Male Infertility Causes & Treatment Options

The conception is a matter of two, therefore, as important as the mother's health is that of the father, as well as his possible infertility problems.

Causes of infertility of man 

Most couples get pregnant throughout the first year of trying. However, there is 15% that is incapable. Before, women were always blamed, but recent studies have shown that in 30-35% of cases the problem lies only with men, the same percentage that we find for exclusive disorders of women, while the rest is due to anomalies in both, says sexologist in Delhi.

A man's fertility may be diminished or altered for the following reasons:

1) Sperm problems: It is one of the main infertility problems. You can talk about two types of anomalies. On the one hand, low sperm count, that is, if it is normal that every time a man ejaculates to release 20 million per millimetre of semen, a person with this problem will have much less, thus decreasing the chances of one getting to fertilize the ovule. The other related problem is the lack of mobility of sperm, when they are very "vague" and slow, so they do not reach the ovule, explains the best sexologist in Delhi.

2) Genetic abnormalities: These types of disorders can be found in their chromosomes or only in sperm. In both cases, these alterations can cause infertility, spontaneous abortions, genetic abnormalities in the foetus, premature foetal death ..., explains gynecologist in Delhi.

3) Ejaculation disorders: Many couples think that they have to reserve for fertile days and refrain from maintaining relationships outside that period. However, it has been shown that prolonged withdrawal periods decrease the number of sperms, while in frequent ejaculations, this number increases explains sexologist in Gurgaon.

Premature ejaculation can also make fertilization difficult by preventing proper semen deposition.

Another problem is retrograde ejaculation, which is that semen goes back to the bladder instead of passing into the female organism. This alteration may be due to poorly controlled diabetes, the consumption of certain medications, a prostate adenoma, says the best sexologist in Gurgaon.

Likewise, there are men suffering from anejaculation (absence of ejaculation), caused by spinal injuries or previous surgeries in the area.

4) Hormonal disorders: An alteration in the hormones produced by the endocrine system can also cause infertility, for example, excessive prolactin production, hyperthyroidism, testosterone deficiency, congenital adrenal hyperplasia, etc, explains sexologist doctor in Delhi.

5) Infections in the genital tract: It is a rare cause that disappears as soon as the infection is treated with antibiotics. A prostatitis, an epididymitis or other infections cause temporary infertility, says the best sexologist doctor in Delhi.

6) Cryptorchidism: It occurs when one or both testicles have not descended into the scrotum during childhood, and are hidden at the abdominal level. Normally, this problem is treated before adolescence, although it can leave as a sequel a smaller number of sperms, says sexologist in Gurgaon.

7) Varicocele: They are varicose veins in the veins of the testis, and cause 30% of fertility problems by increasing the temperature of the scrotum and thus decreasing the quantity and quality of semen, explains sexologist in Delhi.

8) Unhealthy lifestyle habits: There are many external factors that decrease fertility: poor eating habits, obesity, a diet low in antioxidants, excessive alcohol consumption, tobacco, stress, environmental pollution, etc explains the best sexologist in Delhi..

9) Idiopathic infertility (of unknown origin): In many men with problems no specific cause is found after doing all the relevant tests.

Treatments for male fertility

To determine the specific cause (or causes) that cause infertility, it is necessary to perform a series of tests: a physical examination for abnormalities in the reproductive system; blood, urine and hormonal tests; a seminogram or semen analysis (one of the most important tests, since with it the quality and quantity of sperm are checked); a postcoital test, etc.

The treatment, of course, depends on the cause:

- In cases of sperm problems (either due to low quantity or quality), it is best to resort to In Vitro Fertilization (IVF) or Intracithoplasmic Injection (ICSI).

- Genetic abnormalities require Preimplantation Genetic Diagnosis, a technique that consists in genetically selecting a healthy embryo, free of this type of anomalies, and subsequently implanting it in the uterus. The DGP has to be approved by the Assisted Reproduction Commission, who approves it according to the disease in question (only in severe cases).

- Most ejaculation disorders require help from sexologist doctor in Delhi, except those whose cause is physical, in which case the disease that causes them should be treated. 

- Hormonal disorders need hormonal therapy until their level returns to normal.

- Some medications stimulate sperm production, such as oral androgens, gonadotrophins ...

- Surgery may be necessary to treat certain problems such as varicocele.

- A healthy diet and a healthy life are essential in any case: no alcohol or tobacco, rest and sleep well, a varied diet rich in antioxidants and folates ...