Male infertility is a prevalent issue. Conception is a difficult process with several challenges. Fortunately, having infertility challenges does not automatically rule out the possibility of having a child with your spouse. There are treatments and procedures that can help one become pregnant.
If one wants to visit the urology doctor in Delhi, one can get a consultation with Dr. Niren Rao.
What is male infertility?
Infertility is a reproductive system condition that prevents one from becoming pregnant. If a man and a woman have repeated unprotected intercourse for more than a year and the female does not become pregnant, either the man or the woman, or both of them, may be experiencing infertility.
What Happens Under Normal Conditions?
A male’s body generates tiny cells known as sperm. During intercourse, sperm is typically transported into the woman’s body by ejaculation.
The male reproductive system is responsible for the production, storage, and transportation of sperm. Hormones are substances in one’s body that have an impact on this. In addition to producing testosterone, the testicles are also responsible for producing sperm. The testicles are located in the scrotum, a skin sac underneath the penis. Sperm exits the testicles and enters a tube behind each testicle. The epididymis is the name given to this tube.
The sperm are transferred from the epididymis into another pair of tubes just before ejaculation. These tubes are known as the vas deferens. Each vas deferens goes behind the bladder from the epididymis to the pelvis. At this moment, each vas deferens connects to the ejaculatory duct from the seminal vesicle. As the man ejaculates, sperm joins fluid from the prostate and seminal vesicles. Sperm is formed as a result of this. The sperm then exits the penis via the urethra.
Male fertility is determined by their bodies’ ability to produce and distribute suitable sperm.
The sperm is injected into the vagina of the female partner. The sperm passes via her cervix, uterus, and fallopian tubes. Fertilization occurs when a sperm and an egg come into contact.
The system works only when genes, hormone levels, and environmental factors are all in place.
Which men are more likely to have infertility?
Some men are more likely than others to be infertile. One is more probable if:
- They are either overweight or obese.
- They are over the age of 40.
- They have been subjected to radiation.
- They have been exposed to environmental toxins such as lead, calcium, pesticides, or mercury.
- They consume cigarettes, marijuana, or alcoholic beverages.
- They have been exposed to heat, which boosts the temperature of the testicles. Those who often use a sauna, hot tub, or wheelchair may be affected.
- They have had an undescended testicle(s) in the past.
- They have had varicoceles in the past, which are enlarged veins in the scrotum.
- They have had testosterone exposure. Some men require injections, implants, or topical gel to treat low testosterone.
What is the treatment for male infertility?
The number of treatment options for male infertility has grown thanks to advances in technology and methodology. Treatment options vary depending on the cause of infertility.
- Medications:
- Hormone treatment to improve sperm count.
- Changes in lifestyle:
- Maintain a healthy weight for the body.
- Quit smoking.
- Quit drinking.
- Quit smoking marijuana.
- Stop using any recreational drugs.
- Surgeries:
- Vasectomy reversal
This frequent technique is performed as an outpatient procedure. The surgeon reconnects the vas deferens, which is the scrotal tube via which the sperm travels. The surgeon delicately sews the ends of the vas deferens back together while seeing it under a high-powered surgical microscope.
- Vasoepididymostomy
A similar approach is used to correct vas deferens blockages. The vas deferens is surgically divided, the obstruction is removed, and the tube ends are rejoined. When the first vasectomy was done many years ago, a further obstruction in the epididymis, the coiled tube that rests against the testicle and is where sperm cells develop, may have occurred. Blockage of the epididymis can also occur as a result of illness or injury. Whatever the source, the surgeon will resolve the issue by bypassing the epididymis obstruction.
- Sperm Retrieval
A biopsy of the testicle is necessary in certain severe instances to locate sperm.
- Intracytoplasmic sperm injection
Artificial reproduction technology has progressed to the point where a single sperm may be directly inserted into an egg. This therapy, known as intracytoplasmic sperm injection (ICSI), has transformed the treatment options for even the most severe male factor infertility. Because of this technology, 90% of infertile guys have a chance of having their own genetic kid.
- Obstructive Azoospermia
The reverse pattern of sperm quality is seen in blocked epididymis or congenital absence of the vas deferens: excellent sperm quality in the proximal epididymis and extremely low quality in the most distal portions. This observation of “inverted motility” is predicted in the blocked male reproductive canal since sperm generation and reabsorption of those sperm is an active activity in the system’s most distal parts. The most distal blocked epididymis has dilated yellow tubules filled with macrophages that resorb aged, degraded sperm. In this case, sperm extraction from the proximal blocked epididymis and testis should be performed, and more motile spermatozoa can be retrieved.
To know more about Male Infertility Treatment in Delhi, book an appointment with Dr. Niren Rao today.
Dr. Niren Rao 