clarify your doubts related to medical tests and infertility procedures.

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Male Fertility

Top 8 ways to Increase Sperm Count to Reduce Male Infertility

posted on Dec 11, 2018
4.5/ 5 (1 Votes)

Male infertility is when a man has a low or no chance of making his female partner pregnant. Male infertility usually depends on the quality and number of sperm cells. About one in every three cases is due to fertility problems in the male partner alone and about one in every six couples are affected by it. While infertility may not always be treatable, it can sometimes be improved with a healthy diet, supplements and other lifestyle changes. The following aspects of sexual function and semen quality may affect fertility: Libido: Libido is also known as sex drive, libido is described as a person's overall sexual drive or desire for sexual activity. Libido is mainly influenced by psychological, biological and social factors. Foods or supplements known to increase libido are called aphrodisiacs. Erectile dysfunction: It is also known as impotence. Erectile dysfunction happens when a man is unable to develop or maintain an erection during sexual intercourse. Sperm count: An important aspect of semen quality is the number of sperm cells in a given amount of semen. Sperm motility: An important function of healthy sperm cells is their ability to swim. Sperm motility is measured as the percentage of moving sperm cells in a given amount of semen. Testosterone levels: Low levels of testosterone present in the male sex hormone may be responsible for infertility in some men. Infertility can be associated with multiple causes and may depend on general health, fitness, diseases, genetics, and dietary contaminants. Also, a healthy diet and lifestyle are important. Some nutrients and foods are associated with greater fertility benefits than others. Ways to Increase Sperm Count Here are some of the healthy ways to boost sperm count and increase fertility in men: 1. Take D-Aspartic Acid Supplements D-aspartic acid (D-AA) is a type of amino acid that is sold as a dietary supplement. D-AA is mostly present in certain glands, semen, testicles and sperm cells. Researchers believe that D-AA is implicated in male fertility and its level is significantly lower in infertile men than fertile men. Supplements rich in D-AA may increase levels of testosterone, the male sex hormone that plays an important role in male fertility. For instance, if an infertile man takes 2.66 grams of D-AA for three months, it can increase their testosterone levels by 30–60 percent and sperm count and motility by 60–100 percent. Additionally, a controlled study in healthy men showed that taking three grams of D-AA supplements daily for two weeks increased testosterone levels by 42 percent. However, even though D-AA supplements may improve fertility in men with low testosterone levels, it may not provide additional benefits in men with normal to high testosterone levels. 2. Exercise Regularly Exercising regularly not only improves confidence and physical performance, but it may also raise the testosterone levels and fertility in men. Men who exercise regularly have higher testosterone levels and better semen quality compared to men who are inactive. However, too much exercise may have the opposite effect and potentially reduce testosterone levels. Adequate zinc intake can reduce this risk. Becoming more physically active should be one of the top priorities for anyone who wants to improve their fertility. 3. Get Enough Vitamin C Oxidative stress occurs when the levels of Reactive Oxygen Species (ROS) reach harmful levels in the body. It happens when a body's own antioxidant defenses are overwhelmed because of factors like disease, unhealthy lifestyle, old age or environmental pollutants. ROS are constantly produced in the body. High levels of ROS may promote tissue injury and inflammation, increasing the risk of chronic disease. Oxidative stress and high levels of ROS may cause infertility in men. Adequate intake of vitamin C may help counteract some of these harmful effects and may improve semen quality. Taking 1,000-mg vitamin C supplements twice a day for two months can increase sperm motility by 92 percent and sperm count by more than 98 percent. It is also known to reduce the proportion of deformed sperm cells by 55 percent. Another observational study has found that taking 1,000 mg of vitamin C five times a week for three months may protect against DNA damage caused by ROS in sperm cells. Vitamin C supplements therefore, can significantly improve sperm count and motility, while reducing the numbers of deformed sperm cells. 4. Relax and Minimize Stress Stress is known to reduce sexual desires and impair fertility. Prolonged stress raises levels of cortisol that can have strong negative effects on testosterone. When cortisol level is high, testosterone levels tend to go down. While severe, unexplained anxiety can be typically treated with medication; milder forms of stress can be relieved by numerous relaxation techniques. Stress can be easily tackled by meditating, exercising or spending a relaxing time with friends and family. 5. Get Enough Vitamin D Vitamin D is another nutrient that can boost testosterone levels. Vitamin D-deficient men are more likely to have low testosterone levels. High vitamin D levels are linked to increase sperm motility. If men with low testosterone levels take 3,000 mg of vitamin D every day for one year, it can increase their testosterone levels by around 25 percent. 6. Take Fenugreek Supplements Fenugreek is a popular culinary and medicinal herb. Men who consume 500 mg of fenugreek extract daily experience significantly increased testosterone levels, strength and fat loss. A study showed that men who take 600 mg of a supplement made from fenugreek seed extract and minerals, daily for six weeks have improved libido, sexual performance, strength, erectile function and the frequency of sexual activity. 7. Get Enough Zinc Zinc is an essential mineral found in high amounts in foods, such as meat, fish and eggs. Adequate zinc intake can boost male fertility. Zinc deficiency is known to lower testosterone levels, poor sperm quality and an increased risk of male infertility. Taking zinc supplements increases testosterone levels and increase sperm count. 8. Eat Maca Root Maca root is a popular plant food and has been used for its ability to enhance libido and fertility. Men who consume 1.5–3 grams of dried maca root for three months showed an improved sexual desire or libido. 2.4 grams of dried maca root if taken daily can improve erectile function and their sexual well-being. Taking 1.75 grams of maca root powder every day for three to four months also increases sperm counts and motility in healthy men. Additionally, maca root does not seem to affect hormone levels. Taking 1.5 to 3 grams of maca root per day for three months has no effects on testosterone or other reproductive hormones in healthy and fertile men. Other Tips There are numerous strategies to improve sperm count, although this depends on its cause. Here are additional tips to boost sperm count/quality: Include fruits and vegetables in everyday life Lose excess weight Avoid heavy alcohol consumption Get enough folate Get adequate sleep Eating a lot of antioxidant-rich foods, such as walnuts Consider supplements known to improve semen quality Infertility can occur in anyone. Many of the ways mentioned above are key components of a healthy lifestyle that are known to increase sperm count. You can follow them if you want to increase sperm count naturally. Get wellness, nutrition tips exclusively available on Elawoman blog. Consult Elawoman specialist today if you are looking for fertility treatments. Ela can assist you in finding the best doctors and treatment available for infertility. Call us at +917899912611.

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Male Fertility

Teratozoospermia - Know its Causes, Types and Teratozoospermia Treatment

posted on May 23, 2019, 11:57 a.m.
4.9/ 5 (6 Votes)

Since ancient times, infertility is considered as a problem related to only women. No matter what, the medical checkup of men was not even considered important to establish the cause of infertility. But with changing times, the role of male fertility has been greatly studied and its importance is reemphasized in defining fertility. This has also caused a change in the mindset of people who can now understand that infertility is not restricted to females only. Now, it is a general fact that trouble in conceiving can be due to a number of issues concerning sperm parameters of the male partner like poor sperm count, motility or low quality. One of such issues is Teratospermia or Teratozoospermia. This article throws light on various questions associated with the condition concerning its occurrence, types, treatment and what it is about.  What is Teratospermia or Teratozoospermia? Teratospermia is defined as an abnormal sperm morphology. It is also called as Teratozoospermia. This disorder causes males to produce abnormally shaped sperm. The sperm produced are defective either at head, mid piece or tail. Teratospermia is considered as one of the causes of male infertility. To check the morphology of sperm, semen analysis or seminogram is done with the use of dye test to see the shape of sperm under a microscope. These tests reveal about the shape and give a definite percentage of the morphological defects found in sperms. Causes of Teratospermia Many a time it is difficult to establish a specific reason for teratozoospermia. It is taken for granted that morphological modifications that happen during the end stage of spermatogenesis (process of sperm production) are responsible for teratozoospermia. It is also noticed that treatments like chemotherapy and radiation therapy also have a role in the sperm production process hence leading to the onset of teratozoospermia. Men are advised to have their semen sample frozen if they wish to become father in future after the disease is treated completely. Then there are certain drugs that can interact with hormones produced in the body like FSH, testosterone and GnRH to cause changes in the sperm production process resulting in incomplete maturation. This is another reason of teratozoospermia in men. There are quite a few factors that lead to Teratospermia. The causes of abnormal shape of sperms are different for person to person and sometimes it is quite difficult to assess the reason behind this disease. Some of the most common reasons identified till date that can contribute to the occurrence of teratozoospermia are: Genetic Cancer treatments like chemotherapy or radiotherapy Testicular disorders Unhealthy diet Obesity Stress or any infections Tobacco, drugs or alcohol etc. High fever Traumas or other testicular problems Varicocele Meningitis Diabetes mellitus Semen infections Alcohol and drug abuse Some of the reasons of Teratospermia can be cured like if you keep a check on your diet plan, leave unhealthy habits, reduce stress level etc. With such corrective measures, sperm quality can improve, leading to the better chances of curing infertility. Types Of Teratospermia Before discussing the treatment of teratozoospermia, let us learn about the defects in sperm cells that can be found at any part of its body like head, mid piece or tail. It can also occur with all or in combination of any two type of abnormality. The normal sperm has an oval shaped head and a long tail whereas abnormal sperm has head or tail defects such as mis-shape head or double tail etc. Sperm morphology determines the type of Teratospermia and its grade of severity like: Normal sperm Morphology > 14% Mild teratospermia- here the normal sperm morphology value ranges between 10 – 14% Moderate Teratospermia- here the normal sperm morphology value is between 5-9% Severe Teratospermia- here the normal sperm morphology value is less than 5%  These types show the percentage of normal or abnormal sperm cells in a semen sample, but in order to know the defects in sperm, Teratospermia index is used. In this way, we can identify the number of defects in each sperm. The formula used in index is – TZI =(C+P+Q)/X, where  C=head defects P=midpiece defects Q=tail defects X=total no. of abnormal sperm Interpretation of TZI TZI =close to 1 means one part defective TZI =close to 2 means two part defective TZI =close to 3 means three part defective TZI indicates which type of defect is the most frequent one. Treatment of Teratozoospermia Since the type of defect is identified, the next step is to move on to the treatment. The treatment of Teratospermia is possible. With proper treatment a man can achieve normal pregnancy, keeping in mind that other sperm parameters are normal. Sperm count and motility are the key points to be kept in mind in this case. 1. First treatment is Lifestyle changes –  A man with Teratospermia needs to give up his unhealthy habits such as cigarette smoking, alcoholic drinks or drugs if taking. One should opt for a healthy lifestyle which involves regular exercise, eating balanced diet etc. One should take food which is rich in antioxidants & amino acids to boost the sperm quality. Omega -3 fatty acid rich food, vitamins are required for healthy sperm. One can also take vitamin supplements too. This is a natural treatment for teratozoospermia. 2. Fertility treatment is also possible in order to achieve a pregnancy with poor sperm morphology.  Advanced medical reproductive technology makes it possible for a man with teratospermia to have a baby. In case of mild teratospermia, IUI, which is Intrauterine insemination can be used as a treatment option, however, it is important to know that sperm count and motility should be normal as well as the female partner should also be medically fit. In case of moderate & severe teratospermia- IVF/ICSI can be chosen as a treatment option. IVF or In-vitro fertilization is a type of assisted reproductive technology where eggs and sperms are fertilized in laboratory and once fertilized, the resultant embryo is transferred to the woman’s uterus. Whereas, Intracytoplasmic Sperm Injection (ICSI) is the process by which a selected sperm cell is inserted directly into an ovum. This eliminates the difficulty involved in sperm reaching and penetrating the egg. It has to be noted that teratozoospermia condition is a reversible one. The likeliness of getting treated is more if the causing factors are temporary in nature, which include high fever or a stressful event. If the morphological changes visible in sperm continue to reflect in the second analysis report, which is usually taken after few months, there is a good possibility that there are other associated diseases as a contributing factor. In a scenario where it appears to be occurring due to genetic reasons, teratozoospermia can turn out to be a very serious situation. With the comprehensive knowledge on teratospermia, this article covers all the relevant aspects of the disease. Apart from knowing the causes and ways of prevention, the treatment methods for Teratospermia can help you find your way. You can contact ElaWoman for their guidance regarding the detailed process of getting the treatment to achieve pregnancy without any hassles. Proper medical as well as mental assistance is provided to both the partners in order to achieve a healthy pregnancy.

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Male Fertility

Azoospermia - Causes, Diagnosis, and Azoospermia Treatment

posted on May 23, 2019, 12:02 p.m.
4.6/ 5 (6 Votes)

Azoospermia, as the name suggests, is related to sperms.  The literal meaning of Azoospermia is the absence of sperms in a man’s semen. Hence, Azoospermia is one of the major reasons behind male infertility. Reproductive glands in the male body generate sperm that combines with the seminal fluid generated by the accessory glands namely seminal vesicles, the prostate, and the bulbourethral glands which in a whole becomes the semen during ejaculation. The semen produced by an azoospermic seems normal in terms of its looks and consistency but lacks the most important part of a healthy semen i.e. sperms. Hence, if you get to hear by the specialists that your semen has no sperm in the ejaculation then it means you have Azoospermia. Causes of Azoospermia There are a number of reasons that cause azoospermia in men. However, different cases of this medical condition need different treatments.  Azoospermia is classified into two major categories - Obstructive Azoospermia (OA) and Non- Obstructive Azoospermia (NOA). First of all, let’s get to know about these conditions and then we will discover the causes. 1. Obstructive Azoospermia (OA) In this case, the sperm production transpires normally inside the man’s testicles but due to the blockage in the reproductive tubing the sperm get restrained from exiting the male’s body and entering the world outside. Usually, the men with Obstructive Azoospermia have less volume of semen while ejaculation. Some of the common causes of Obstructive Azoospermia include: Vasectomy: Vasectomy is a small surgery to block the male’s sperm carrying ducts. This is done intentionally to stop the sperm flow in the ejaculation. This is one of the most common birth control methods and it’s 100% effective. Previous vasectomy can also be the reason for obstructive azoospermia in men. Infection: Another major cause of Obstructive Azoospermia is infection. Infections in testicles, prostate, reproductive tract or venereal diseases can lead to the suspension and blockage in the small tubules of the ejaculatory duct. Surgical complications: Surgical complications can be another big reason behind the blockage of the ejaculatory duct, especially the surgery performed on the urogenital organs. Congenital Conditions: Some males do not have a portion of vas deferens since birth, which could be due to the genetic situation. While in some cases prostate of a male contains cyst in it (they are either born with it or developed), that blocks the sperm flow from ejaculatory duct resulting in the absence of sperm in ejaculation. 2. Non- Obstructive Azoospermia (NOA) In NOA, the reproductive duct is open, but there is either a ridiculously low level of sperm production or no sperm production at all. In most cases, there is a very low level of sperm generation, which hinders the sperm to make the way out from the testicles. NOA is caused due to the testicles abnormalities or peculiarities in reproductive hormones essential for controlling the sperm production. Some of the common causes of Non-Obstructive Azoospermia include: Genetic conditions: The genetic causes of NOA are chromosomal malfunctions, which means there is a reduction in the number of chromosomes (this situation is called aneuploidy). Other chromosomal malfunctions include the breaking up of chromosomes and changes in the location of those broken parts of the chromosome (this situation is called translocation). Varicocele: Another major and common cause that leads to Non Obstructive Azoospermia is the presence of varicose veins near or around the testicles. This condition can be treated easily.  Varicocele leads to the minor reduction of sperm count, however, in several cases, this condition can cause male infertility. Hyper spermatogenesis: This is a common condition with men having azoospermia due to non-obstruction of ducts, where the production of sperms in testicles is lower than it should be. Maturation Arrest: This is the condition where the production of sperm is interrupted during the maturation phase, which in turn leads the testicles to fill with precursor sperm only. This condition takes place at an early or late stage of the maturation process of sperm. Sertoli-cell Only Syndrome (SCO) or Germ Cell Aplasia (GCA): This is the worst case in NOA. In this case, the germ cells that divide and become the sperms are missing within the testicles. Treatment of Azoospermia Azoospermia can be highly disturbing for the most men, but the good news is that it is fixable. Every individual is different having a different body-type with different health issues & requirements. Therefore, the treatment of Azoospermia in men differs from patient to patient. Treatment of Obstructive Azoospermia Men with Obstructive Azoospermia have blockage in the ejaculation ducts, which acts as an obstruction for the sperm flow. This obstruction results in low sperm count or no sperm in ejaculation. There are two primary methods with which we can provide treatment for Obstructive Azoospermia in men and restore the flow of the sperm -   1- Surgical treatment of Obstructive Azoospermia The surgical correction is done by a microsurgical reconstruction of the vas deferens and/or epididymis. However, in cases of ejaculatory duct obstruction, it is performed by transurethral resection of the ejaculatory ducts (TURED). 2- Utilization of Sperm Retrieval Techniques Sperm retrieval technique is used to retrieve the sperm from the testes or epididymis of a man with obstructive azoospermia. Sperm retrieved from the male reproductive system is utilized in fertility treatment i.e. in vitro fertilization/ intracytoplasmic sperm injection (IVF/ICSI) Some of the Sperm Retrieval Techniques used in the cases of obstructive Azoospermia include Microsurgical Epididymal Sperm Aspiration (MESA) Percutaneous Epididymal Sperm Aspiration (PESA) Testicular sperm extraction (TESE) and micro TESE Testicular Epididymal Sperm Aspiration (TESA) Treatment of Non Obstructive Azoospermia For the Non-Obstructive Azoospermic patients, the treatment might not be easy and largely depends on the cause of the condition. While there are a few surgeries to retrieve the sperm, one of such methods that include sperm extraction for Non Obstructive Azoospermia affected males is called "FNA Mapping". FNA Mapping - FNA Mapping is also known as testicular mapping or sperm mapping. It is also called as the "GPS of the testicles". This technique allows pointing the specific areas within the testicles with a higher level of sperms. The highest sperm level in the testicles increases the chances of successful extraction of the sperm. The sperm can then be extracted with the help of a surgery called "micro testicular sperm extraction" (mTESE). FNA combined with mTESE is a perfect and ideal way to treat NOA patients with minimum risk, pain and recovery time. Additional Treatment for Azoospermia Patients with lifestyle issues like hormonal imbalance can be treated in simpler ways such as changing medications and dietary supplements for addressing the hormonal problems. Varicoceles can be fixed with a low-risk surgery called varicocelectomy. For conditions like genetic mutations, sperm donation can be a great way for couples willing to conceive a baby. Diagnosis of Azoospermia Diagnosis of Azoospermia is done with the help of semen analysis test. If the test reports reveal sperm count to be NIL then the person suffers from azoospermia. The doctors go through the patient’s medical history as the part of Azoospermia diagnosis that usually includes: Fertility success rate in the past Childhood diseases Injuries or surgeries in the reproductive area Urinary or ejaculation tract infections Exposure to chemotherapy or radiation in the past Sexually transmitted diseases Fever or heat exposure Drug or alcohol abuse Past or present medication consumption Family history including birth defects If a male has been diagnosed with azoospermia then the specialist may also refer some tests to know the root cause of azoospermia. Some of the common tests recommended to the patient once he is diagnosed with azoospermia include Measurement of hormone levels such as testosterone and follicle-stimulating hormone (FSH) Brain imaging to locate the hypothalamus and pituitary gland disorders Genetic tests X-rays or ultrasound to detect any tumor or blockage in the duct Biopsy of the testes to find out the type of Azoospermia Male infertility caused due to Azoospermia is nothing to be worried about as there are fertility treatments and Azoospermia treatment methods, which can resolve male infertility with the utmost proficiency allowing you to cherish the boon of fertility. To know more about the Male Infertility and how you can recover from Azoospermia as per your respective health condition, reach us at +918929020600 and let us assist you to regain your fertility.

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Male Fertility

Top 10 Naturally Effective Ways to Improve Poor Sperm Motility

posted on May 23, 2019, 12:17 p.m.
4.8/ 5 (6 Votes)

Although a majority of male infertility is caused by low sperm count equating to 90% of the total cases, low sperm motility is another important contributory factor. Apart from environmental factors, there are other reasons that can lead to the damaged testicles, which in turn affect the quality of sperms, precisely their motility. These factors can be listed as Injury on testes, Testicular cancer, Infection, Undescended testicles, Testicular surgery, and Genetic reasons. Once the sperm motility is diagnosed with less than 40 percent, it becomes necessary to improve it. Here are a few effective ways to help you in improving sperm motility naturally. By bringing certain changes in your lifestyle, you can expect your motility to increase to an optimum level provided you follow the healthy regime strictly. 1. Eat better A healthy lifestyle leads to numerous long-term health benefits. Healthy or proper eating style or habit can help a lot in improving low sperm motility and count. Whole foods comprising of fruits, vegetables, proteins, vitamins, minerals, nutrients, and antioxidants help to naturally increase the sperm motility. Always keep aside the habits of eating processed foods that are high in sodium and refined sugar. Try eating more whole grains and food, and add them to your daily routine. This will help you in boosting the sperm activity effectively. Moreover, certain super foods can assist you greatly in achieving this goal such as: Eggs Spinach Bananas Dark Chocolate Asparagus Broccoli Pomegranates Walnuts Garlic Zinc Rich Foods (Oysters) Carrots Goji Berries      Some seeds such as pumpkin seeds, ginseng, and maca also help in increasing sperm motility and overall health. 2. Avoid chemicals Avoid chemicals such as phthalates, which have a damaging effect on male fertility. Phthalate is the term used for a number of chemicals that have phthalic acid as their base. It has been observed in a study that men who have more exposure to a substance called DEHP (Diethylhexyl Phthalate) have poor sperm motility. Soft plastics that are frequently used in everyday life such as wallpapers, sandals, perfume, nail polish, carpet floor etc. hamper the sperm motility greatly. Try to minimize their use. It is believed that chemicals and toxins increase the risk of infertility thereby decreasing sperm motility as well as count. So, you should always keep in mind to stop using some of the following harmful chemicals and toxins or consuming them to help yourself with sperm motility: Plastic kitchenware products that contain biphenyl A (BPA) Bleached paper products such as white coffee filters, toilet paper, and napkins Chlorinated tap water and bleach Foods that have been treated with or contain pesticides, herbicides, preservatives, and other man-made ingredients Synthetic cosmetics, toiletries, and deodorants Animal food products that contain synthetic hormones, such as chicken, beef, pork, and conventional dairy products such as cow’s milk Tobacco products and secondhand smoke Alcohol Soda 3. Stress Management Stress can suppress and decrease the sexual functionality of a man and can result in some major hormonal imbalance. If it continues for a long-term, it can also lead to life-threatening problems and a decrease in sperm motility. But you can improve the sperm motility naturally by managing and reducing stress as much as possible. Sleeping on time is also a helpful way of relaxing yourself. Below mentioned are some of the ways to help you reduce stress in the most comfortable manner: Deep breathing Moderate exercise Meditation Drinking water Regular and proper sleep 4. Avoid laptops and other heat sources on the lap A study has found that when a laptop is used on the lap, it is quite close to the testes, which led to the decrease in sperm motility with an increase in DNA fragmentation. Heat generated from the laptop has the capacity to deeply affect the quality of semen including sperm motility, which eventually impacts its active progression. Not just the motility and count, the harmful effects of a laptop can go to the extent of damaging the sperms at the chromosomal level. 5. Say no to smoking 40% of studies done to check the harmful effects of smoking on sperm motility have shown that smoking causes a significant decrease in sperm motility. It not just causes cancer but leaves you infertile with an adverse effect on sperm count, morphology and motility. It has been observed that men with smoking habits experience a 13% decrease in their sperm motility. So, it’s better to quit or say no to smoking. 6. Exercises For a healthy well-being, exercise is highly required by a person. It not just helps in weight management but also provides other benefits. Exercises are associated with a number of health benefits and it also helps to improve sperm motility by regulating hormones. Men who were regular with their exercising regime were found to have 12% higher improved sperm motility. For the males who are diagnosed with lower sperm motility, it is recommended to engage in at least 150-200 minutes per week of moderate-intense aerobic exercises, accompanied via strength-training sessions. 7. Avoid Medicines affecting male fertility Certain medications such as calcium channels blockers, tricycle antidepressants, anti-androgens, anabolic steroids, chemotherapy drugs, and radiation treatments can all lead to infertility problem or decrease in sperm motility. If you find out your sperm motility to be decreased in a medical test, your first step should be to consult a doctor. Your doctor will provide effective medicine to bring about an improvement in the motility and the overall quality of the sperm. Medicine prescribed by a doctor will help you with an increase in sperm motility. 8. Balance your weight No matter what your age is, being overweight or obese generally results in the hormonal imbalance and also has an adverse effect on your fertility. It can also decrease sperm motility and count as it has been found in studies that men who are overweight have inferior quality of sperms as compared to men with a healthy weight. If you are overweight consult your healthcare expert. If you don’t have any idea about your weight then get your weight checked and calculate your BMI. If your BMI is more than 27, then you can be at high risk of multiple health problems. So it is advisable to manage your weight and get back your BMI between 19 -24. Managing weight will help you in improving the sperm motility naturally. 9. Stop alcohol, cigarette and supplements If you are consuming alcohol excessively or are in a habit of consuming alcohol on an everyday basis, you will have to put a stop to it immediately. Saying no to alcohol helps to increase sperm motility and keep liver healthy and stay safe from many diseases. Other than having harmful effect on sperm quality; alcohol, cigarettes and supplements, may have an adverse result on your physical health and can lead to multiple health problems. It would be better if you go for better and stop using them right away. 10. Practice safe sex and use condoms Sexually transmitted diseases can worsen fertility and sperm motility. Protect your sexual health by using condoms or by staying monogamous with an uninfected partner to lower your risk for STDs and keep your sperms healthy for long. All the above-mentioned factors, when taken care of can prevent untimely damage to overall sperm quality, especially their motility. 10 Tips to Increase Male Fertility is an interesting read to know more on the factors related to sperm quality and ways to increase it. If your motility is extremely low and none of the medicines is helping you out, then it’s a time for further evaluation to know the reason behind decreased motility so that appropriate treatment can be taken accordingly.

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Male Fertility

Best 12 Ways to Prevent Male Infertility - Risk Factors, Male Infertility Causes

posted on Oct. 8, 2018, 1:17 p.m.
4.7/ 5 (6 Votes)

Male infertility is a condition in which a male is not able to cause pregnancy in his female partner. Male infertility is very common these days due to toxic chemicals present in the environment and the changes in lifestyle. Approximately 30 percent of the infertility cases, where a couple is not able to conceive are due to male infertility. Male fertility levels can be checked with the help of semen analysis test. Certain parameters such as sperm count, motility, morphology, pH, and fructose are measured to find the quality of sperms present in the semen. If the sperms are of good quality and the female partner does not have any fertility issues then the couple can conceive naturally. But if the male has some fertility issues, then the couple requires some treatment or donor sperm to successfully conceive a baby. Male infertility can be prevented if proper care is taken at the right time. It is always said that the prevention is better than cure. So in this article, you will get information on the ways to prevent male infertility along with the outlined information including causes and symptoms of male infertility. Causes of Male Infertility Some health issues or medical conditions can result in male infertility if not treated at the right time. Let’s discuss about the health conditions, which can possibly result into infertility in a long term. Hypothalamic or Pituitary Disorder: Pituitary gland is located in the brain, which is responsible for the hormones production. When the pituitary gland does not function properly, it can result in low sperm production.  Gonad Disorder: Gonad disorders are abnormality in the functioning of testes, which can result into infertility and erectile dysfunction. Approximately 30 to 40 percent of male infertility cases are because of gonad disorder. Sperm transport disorder: Blockage in ejaculatory ducts, epididymis, and vas deferens can result in low sperms or NIL sperm in ejaculation. 10 to 20 percent of male infertility cases are because of disorder in sperm transportation mechanism. Unknown Causes: No reason or cause can be identified in 40% to 50% of infertility cases in men. Risk factors linked to male infertility Smoking tobacco Using alcohol Using illicit drugs Being overweight Having certain past or present infections Being exposed to toxins Overheating the testicles Having a prior vasectomy or major abdominal or pelvic surgery Having a history of undescended testicles Being born with a fertility disorder or having a blood relative with a fertility disorder Having certain medical conditions, including tumors and chronic illnesses, such as sickle cell disease Taking certain medications or undergoing medical treatments, such as surgery or radiation used for treating cancer Prevention of Male Infertility If a man has the genetic infertility issue, which has been inherited, or the problem that cannot be cured, then there is no chance of prevention. But if not them some important actions can be taken that decreases or prevents the possibility of infertility. Learn the ways to prevent male infertility effectively by taking proper precautions. 1. Avoid STDs (Sexual Transmitted Diseases) STDs or sexually transmitted diseases are transmitted from one person to another through sex. STDs such as Chlamydia, Genital Warts and Gonorrhea can cause low sperm production as well as scarring in male reproductive ducts. Therefore, whenever you are having an intercourse with a female partner, always make sure to use birth control protection to avoid STDs and hence infertility. 2. Don’t take Drugs without Doctor’s Prescription Certain drugs such as supplemental testosterone, Marijuana, Narcotics, Recreational drugs, chemotherapy medications and other illicit drugs can lead to fertility problems in men. The consumption of these drugs might change the hormonal levels in men affecting sperm movement and hence leading to infertility. These drugs might also cause testicles to shrink and produce less sperms. In some of the cases, body might show adverse effects after stopping the consumption of drugs. If you want to prevent yourself from infertility, then never take any drugs without doctor’s prescription. 3. Keep your Balls Cool Production of sperm is efficient when the testes are at 3 degrees lower temperature than the human body temperature. If testes come in the contact with the sources emitting heat radiations such as hot sauna, laptops, hot tub bath then its normal functioning can be disturbed because of high temperature. Radiation therapy utilized during cancer treatment can also damage reproductive cells in the testes making the man infertile. Hence, always avoid standing closer to hot sources to maintain your fertility. 4. Avoid Toxic Substances Toxic substances or some harmful chemicals you come across every day, not only damages your body parts but it also leads to infertility. It would be better to stay away from the place where toxic substances are made. If working in a toxic environment is inevitable for you, then take proper preventive measures so that it would not harm you and your fertility. 5. Stop Heavy or Frequent use of Alcohol Regular alcohol consumption in a larger quantity can lead to infertility because alcohol impairs the sperm production in men. If you are in a habit to consume alcohol, then stop it right away before you get into any problem.  The side effects of alcohol can be reversed after you stop consuming it. 6. Maintain Good health and hygiene A man needs to maintain and manage well hygiene and health practices to maintain optimum fertility levels. Keeping private parts clean is a must to prevent infertility or get off the risk of infertility. Otherwise, infections can also make you infertile if not treated at the right time. Poor oral hygiene can also lead to infertility, so not only your reproductive organs but also the other parts need to be cleaned in an appropriate manner. 7. Skip Hot Baths Bathing is a good habit and also a part of daily chores as it helps to maintain and manage personal hygiene. But if you are in a practice or routine of taking hot tub baths and sauna baths for more than an hour daily, then it might lead to infertility. Higher testes temperature inhibits the sperm production. It would be better to get into a normal routine of bathing with normal or lukewarm water. 8. Wear Perfect sized Undergarments Sometime, undergarments you carry on the daily basis might also become the reason of your infertility. If you are wearing tight-fitting undergarments then you are mistaking. Tight boxers can raise the temperature of your testes, hence impacting the process of spermatogenesis in males. Perfect sized undergarments help a person prevent himself from infertility. 9. Eat Healthy Diet The food which you consume daily plays a significant role in maintaining your health and fertility. If your diet lacks certain nutrients and vitamins such as Folic acid, zinc, vitamin E, Vitamin B3 then sperm count can get hampered. Therefore, you should always be cautious about the right selection of food that will help you in the prevention of infertility. 10. Weight management Are you more than your BMI? If yes, then you have greater chances of infertility. Obese men have low testosterone levels and they also suffer from erectile dysfunction. Hence, Weight management is always required at every age to maintain fertility. 11. Quit Smoking Smoking not just invites lungs cancer and other diseases but it also impacts your fertility levels to a great extent. Stop smoking if you want to prevent yourself from infertility. 12. Protect yourself from Reproductive Injury If you are a sports person, then you need to be extra cautious to protect yourself from reproductive injury. Injury or any surgery to reproductive part can cause infertility in the long term. If you are looking for the super foods to improve your sperm count, then explore our article on foods to improve sperm count. If you have fertility issues and looking for a solution, then call at +917899912611 to get answer to your queries.

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Male Fertility

Best 8 Natural Erectile Dysfunction Treatments - Diet, Exercise, Supplement

posted on May 23, 2019, 12:27 p.m.
4.8/ 5 (6 Votes)

Erectile dysfunction or ED is a sign of sexual dysfunction in males when they are not able to have an erection of the penis during sexual intercourse. It can be caused by any physical or physiological problems such as stress, anxiety, relationship strain or medical condition. It can also be caused because of smoking, alcohol consumption, stress, heart disease and diabetes. It lowers the self-confidence in males. Conceiving a baby with erectile dysfunction becomes a problem because the man cannot have an erection during sex and also he does not have sexual desire. Erectile dysfunction should be treated at the right time because if not treated at the proper time then it can permanently impact the male’s fertility. Erectile dysfunction can be cured naturally with the help of supplements and lifestyle changes. Learn the different ways to cure ED effectively in a natural way. 1. Apple Cider Vinegar Apple cider vinegar is one of the best home remedies to cure erectile dysfunction naturally. Apple cider vinegar is obtained from fermented apples. Apple Cider Vinegar eliminates the root causes, which are responsible for Erectile Dysfunction or ED. The main function of apple cider vinegar is to repair blood vessels and nerve fibers in the penis. Moreover, it also helps to reduce the pain and swelling in the prostate gland. It also increases testosterone level, which directly helps in curing erectile dysfunction. Daily consumption of Apple Cider Vinegar increases sex drive and it also helps in timely erection during sexual intercourse. Don’t consume it more than a recommended amount. Otherwise, it can cause more harm than good. How to Use Apple Cider Vinegar To Cure Erectile Dysfunction? Mix a tablespoon of organic apple cider vinegar with lemon and honey in a glass of lukewarm water. Drink the liquid 20 minutes before every meal. Repeat this 3 times a day. If you don’t find this liquid tasty, then you can also opt for apple cider vinegar capsules. 2. Healthy and Balanced Diet Healthy and balanced diet not only makes you stay fit and healthy but also helps you fight the problems of ejaculatory disorders and erectile dysfunction naturally. Deficiency of certain nutrients and vitamins such as Vitamin E, Zinc, Vitamin D3 and Folic Acid can cause erectile dysfunction. Start including below mentioned food in your diet to cure Erectile Dysfunction in a natural way. Vitamin E rich food: The deficiency of vitamin E might also become the ground of impotence. So, opting natural therapy is always advised. Consumption of wheat gram and green leafy vegetable will help to improve blood flow in the penis. Zinc: Seeds such as pumpkin seeds, chia seeds, sunflower seeds, beef lamb, and spinach are rich sources of zinc. Zinc improves the levels of testosterone in the body. Nuts: Watercress and sesame seeds increase sex libido gradually and effectively. Nuts also play an important role in maintaining a healthy testosterone level. Diet takes time of around 3 to 4 months in curing the problem of erectile dysfunction. So, be patient and follow a healthy diet routine to have a long-term treatment of ED. 3. Exercises Exercise is an important activity, which should be performed on a daily basis to improve blood circulation in various parts of the body. It also helps in maintaining proper hormonal balance. Sedentary lifestyle is sometimes responsible for sexual dysfunction in men because of the poor circulation of blood in the penis and other reproductive hormones. Exercise is the best natural therapy for an individual to get erectile dysfunction problems naturally cured. One can start with basic kegel exercise and aerobic exercise to improve blood flow in the pelvic area. You can also start doing Yoga to cure erectile dysfunction. To know more about yoga postures effective in treating ED, explore our article on Yoga for Erecticle Dysfunction. 4. Stress Management Stress can also cause erectile dysfunction as it can interfere with the production of reproductive hormones, which are responsible for erection and sexual desire. When a person is under stress, his body releases cortisol hormone, which might change the functioning of other hormones in the body. Unwanted stress must be avoided at any cost, otherwise, it may cause problems in ejaculation and sexual life. Stress can be caused by physical as well as psychological factors. Always look out for the factors, which are causing trouble to you so that they don’t have any long-term impact on your fertility. There is multiple stress relieving ways you can try to naturally cure erectile dysfunction problem. Here are some of the stress management activities you can do: Perform meditation and relaxation activities Play Indoor and outdoor games Involve in social activities Listen to music Dance Take proper rest Visiting temple, church, mosque Cook food for the family and yourself Plan vacation or trip And the most important step to manage your stress is taking proper sleep. 5. Supplements There are some herbal and multivitamin supplements, which are known to cure erectile dysfunction effectively. Here is a list of supplements that can be consumed regularly to naturally end up erectile dysfunction problem. Some of the best and result-oriented supplements that have actually helped men are: a- Panax Ginseng: It is also known as the herbal Viagra and it helps to cure ED effectively without having any side effects. The herb is known for having anti-inflammatory actions to help cure certain diseases. Daily Recommended Dosage: 600 milligrams b- Arginine: Arginine is a type of amino acid, which helps in blood vessel dilation and improves blood flow. Daily Recommended Dosage: 1000 milligrams twice in a day c- Ginkgo Biloba: Leaves from Ginkgo Biloba tree are used from the ancient times to improve blood flow. Nowadays, it is commonly available in the form of tablets and capsules. Daily Recommended Dosage: 120 milligrams twice a day d- DHEA: It is a hormone, which is produced by our adrenal glands and it is also associated with sex hormones. It is advised to take this supplement under the supervision of a doctor. This hormone can help in improving testosterone levels. Daily Recommended Dosage: 25–50 milligrams e- Maca root:  Maca root is an herb composed of amino acids and fatty acids. It is known to increase sexual desire and balance hormones. Daily Recommended Dosage: 500 milligrams thrice a day f- Niacin: Vitamin B3 is also called niacin. It helps in improving blood flow and supports energy levels. Daily Recommended Dosage: 250 milligrams thrice a day 6. Essential Oil Essential oils namely Sandalwood oil, Rose oil, Ylang Ylang oil help in the improvement of blood circulation in the penis and reproductive organs. They also improve sex libido in males. Massage these oils regularly to take the most benefit out of it. Get to know more about these oils and their usage in curing erectile dysfunction. These essential oils for curing impotence are not only effective in boosting libido, but they also smell lovely. You can inhale these from the bottle; rub them on your abdomen or legs. You can also mix with carrier oil like coconut oil, or diffuse them in the air. These are considered to be natural aphrodisiacs. These plant-derived oils have been shown to naturally increase the libido of both men and women for hundreds of years. They may even be able to improve your mood and outlook on life. They have an uplifting effect on the mind bringing positivity into your life. 7. Changes in Lifestyle Bringing positive changes in your lifestyle can also help in easing the symptoms of erectile dysfunction. Lifestyle changes that could help improve your sexual function include exercising, losing weight, stop smoking and curbing alcohol intake. Unhealthy diet can also affect your sexual performance. 8. Acupuncture:  Acupuncture is a traditional practice, which is utilized to treat various medical conditions. It is known to increase blood circulation in various parts of the baby. During this procedure, few thin needles are used to stimulate certain body parts such as abdomen, legs and hands to cure erectile dysfunction naturally. Acupuncture should be done for a period of 2-3 months with 3-4 sessions per week. Acupuncture is effective in treating ED caused due to psychological factors such as anxiety and stress. Always take an advice from a specialist before starting any session. Can Pornography and Masturbation cause Erectile Dysfunction? The answer is shocking but it is a yes. Watching porn and masturbating can numb a man’s senses and cause erectile dysfunction. With the advancement in technology and 24*7 availability of computers and the Internet, it is now possible to watch pornography at any time. Pornography provides your brain with the same sensations, which you get when having real sex. In fact, pornography is able to provide a stronger stimulus than real sex often does. This unreal stimulation can have a negative impact on your penis nerves and cause erectile dysfunction in a long term. Masturbation and watching Porns should be stopped if you want to stay away from erectile dysfunction. It is important for any man suffering from ED to consider lifestyle changes and talk to a doctor before starting new medications or herbal remedies. If you and your partner are struggling hard to conceive a baby, then call Ela fertility experts at +918929020600 to know about various treatment options.

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Male Fertility

Get to know 9 Effective Ways to Deal with Male Infertility with Success

posted on Oct. 20, 2018, 11:57 a.m.
4.8/ 5 (7 Votes)

When the word infertility comes in mind, the situation becomes painful for anyone who is infertile. Especially when the infertility issues are associated with the male partner, the situation becomes more complex. Most of the times, it has been seen that infertility problems are with women only. It’s really difficult for a man to accept his infertility. Male fertility issues are on an all time high and doubtlessly, poor lifestyle and irregular eating habits are the only reasons to blame for. Apart from the treatment, it takes a whole lot of efforts to deal with the mental agony and emotional imbalance that is associated with male infertility. When a male suffers from infertility, it can deeply affect his relationship. Coping up with male infertility depends on the understanding between two partners. Men and women both tend to respond to the situation in a very different manner. Although men are considered strong outwardly emotionally they can be as vulnerable as women when it concerns their fertility. Women may seek solace in sharing their burden and venting out in front of the family and friends but men, on the other hand, may find it difficult to pour their heart out. So, for someone dealing with the issue of male infertility, following tips bring a sigh of relief as it takes you through different ways and means to cope with it. You can also read: Diagnostics to identify infertility in men So, if somebody is struggling with male infertility or thinking that your wife is unable to conceive due to your male infertility, here is all you need to learn. Find out the ways, which will help, you cope with male infertility in an easy manner. This article offers you a variety of tips to deal male infertility problems. 1. Learn to relax Both the partners should be supportive for each other and have a listening ear for each other’s worries and fears. It is advised that both of you sit together and decide your further course of infertility treatment. You need to open up with the gynecologist you are visiting and learn about the problem in detail.   2. Plan your treatment immediately In case you come to know about your infertility, it would be better not to waste the time. Don’t get discouraged, as it is not going to help you anyway. The need of the situation is to choose the right treatment, and if you fail to do so, open up with the one you think can help with the best suggestion. Some people can handle it better whereas others cannot, so it is important to find the ways to end the infertility problem. 3. Pen down the feelings Writing about the problems makes it easy for a person to lower down the mental pain to a certain extent. So, if you are infertile and are unable to speak about it to anybody, writing your feelings as the note will help you. Even if there are some complications and that might lead to infertility, you can write down the points to help you plan the best for you. Whether you choose to write it and immediately set fire to it or keep it stored away for future makes no difference. It is the act of writing itself that is important. This process is also known as written disclosure therapy. It is not used particularly widely, but there is some evidence to suggest that it can have positive effects. You can also read: Male Infertility Causes Symptoms and Treatments 4. Let your pain come out Again, our society dictates that men should never shed a tear — at least not when anyone is looking. But nowadays, plenty of men are prepared to cry. And, if you are alone and you know that you will not be disturbed, open up and go for genuine sorrow release. This will help you lessen the burden and stress and typically, after crying, our breathing and heart rate decrease, and we enter into a calmer biological and emotional state. 5. Open up-talk about it Most of the men don't like to talk about their problems. Although this often holds true, it is not the case for everyone. It is known that a problem shared is a problem halved. So, keep your communication channels open. You don't have to broadcast it far and wide but speak with someone e.g. a doctor, your friend, a counselor, a support group and your wife. It will ease your burden and they might suggest you the best ways to add a new hope to your life. 6. Share-get better ideas Till the time you won’t share there are least chances to get it sorted. Talk through all the options you can go for as like adoption, IVF treatment and donor sperm. Understanding and talking about potential avenues will help you face any setback further down the road — and if one option does not work, you'll know what you're trying next. 7. Divert the mind If being infertile or partially infertile is leading to distraction and you are unable to focus on your work, it’s better to divert your mind. For the situation, meditation and yoga sessions work as the perfect therapy for infertility treatment. 8. Get control There are some scientifically proven ways to improve sperm quality. Often, the simple act of getting back some control can go a long way to help deal with infertility; it fights off that creeping sense of helplessness. One of the toughest parts of dealing with male infertility is that one does not know how long it will last. Making plans where possible can help you to feel that you are still in charge. 9. Set targets and limits With your partner, discuss the procedures you are prepared to go for, and emotional and financial levels you can both handle. Pregnancy is often the result of repeated efforts, whether through natural intercourse or fertility treatment. Other than treatment targets, you can also go for other targets where eating, maintaining weight and reduction of stress is included. The following list provides some simple measures that can be taken to give your sperm the best chance of getting fertilized with an egg. Eat right: Consume healthy food products and stock up on them. Understanding the exact impact of overall food intake is difficult, but a diet including vegetables, fruits, legumes, and grains helps to improve sperm motility. Maintain weight: There are strong links between being overweight and male infertility. So, weight management is a must. Reduce stress: If Infertility is stressing you out, it might be making infertility levels worse. Breathe and minimize the impact of stress with the help of calming exercises. Get active: Being physically active will prevent obesity, which is certainly linked. Exercise also helps to relieve stress, so it's worth getting sweaty. Other than above points, you should also focus on these major points: Quit Smoking: If you indulge in the habit of smoking, stop that right away because smoking lowers sperm count and increases the risk of abnormal sperm. Stop Alcohol Drinking: Stop drinking alcohol immediately as alcohol reduces testosterone production and hence low sperm production. Avoid Sex Lubricants: Avoid the usage of lubricants during sex as lubricants may hinder sperm movement hence making it impossible for the sperms to reach the egg in the fallopian tube. Keep Your Balls Cool: Maintain the temperature of your testicles, as hot testicles are less efficient at producing sperms. Therefore, avoid hot tubs, tight underwear and saunas. Also, don’t forget to speak to a gynecologist about medications that could interfere with the sperm production. And, if you want to schedule your appointment with the best fertility doctor to start your treatment, then you can call at +917899912611.

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Male Fertility

12 Significant Ways of Increasing Sperm Motility - Improve Sperm Quality Naturally

posted on Oct. 22, 2018, 6:35 p.m.
4.8/ 5 (8 Votes)

Damage to testicles, which make and store sperms generally tend to impact the quality of sperms. But there are other physical, as well as environmental reasons too that may cause damage to sperms and lead to poor sperm quality. If a male sperm quality is diagnosed with less than 32 percent of sperm motility, then the couple may face serious issues in conceiving naturally. In that case, the couple may have to use assisted reproductive techniques such as IVF, IUI or surrogacy to conceive. Emotional stress, tobacco smoking, being overweight, excessive consumption of alcohol and exposure to extreme temperatures are some of the causes of poor sperm motility. Here are a few and effective ways to help you improve your sperm motility. The ways are practical and lead to very good chances of increasing sperm motility in a great way. Find here, the best ways to improve sperm motility. 1- Eating better An unhealthy lifestyle leads to numerous adverse health effects. Unhealthy or improper eating habits might also be the reason of low sperm motility. So, to improve sperm motility, you should go for whole foods such as fruits, vegetables and protein rich food. Your diet must include foods, which are rich in multiple vitamins, minerals, nutrients, and antioxidants. You should always avoid processed foods that are high in sodium and refined sugar. Try eating more whole grains on a regular basis. Add them to your daily routine to make it an intrinsic part of your diet. Eating super foods is additionally helpful so here is a list of superfood you can gorge on: Eggs Spinach Bananas Dark Chocolate Asparagus Broccoli Pomegranates Walnuts Garlic Zinc Rich Foods (Oysters) Carrots Goji Berries Some of the seeds such as pumpkin seeds, ginseng, and maca also help in improving sperm motility as well as sperm count. 2- Getting away from chemicals Some chemicals and toxins that are released into the atmosphere can also harm you. It is also believed that chemicals and toxins increase the risk of infertility problems and decrease sperm motility. So, you should always remember to stop using or consuming harmful chemicals and toxins to safeguard your sperm motility. Following are the products that are proven to be harmful and cause a decrease in sperm motility. Plastic kitchenware products that contain biphenyl A (BPA) Bleached paper products such as white coffee filters, toilet paper, and napkins Chlorinated tap water and bleach Foods that have been treated with or contain pesticides, herbicides, preservatives, and other man-made ingredients. Synthetic cosmetics, toiletries, and deodorants Animal food products that contain synthetic hormones, such as chicken, beef, pork, and conventional dairy products such as cow’s milk. Tobacco products and secondhand smoke. 3- Managing stress Stress can suppress and decrease sexual libido. Sometimes, it can also result in major hormonal imbalance. If it continues for a long-term, it can also lead to life-threatening problems as well. But you can improve sperm motility naturally by managing and reducing stress in your life as much as possible. Sleeping on time and getting sufficient sleep is essential for you to be relaxed. Here are some of the ways to help you reduce stress: Deep-breathing exercises Meditation Drinking ample amount of water Regular and undisturbed sleep 4- Avoiding laptops on the lap You should avoid keeping laptop on your lap because the heat released by the laptop can increase temperature of your scrotum region. High temperature around testis area can cause DNA fragmentation of the sperm which indicates degradation in the genetic quality of sperms. 5- Saying no to smoking Smoking not just causes cancer but leaves you infertile as well. So, it’s better to quit smoking. A study suggests that smokers take longer to conceive or have infertility problems as compared to non-smokers. 6- Exercise regularly For a healthy mind and body, exercise is highly recommended for all. Not only it helps in weight management but also provides other benefits like flexibility of muscles and greater stamina. Exercise is associated with a number of health benefits and it also helps to improve sperm motility by regulating hormones. For men who have lower sperm motility diagnosed, it is recommended to engage in at least 150-200 minutes per week of moderate aerobic exercises. 7- Avoiding medicines that may affect fertility Certain medications such as calcium channels blockers, tricycle antidepressants, anti-androgens, anabolic steroids, chemotherapy drugs, and radiation treatments can cause infertility problems. If someone is diagnosed with lower sperm motility, then one should consult a doctor immediately. Doctors will analyze your reports before coming to a conclusion whether you need surgical intervention or not. Sometimes, healthy lifestyle and medications are enough to improve sperm motility. 8- Balancing your weight No matter what is your age being overweight or obese generally results in the hormonal imbalance and has an adverse affect on your fertility. If you are overweight, consult your healthcare expert or nutritionist. You can also calculate your BMI. If your BMI is more than 27, then you can be at high risk of multiple health problems. So, it is better to manage your BMI between 19 -24. 9- Avoiding alcohol and cigarette If you are consuming alcohol in an excessive amount, then stop it immediately. Saying no to alcohol will help you increase sperm motility and keep your liver healthy. Other than alcohol, cigarettes can also pose adverse result on your physical health. 10- Practicing safe sex using condoms Sexually transmitted diseases can worsen fertility and sperm motility. Protect your sexual health by using condoms or by staying monogamous with an uninfected partner to lower your risk for STDs. 11- Take D-Aspartic Acid Supplements D-Aspartic Acid or D-AA levels are lower in infertile men. D-Aspartic acid can be taken in the form of dietary supplement. A study shows that regular intake of 3 grams of D-Aspartic Acid supplement for at least 15 days results in about 42% rise in testosterone levels. Including this supplement in your daily diet can significantly improve the sperm motility. 12- Take Vitamin C supplements Vitamin C supplements are proved to be a great savior for the men suffering from low sperm count as well as low sperm motility. In a study conducted over a group of people, it has been concluded that taking 1000 mg Vitamin C supplements twice a day for up to 60 days can improve sperm count by 100% and sperm motility by 92%. Is masturbation beneficial or it has some side effects? Confused? Read our article benefits and side effects of masturbation before coming to a conclusion. And if you want to know more facts about sperms, read our research-based article on how long does sperm live.

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Male Fertility

How is Ibuprofen linked to Male Infertility? Facts to know about Ibuprofen

posted on Nov. 15, 2018, 11:01 a.m.
4.8/ 5 (7 Votes)

Ibuprofen is a non-steroidal anti-inflammatory drug often consumed by athletes, Olympians in order to relieve pain and injuries. Ibuprofen is mostly sold without a prescription and has a negative impact on the testicles of young men. Intake of ibuprofen tablet should not exceed more than 3200 mg dose a day. Ibuprofen has several uses as well as side effects too. If Ibuprofen is consumed in large quantities, it can lead to male infertility problem. Male fertility can be assessed with the help of a semen analysis report, which tests the male seminal fluid on many parameters such as sperm count, mobility, morphology, liquefaction time etc. Ibuprofen can be consumed if a person is facing some common problems like: Headache  Dental Pain Joint pain Menstrual Cramps Inflammatory disease in children and young adults Muscles Aches Rheumatoid Arthritis It is also used when a person is suffers from persistent fever, flu and a common cold. Ibuprofen helps in reducing pain by blocking the natural substances produced in the body that cause inflammation. Blocking these substances, in turn, decreases swelling, pain, or fever in the body. However, if a person is undergoing some kind of treatment such as rheumatoid arthritis, it is necessary to consult a doctor before consuming Ibuprofen in case of pain or discomfort. The Correct dosage of Ibuprofen The dosages of Ibuprofen vary with the age of the individuals as well as the condition of the patient. 1. In case of osteoarthritis If a person is suffering from osteoarthritis, they can have 1200 to 3000 mg/day of ibuprofen. They should not exceed its dosage more than 3200 mg/day.  2. In case of rheumatoid arthritis If a person is suffering from rheumatoid arthritis, 1200 to 3000 mg of Ibuprofen should be consumed per day.  3. In case of joint pain and cramps If a person is suffering from pain, they should take only 400 to 800 mg ibuprofen tablet at a time that too within a gap of 6 hours. Ibuprofen tablet can be given orally as well as intravenously. Once the symptoms subside, the person should stop consuming the medicine. 4. In case of a fever In case of fever, one can consume 400 mg of ibuprofen four times a day within a gap of 6 hours for better results. In the later part of the course, a person can consume 100 mg, 200 mg and 400 mg orally or intravenously per day depending on the health of the individual. However, dosage should not be more than 3200 mg in a day. Side Effects of Ibuprofen/ Symptoms of Ibuprofen Ibuprofen can be related to a number of side effects if not taken according to prescription. Given below are some of the side effects of Ibuprofen: Male Infertility Rashes Stomach Cramps Kidney problem Urgency in urinating Heartburn and Dizziness Visible water retention Mood swings Abdominal pain  Ringing in the Ears  Headache and Unusual tiredness  Vomiting and Constipation  Getting irritated or angry Indigestion Diarrhea In severe cases, Ibuprofen can also have a negative impact on the following conditions: a person’s vision anemia levels stomach ulcers non-menstrual period bleeding  blood in urine canker stone chest pain and heart failure Besides male infertility, regular consumption of ibuprofen can lead to compensated hypogonadism, a rare condition that can lead to erectile dysfunction, depression, loss of muscle and bone mass.  Impact of Ibuprofen on Male Infertility According to research conducted in the US, it was found that the chances of male infertility levels were higher among men who consume Ibuprofen on a regular basis. Testicular problems were found to be common in men who consume more than 800 mg up to four times a day. Another study has concluded that Ibuprofen can have a potential impact on the pituitary glands. This has a negative effect on the production of testosterone that is the prime male hormone thereby affecting the sperm production. A disorder known as “Compensated Hypogonadism” is commonly seen in those individuals who consume Ibuprofen more than the recommended dosages. Factors That Can Cause Male Infertility A number of factors can be responsible for male infertility. Some of the factors, which cause male infertility, are: 1. Sperm production problems: Some men suffer from low sperm production problem, which can be due to chromosomal or genetic disorders, infections, varicocele, radiation damage, medicines and chemicals, torsions and undescended testes. 2. Erection and ejaculatory problems: Some men can also have an erection or ejaculatory problems, a condition when a man finds it hard to maintain the erection of penis. It can be due to erectile dysfunction, infrequent intercourse, spinal cord injury, and damage to the nerves as well as the spinal cord. 3. Hormonal problems: If the reproductive hormones of a male are not balanced well in the body, it can also result in male infertility. This can be caused due to anabolic steroid abuse, pituitary hormones problems or congenital lack of LH/FSH. 4. Sperm antibodies: Sometimes, sperm antibodies occur in men due to procedures like vasectomy, injury or infection in the epidydimis of a man. Sperm antibodies have a negative impact on male fertility. Prevention of Male Infertility While Using Ibuprofen In order to prevent infertility while using ibuprofen, one can follow these steps: 1. Firstly, a person needs to reduce the level of consumption of Ibuprofen. A person should consume ibuprofen only in extreme conditions or if there is no alternative available for this type of medication. 2. Self-medication is extremely dangerous, so it is always advisable to consult the doctor if the need for ibuprofen arises. 3. A person must stick to the prescribed doses in order to avoid any kind of side effects associated with ibuprofen in future. In this way, one can effectively reduce the negative effects of Ibuprofen on the body. The effects of ibuprofen can be avoided if precaution is taken at the right time. Regular checkups are helpful to reduce male fertility levels. Even if Ibuprofen is designed to reduce pain or reduce bothersome inflammation, it is more likely to show indications of testicular related problems. Although male infertility is more common in older men, ibuprofen can negatively affect the pituitary gland among younger men too. The pituitary gland is directly responsible for the necessary production of sperm and testosterone in the male body. If you are required to take ibuprofen more than three days at a time, make sure you consult a doctor in advance for fertility- preserving and check if there is any other alternative available for pain management. If you are looking for the best gynecologist in Delhi, elawoman.com can help you in your search. For complete information on normal delivery, IVF Treatment, Infertility Treatment, Surrogacy treatment, IUI Treatment you can consult Ela. Feel free to call on the given number for any inquiry or advice: +917899912611.

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