Men are equally responsible for dry are female because a male partner may have Oligozoospermia (low sperm count), Asthenozoospermia (poor motility), teratozoospermia, or Oligoasthenoteratozoospermia (OAT). OAT is the most common type of male infertility, but sometimes patients can have azoospermia, when no sperm is found in a man’s semen and up to 10% to 15% of infertile men are infertile. diagnose with it.
In an interview with HT Lifestyle, Dr Ankush Raut, Senior Fertility Consultant at Apollo Fertility, revealed: “There are many factors that can cause the above conditions such as genetic factors, concentration. abnormal hormones, anti-sperm antibodies, reproductive system infections, habits and lifestyle choices such as drinking, smoking and illicit drug use, trauma, infections, surgery in the bone area Pelvic inflammatory disease, infection, vasectomy, cysts, cystic fibrosis gene mutations can cause abnormal development of the vas deferens.”
He emphasized that it is very important to diagnose the underlying condition so that appropriate treatment can be given, “Today, thanks to advances in the field of ART, most cases of male infertility are treatable. assisted reproductive technology treatment if done correctly. assessment and diagnosis. To make a diagnosis, a complete physical exam and medical history are important. Also, the most important investigation is semen analysis. In semen analysis, we check the concentration of the sperm, its morphology as well as its motility. In addition, in the case of the required DNA fragmentation index can also be performed.”
He emphasizes that a scrotal ultrasound can help us see if there are varicoceles or other problems in the testicles and supporting structures, and advises:
Blood tests for levels of testosterone and other hormones are also important.
· Post-ejaculate urine test, Genetic test, Testicular biopsy are important in case of no sperm.
Male infertility treatments begin with lifestyle modifications. Having sex every day or every other day at a fertile time will increase your chances of conceiving.
· Avoid using lubricants. Products such as Astroglide or KY jelly, lotion, and saliva can reduce sperm motility and function.
· Follow a healthy lifestyle. Eat healthy foods, maintain a healthy weight, get enough sleep, and exercise regularly.
· Stop or reduce alcohol consumption, quit smoking and do not use illegal drugs.
Supplements such as Coenzyme Q10, Folic acid and zinc combination, L-carnitine, Selenium, Vitamin C, Vitamin E may be helpful.
In addition to a healthy lifestyle, treat the infection with antibiotics, consider surgery if severe varicocele, medication or counseling to improve fertility in conditions such as erectile dysfunction or Premature ejaculation, hormone treatments, and medications can help you conceive.
· Assisted reproductive techniques such as ICSI (cytoplasmic sperm injection), P-ICSI, TESA, Micro TESA, Noasera, etc. can help with pregnancy even in cases like OATS, Azoospermia occlusion and no clogging.
Finally, most cases of male infertility are treatable. Most important is proper assessment, diagnosis, and treatment accordingly. According to Dr Anu Sadashiv, Reproductive Medicine Specialist at Milann Reproductive and Reproductive Medicine Hospital in KumaraPark, Bangalore, “More than five million couples are struggling with infertility, making it a common problem. variable. One in six couples trying to get pregnant is infertile. Male factors are the main or contributing cause in at least half of cases. Fortunately, having problems with infertility doesn’t forbid someone from having a baby with your partner. There are procedures and therapies that can help diagnose and treat male infertility.”
She shared, to find the cause of infertility can need a lot of diagnoses such as:
- Examining your genitals and asking questions about any genetic disorders – ongoing health problems, illness, injury or surgery that could affect your fertility are part of this process.
- By Semen Analysis must be removed in the designated container at your doctor’s office or by using a special condom during intercourse.
- Hormone testing for hormonal or organ system abnormalities can be a factor in infertility. The amount of testosterone and other hormones can be determined with a blood test.
She points out that to support and determine the reason for your infertility, your doctor may recommend additional tests. They may include:
Scrotal ultrasound, Transrectal ultrasound, urine test after ejaculation, Testicular biopsy, Genetic testing.
· A fertility specialist determines the best treatment for your particular situation.
According to her, the following treatments can be used, depending on the cause of the infertility:
1. Surgery- For example, a varicocele can often be corrected with surgery, and a blocked vas deferens can often be fixed. A previous vasectomy may be reversed. Sperm can usually be extracted directly from the testicles or epididymis using sperm collection procedures in the absence of sperm in the ejaculate.
2. Treatment of infection- Reproductive tract infections can be treated with antibiotics.
3. Treatment of sexual relations problems – In the case of erectile dysfunction or premature ejaculation, medication or counseling can help improve fertility.
4. Drugs and hormone therapy- In cases of infertility caused by high or low specific hormone levels or problems with how the body uses hormones, a doctor may advise hormone replacement or medication.
5. Assisted Reproductive Technology (ART)- Depending on the specific situation and preferences, ART treatments may involve obtaining sperm by normal ejaculation, surgically obtaining sperm, or from a donor. The sperm is then used for intracytoplasmic sperm injection, in vitro fertilization, or insertion into a woman’s vaginal canal.
