Advanced Fertility Care for Him
Causes of Male Infertility
Abnormal sperm production
Causes of male Infertility
Age and Sperm. Male fertility does change with age. You might get the impression that age only matters in female fertility. Men younger than 40 have a better chance of fathering a child than those older than 40.
Abnormal sperm production. Sometimes, sperm cells are malformed or die before they can reach the egg. In rare cases, a genetic disease such as cystic fibrosis or a chromosomal abnormality can cause male infertility.
Retrograde Ejaculation. This occurs when semen, which would normally be ejaculated via the urethra, is redirected to the bladder at the time of ejaculation. This can occur due to the muscle that closes the bladder not functioning normally, nerve damage caused by illness, removal of the prostate gland, or side effects of medication.
Occlusion. Occlusion is the medical term for a ‘blockage’ or absence of tubes. In men, the duct system (the vas deferens or epididymis) may prevent sperm from reaching the ejaculate. This may be caused by injury, congenital conditions, STIs or a vasectomy.
Hyperprolactinaemia. This is the presence of abnormally high levels of prolactin(the hormone responsible for milk production) in the blood. In men, high levels of Prolactin may cause infertility and erectile dysfunction.
Hyperprolactinemia can be caused by tumours on the pituitary gland, thyroid disorders, surgery from previous illnesses, some medications and recreational drugs.
Diagnosing male Infertility Conditions
Diagnosing male infertility problems usually involves:
- General physical examination and medical history. This includes examining your genitals and asking questions about any inherited conditions, chronic health problems, illnesses, injuries or surgeries that could affect fertility.
- Semen analysis: After collection, semen is sent to a laboratory to measure the number of sperm present and look for any abnormalities in the shape (morphology) and movement (motility) of the sperm. The lab will also check your semen for signs of problems such as infections.
- Hormone testing. Hormones produced by the pituitary gland, hypothalamus and testicles play a key role in sexual development and sperm production. Abnormalities in other hormonal or organ systems also might contribute to infertility. A blood test measures the level of testosterone and other hormones.
- Testicular failure may be diagnosed by elevated levels of FSH and/or LH along with low levels of testosterone.In case Medical or surgical treatment is not successful, donor sperm is often times utilized .
- Alternatively, sperm can be obtained from the testicles by a biopsy and used in conjunction with IVF and ICSI procedure, and if no sperm found at the time of the biopsy donor sperm becomes the only option.
Can Male Infertility be Prevented?
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