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Male Infertility Causes

Male infertility is any health issue in a man that lowers the chances of his female partner getting pregnant.

About 13 out of 100 couples can't get pregnant with unprotected sex. There are many causes for infertility in men and women. In over a third of infertility cases, the problem is with the man. This is most often due to problems with his sperm production or with sperm delivery.

Infertility is defined clinically in women and men who cannot achieve pregnancy after 1 year of having intercourse without using birth control, and in women who have two or more failed pregnancies. Studies suggest that after 1 year of having unprotected sex, 15% of couples are unable to conceive, and after 2 years, 10% of couples still have not had a successful pregnancy. In couples younger than age 30 who are generally healthy, 20% to 37% are able to conceive in the first 3 months.

The main symptom of infertility is not getting pregnant. There may be no other obvious symptoms. Sometimes, a woman with infertility may have irregular or absent menstrual periods. In some cases, a man with infertility may have some signs of hormonal problems, such as changes in hair growth or sexual function.

Most couples will eventually conceive, with or without treatment.

Making mature, healthy sperm that can travel depends on many things. Problems can stop cells from growing into sperm. Problems can keep the sperm from reaching the egg. Even the temperature of the scrotum may affect fertility. These are the main causes of male infertility:

  • Sperm Disorders
  • Varicoceles
  • Retrograde Ejaculation
  • Immunologic Infertility
  • Obstruction
  • Hormones
  • Medication

The most common problems are with making and growing sperm. Sperm may:

  • not grow fully
  • be oddly shaped
  • not move the right way
  • be made in very low numbers (oligospermia)
  • not be made at all (azoospermia)

Sperm problems can be from traits you're born with. Lifestyle choices can lower sperm numbers. Smoking, drinking alcohol, and taking certain medications can lower sperm numbers. Other causes of low sperm numbers include long-term sickness (such as kidney failure), childhood infections (such as mumps), and chromosome or hormone problems (such as low testosterone).

There are a variety of risk factors, medical conditions, and medications that can also affect fertility.

Is infertility diagnosed?

Your doctor will usually ask for your medical history, conduct a physical examination and do a semen analysis. This will check the number, shape and movement of your sperm. They might also take a blood test to check the levels of hormones that control sperm production or for genetic testing. In some cases, your doctor will test your urine to see if sperm are present, which can occur when there is retrograde ejaculation. Sometimes your doctor will recommend an ultrasound, MRI, or a testicular biopsy, which is a small surgery to remove tissue for testing.

What are the treatments for infertility?

One in eight infertile men have a treatable condition, and after treatment, couples can become pregnant naturally.

In some cases, your doctor will recommend that you and your partner seek assisted reproductive treatment (used to achieve pregnancy), such as in vitro fertilisation (IVF). These methods don’t cure or treat the cause of infertility, but they can help you and your partner get pregnant, even if your sperm count is very low.

At this stage, there are no treatments to fix genetic causes of infertility. For those who can’t father children naturally, assisted reproductive treatment offers the best chance for you to have biological children.

Can I do anything to prevent male infertility?

There are a number of things that can harm the production of sperm, so it’s best to avoid:

  • Smoking cigarettes
  • Drinking excess alcohol
  • Catching sexually transmitted infections
  • Heat stress from tight fitting underwear
  • Anabolic steroids taken for body building or sporting purposes.

If you work somewhere that may affect your fertility, it’s important to wear protective clothing and to follow all occupational health and safety guidelines. We also recommended that couples trying to conceive stay away from harmful chemicals.

Intrauterine insemination (IUI)

This method is also called artificial insemination. The man produces a sperm sample that is then injected through a catheter into the woman’s uterus right around the time when she is ovulating. She may get medicine beforehand to help her ovulate.

Assisted reproductive technology (ART) Assisted reproductive technology (ART) combines the sperm and eggs outside the body, and then places the embryos into the uterus. The main type of ART is in vitro fertilization (IVF). Before IVF, the woman will get a series of injections to help her ovaries produce a lot of eggs. Once those eggs are mature, they’ll be removed using a simple surgical procedure. The eggs are fertilized with her partner’s sperm. Fertilized eggs, known as embryos, are grown in the lab for a few days. One or two good quality embryos are then transferred into the uterus. Other ARTs are: Intracytoplasmic sperm injection (ICSI). One healthy sperm is injected into an egg.

Assisted hatching. The embryo cover is opened to help it implant more easily in the uterus. Donor eggs or sperm. If there’s a problem with the eggs or sperm, you can get either one from a healthy donor. Another woman carries your baby to term for you.

Catering to men as well as women, Srijan Fertility Centre is Hyderabad’s premier destination for advanced infertility diagnosis and treatment. It offers a large array of fertility treatments like IVF/ICSI, IUI, egg freezing, etc. The qualified and experienced doctors at Srijan Fertility Centre offer accurate medical advice and advanced infertility treatments. Schedule an appointment today!


How Does PCOS affect Fertility ?

With nearly one-third of all infertility diagnoses in women, One of the most common reasons a woman has trouble getting pregnant is a condition called polycystic ovary syndrome

Polycystic ovary syndrome (PCOS) is a condition involving hormonal imbalances and metabolism problems.

This condition affects the ovaries, but doesn’t necessarily lead to infertility. You can get pregnant. However, PCOS is a common cause of infertility.

Between 5% and 10% of women between 15 and 44, or during the years you can have children, have PCOS.1 Most women find out they have PCOS in their 20s and 30s, when they have problems getting pregnant and see their doctor. But PCOS can happen at any age after puberty.

Women of all races and ethnicities are at risk of PCOS. Your risk of PCOS may be higher if you have obesity or if you have a mother, sister, or aunt with PCOS.

While it’s not impossible for a woman with PCOS to get pregnant on her own, many women do need to seek care from a fertility specialist.

Symptoms

Symptoms can occur at any age or time during a person’s reproductive years. Symptoms can also change over time.

Some of the most common symptoms of PCOS include the following:

  • abnormal hair growth on the face, chest, or back
  • acne or a darkening of the skin
  • weight gain
  • thinning hair on the head
  • infertility
  • irregular periods
  • ovarian cysts
  • depression
  • increased skin tags
  • Not everyone with PCOS will have the same signs or symptoms.

PCOS & FERTILITY TREATMENT

For those women trying to conceive a pregnancy, the first step in treatment of PCOS is lifestyle modification, including a healthy diet and exercise. The diets shown to be most successful in PCOS patients include those with lower carbohydrates, a reduced glycemic load. Recommended exercise in PCOS patients is at least 30 minutes of moderate exercise three times per week, with daily exercise being the ultimate goal.

Women with PCOS syndrome do not ovulate (release eggs) regularly and therefore have irregular menstrual cycles. Therefore, treatment for infertility caused by PCOS is directed at getting the woman to ovulate also call this “induction of ovulation”

Pregnancy success rates with induction of ovulation vary considerably and depend on:

  • The age of the woman
  • The type of PCOS meds used
  • Whether the medication used is effective at stimulating ovulation in that woman
  • Whether there are other infertility factors present in the couple

In general, successful treatment resulting in pregnancy is more likely to occur in the first 3 to 4 months of treatment. After that, the monthly success rate drops off considerably.

Many women who have PCOS are overweight or obese. And it's also obesity can make PCOS symptoms worse. However, PCOS does not discriminate and can affect women of all shapes and sizes.

The relationship between weight and PCOS has to do with the body's inability to use insulin properly, which can lead to weight gain.

That's why getting into the habit of eating healthy and exercising regularly is recommended as part of most women's treatment plan.

PCOS is a condition that involves a hormonal imbalance that can interfere with ovulation.

Some people with PCOS have difficulty getting pregnant. There are effective treatments, though.

With medical intervention, many people with fertility problems due to PCOS are able to conceive. It’s also important to note that PCOS doesn’t mean you can never get pregnant. Always use contraception if you don’t want to conceive, even if you have PCOS.

Srijan Fertility Centre is Hyderabad’s premier destination for advanced infertility diagnosis and treatment. It offers a large array of fertility treatments like IVF/ICSI, PGS/PGD, IUI, egg freezing, etc. The qualified and experienced doctors at Srijan Fertility Centre offer accurate medical advice and advanced infertility treatments. Schedule an appointment today!!

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