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, under
sperm count, that is, if it is normal that every time a man ejaculates
to release 20 million per millimeter 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 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 fetus, premature fetal death ...
3) Ejaculation disorders: Many couples think
that they have to reserve for fertile days and refrain from maintaining
relationships outside that period. However, top sexologist in Delhi explains
that prolonged withdrawal periods decrease the number of sperms, while
infrequent ejaculations, this number increases.
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 ...
Likewise, there are men suffering from anejaculation
(absence of ejaculation), caused by spinal injuries or previous surgeries in
the area, says sexologist doctor in
Delhi.
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.
5) Infections in the genital tract: It is a rare
cause that disappears as soon as the infection is treated with
antibiotics. Prostatitis, epididymitis or other infections cause temporary
infertility.
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 sequela smaller number of sperms, says sex specialist in Delhi.
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.
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.
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 problems in sperm (either
small quantity or quality), it is best to resort to in vitro
fertilization (IVF) or Intracytoplasmic Injection (ICSI).
- Genetic abnormalities require
Preimplantation Genetic Diagnosis, a technique that consists of genetically
selecting a healthy embryo, free of this type of anomalies, and subsequently
implanting it in the uterus.
- Most ejaculation disorders require help
from a sex doctor in Delhi,
except those whose cause is physical, in which case the disease that causes
them should be treated.
- Hormonal disorders need hormone 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 ...
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