Male Infertility and IVF

From a medical point of view, a couple is considered infertile if no pregnancy after a year to a year and a half of unprotected sex. For the fertility process to proceed smoothly, both men and women should be healthy and normal. Normally, a woman always blamed when a couple can not have a child. The investigation of infertility begins and ends with an assessment of the only woman. This, however, is not true. Approximately 15-20 percent of all cohabiting couples are infertile. In 50 percent of cases, it is the male reproductive factor or husband, who is responsible for infertility. This means that about 7.5 to 10 percent of all men in the reproductive age group are infertile ie can not conceive.

Male infertility due to low sperm production, deformed or properties, varicocele or blockages that impede the delivery of sperm. Diseases, injuries, chronic health problems, problems with erection and ejaculation, hormonal problems, genetic problems, lifestyle and other factors such as environmental toxins and radiation may play a role in causing male infertility. Poor eating habits, stress, obesity, overweight or underweight can also be risk factors.

Some factors that play a role in male infertility are:

Sperm motility: Sperm motility is the ability of sperm to move toward the egg resulting in conception. The sperm can not swim well not reach the egg to fertilize.

The amount of sperm: sperm count is the number of sperm cells or, more sperm are more likely normal pregnancy. It is expected that the number of healthy sperm A in a total of 20 million sperm per milliliter of semen volume and normal ejaculation is 2 ml. Azoospermia is a condition in which there is complete absence of sperm. You may also be congenital. Correctable causes must be detected and treated. Even then, if there are no sperm in the ejaculate, sperm can often be harvested and used for fertilization.

Sperm morphology: Sperm morphology refers to the size and shape (form) of a sperm that is evaluated when semen analysis. According to the WHO manual 1989, the morphology is considered normal if it is 30% or more.

Deficiency of any of these factors can cause male infertility.

Evaluation of male infertility.

Male fertility requires normal functioning of the hypothalamus, pituitary gland, and testes. Therefore, a variety of different conditions can lead to infertility. The evaluation of male infertility begins with a visit to a urologist. The urologist will begin with a basic maintenance and review, including

* A complete medical and reproductive history, and any surgery you had and medications.
* The lifestyles, including exercise, smoking and drug use.
* The physical examination.
* Frank discussion about their sex lives, including problems with sex or previous sexually transmitted diseases.

In any evaluation of male infertility, the man will have to provide a semen sample for analysis. The doctor wants man to give the shows there, or at least somewhere nearby, because it is important that the analysis is carried out quickly.

How male infertility treated?

The treatment of male infertility depends on the specific problem. In some severe cases, treatment is not available. However, many times, there is a mixture of drugs, surgical procedures and assisted reproduction techniques (ART) available to overcome most of the problems underlying fertility. The options are:

Surgery: Varicocelectomy called minor outpatient surgery is often used to repair dilated veins (varicocele scrotum). Studies have shown that the repair of these dilated veins results in enhancing sperm motility, concentration and structure. In some cases, obstruction causing sterility can also be surgically corrected. In the case of the previous surgery using a surgical microscope vasectomy been found to be very effective in reversing the blockage.

Medications: Medications are essential to correct retrograde ejaculation and immunological infertility. In addition, a pituitary hormone deficiency can be corrected by drugs such as clomiphene or gonadotropins.

If these techniques fail, fertility specialists use high technology assisted reproductive techniques that promote conception without sex. Depending on the problem the doctor may suggest

Intrauterine Insemination (IUI): By placing sperm directly into the uterus through a catheter, IUI bypasses the cervical mucus can be hostile to sperm and puts them near the fallopian tubes, where fertilization occurs . IUI usually exceed sperm count and movement, retrograde ejaculation problems, immune infertility and other causes of infertility.

In vitro fertilization (IVF): Refers to fertilization takes place outside the body in a laboratory petri dish. There, a couple egg or donor sperm joins. Although IVF is mainly used for women with blocked fallopian tubes, it is sometimes used for men with oligospermia.

Intracytoplasmic Sperm Injection (ICSI): A variant of the in vitro fertilization, this procedure has revolutionized the treatment of severe male infertility, enabling infertile couples conceive thought. It involves injecting a single sperm directly into the egg with a microscopic and then, once it is fertilized needle, transfer to the uterus of the female partner. Your doctor is likely to use ICSI if you have poor quality sperm or no sperm in the semen caused by an obstruction or testicular failure. In some cases, sperm can be surgically removed testis or epididymis for this procedure.

Modern scientific technologies such as art, ICSI and IUI were easy to treat male infertility. However, this treatment can be very expensive and can burn a hole in your pocket. Today, low cost methods are also available without any compromise on the treatment and methodology. Aware of the magnitude and importance of male factor infertility is relatively recent. It has made enormous progress in Andrology research in recent years. If not today, we can consider the foreseeable future, a situation in which all men (and women) with infertility can be cured completely.

Always remember that infertility can be cured like any other disease and that does not mean that their masculinity is at stake. Being holder can combat infertility. It is therefore crucial that men get tested for fertility and women. Yes, it can be annoying, but the discovery of the first male fertility problems can mean earlier treatment and a successful pregnancy. Man inertility tests can also prevent women discomfort and unnecessary expense.