Male infertility can be caused by problems that affect from a variety of disorders ranging from hormonal disturbances to physical problems, sperm production, sperm transport and psychological problems etc. Male infertility is diagnosed when, after testing of both partners, reproduction problems have been found in the male partner. Known causes for male infertility can be reproduction is a simple and natural experience for most couples, however for some it is very difficult to conceive.Although many treatment options are now available, in many cases treatment will not work and
prior to treatment initial understanding of the problem is essential
1. Varicoceles and Male infertility
An abnormal enlargement of the pampiniform venous plexus in the scrotum. This plexus of veins drains the testicles and the testicular blood vessels originate in the abdomen and course down through the inguinal canal as part of the spermatic cord on their way to the testis. Defective valves, or compression of the vein by a nearby structure, can cause dilation of the testicular veins near the testis, leading to the formation of the varicocele.
- Most men have no symptoms, but some may have scrotal pain that varies from dull to sharp.
- Feeling of heaviness in the testicles and atrophy of testicles.
- Benign prostatic hyperplasia (BPH) and related urinary problems.
Solution or Treatments:
- If you have been diagnosed with a varicocele, you may have more treatment options than you may be told about.
- Surgical treatments –Intrauterine insemination (IUI) or In vitro fertilization (IVF)
- Non surgical treatments—Varicocele embolization is a non surgical alternative to painful varicocele surgery.[divider]
2. Ejaculation Problem for Male infertility
A small percentage of men have a blockage in their ejaculatory duct that prevents sperm from getting into ejaculate fluid due to epididymis or the vas deferens are blocked or damaged. The main ejaculation problems are:
- Premature ejaculation is the most common ejaculation problem and it is where the male ejaculates too quickly during intercourse.
- Experiencing a significant delay before ejaculation is possible or being unable to ejaculate at all even though the male wants to and his erection is normal.
- A rarer type of ejaculation problems and it happens when sperm travels backwards and enters the bladder instead of coming out of the end of the urethra.
Stress, depression, infection, injury, diabetes, neurological issues, congenital defects, or a vasectomy can also cause ejaculation problems.
There aren’t usually any possible symptoms, though if you have retrograde ejaculation you may notice cloudy urine or little to no ejaculate after orgasm.
- Selective Serotonin reuptake inhibitors (SSRI s)
- Surgery (IUI) to repair obstruction
- Reverse vasectomy
3. Anti Sperm antibodies
The presence of sperm antibodies reduces male fertility significantly, but does not usually prevent conception altogether. The effects are the larger the immunologic response, the less likely it is that a pregnancy will occur. When the blood level rises above 40% natural conception is highly unlikely to occur.
- IVF with ICSI is the first treatment.
- Steroids also can be used[divider]
4. Sperm count or Motility problem
About 25 % of all infertility is caused by a male problem and in 40-50% of cases it is the main cause, or a contributing cause. It is sometimes hard to know whether the male factor problem is the only cause, or just a contributing cause to the infertility. Part of the problem is that numbers are just numbers. What matters is not really how many or how fast they swim-but whether they can fertilize the female partner’s eggs. This is really a biochemical issue at the molecular level.
- Fertility drugs
- IUI with donor sperm
- IVF with ICSI[divider]
5. Klinefelter’s Syndrome
Klinefelter’s syndrome is a genetic condition in which each cell in the human body has an additional X chromosome. Men with Klinefelter’s syndrome have one Y and two X chromosomes.
- Peanut-sized testicles
- Prescribed Drugs[divider]
Along with those causes some times psychological, genetic factors and even life style factors such as smoking, radiation prone work, illegal drugs usage, steroids usage also influence on your fertility.
These causes may be more likely to have trouble in conceiving and having a junior of yours.