Male Infertility Treatment
Male infertility is usually caused by problems that affect either sperm transport or sperm production. Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male. The “male factor” contributes to infertility around half the time, and about one third of the time, it’s the main cause of infertility. Hegde hospital provides male infertility treatment based on the diagnostic tests such as Physical examination, Sperm analysis, Hormone evaluation, Testicular biopsy and Genetic testing.
HISTORY OF MALE PARTNER
- Medication onset of puberty, past history of mumps, Orchitis , Sexually transmitted diseases, Cystic Fibrosis , Anosmia etc.
- Surgical – Maldescendent testes, hernia repair Varicocele
- Family History- genetic disorders
- Medications-including anabolic steroids
- Occupation exposure to excessive heat, chemicals, excessive physical activity
- Abuse – Alcohol , Smoking ,drugs etc.
SEMEN ANALYSIS FOR MALE INFERTILITY
Conventional semen analysis, with all its credibly, does not answer the most important question whether the sperm will be able to reach and penetrate the ovum? Normal Semen Parameters (WHO 2009)
|Sperm Concentration||>15 million / ml|
|Sperm Morphology||>4% normal forms|
|Leucocyte density||<1 million /ml|
Sperms are of two types: those which swim and those which do not . Those sperms which move forward fast are able to swim upto egg and fertilize it. The others are of little use. According to WHO , motility is graded from A to D.
Grade A – Fast Progressive
Grade B – Slow Progressive
Grade C – Non Progressive
Grade D – Immotile
Male Infertility Treatment Options
Hormone treatments : Infertility expert doctor recommend hormone replacement or medications in cases where infertility is caused by high or low levels of certain hormones or problems with the way the body uses hormones.
Infection treatment : Antibiotic treatment might cure an infection of the reproductive tract, but doesn’t always restore fertility.
Treatments for sexual intercourse problems : On conditions such as erectile dysfunction or premature ejaculation, medication or counseling can help improve fertility .
Surgery : For example, a Varicocele can often be surgically corrected or an obstructed vas deferens repaired. Prior vasectomies can be reversed. In cases where no sperm are present in the ejaculate, sperm can often be retrieved directly from the testicles using sperm retrieval techniques (TESA/MESA/PESA techniques).
Assisted reproductive technology (ART) : ART treatments involve obtaining sperm through normal ejaculation, surgical extraction or from donor individuals, depending on your specific case and wishes. The sperm are then inserted into the female genital tract (IUI), or used to perform in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).