Male Infertility
It is a common misperception that infertility issues are stem from females, but the fact is that 50% of the infertility issues are related to male reproductive problems. Most of the male infertility issues come from hormonal imbalance and endocrine disorders, primary testicular defects of sperm production, or sperm transport disorders.
The evaluation of male infertility problems initially includes signs and symptoms of deficiency in sex hormone levels, general physical and mental health condition of the male, previous injury or trauma to the testes or penis, childhood diseases such as mumps, followed by physical examination of the reproductive parts to look for hydrocele, varicocele, hernia or infection. We may ask you to submit a semen sample to evaluate the sperm count, quality, and motility of the sperm. We may even go for a biopsy or genetic testing to find the underlying cause in some cases.
Before starting the treatment for male fertility, it is vital to diagnose the cause. Only highly qualified and experienced male fertility doctors can diagnose the exact cause through your symptoms and by conducting various medical tests. Dr. Mazen has a team of professionally trained experts who work together to diagnose the cause of male infertility and suggest the best treatment. Once the treatment is decided, the preparations start under close observation and the patient is given quality care.
The treatment consists of correcting the identified problem, which may include dietary and lifestyle changes, medical therapy in case of hormonal imbalances or erectile dysfunction, surgical correction or repair of male anatomy in hernia, varicocele, or injury cases. In case of an unidentified problem, we follow a systematic, evidence-based approach with assisted reproductive technologies such as IUI (Intrauterine Insemination, also known as artificial insemination), ICSI (Intra-Cytoplasmic Sperm Injection), and IVF (In-Vitro Fertilization).
Factors Influencing Male Fertility
Male fertility can be affected by multiple factors that have an impact on reproductive health, with lifestyle being one of the key contributors. A balanced diet consisting of essential nutrients and physical activity along with the avoidance of harmful substances like tobacco and excessive alcohol all play a part in male fertility; additionally, environmental pollutants may play a part in decreasing both the quality and quantity of sperm produced. Hormonal balance is also a critical element of male fertility. Disruptions to hormonal levels caused by conditions like obesity or stress can negatively impact sperm production and function, while diabetes, infections, and genetic disorders can further exacerbate male fertility issues. Furthermore, age can play an influential role as the quality of sperm tends to decline with increasing age. Genetic factors play a key role in male fertility, with certain genetic conditions having an impact on sperm production and function. Varicocele, an enlarged vein condition in the scrotum that increases testicular temperature can negatively impact fertility by impacting sperm production and function. Consultations with qualified healthcare providers are vital when couples experience fertility problems. A male fertility doctor like Dr. Mazen can provide invaluable expertise when diagnosing and treating male infertility, making him a vital asset to couples searching for personalized solutions to enhance male fertility. By understanding all factors affecting male fertility, individuals can take proactive steps toward optimizing reproductive health and increasing the chances of successful conception.What are the common causes of male infertility?
Male infertility can arise due to any number of causes, affecting a man’s ability to contribute to conception. Acknowledging its main sources is essential for couples hoping to conceive. Some prominent causes are: Sperm Quality and Quantity: Sperm is the cornerstone of male fertility, making the quality and quantity of its production crucial to male reproductive success. Low sperm count (oligospermia), poor motility, and abnormal morphology all impact fertility significantly and can be caused by genetic influences, hormonal imbalances, or lifestyle choices such as smoking or excessive alcohol intake. Varicocele: A varicocele is an obstruction in the veins that drain the testicle, leading to decreased quality and production of sperm. Surgery may be necessary to repair this varicocele and restore fertility. Testicular Factors: Conditions affecting the testicles such as undescended testicles, testicular injuries, or infections can have an impactful on sperm production and quality. Hormonal Imbalances: Hormones play an essential part in sperm production. Imbalances between testosterone, FSH/LH, or any of their levels may inhibit or increase sperm production. Blockage in Reproductive Tract: Blockages or obstructions to sperm flow during ejaculation can occur as a result of infections, surgeries, or congenital conditions and can prevent their regular delivery to the testes. Genetic Factors: Chromosomal defects or Klinefelter syndrome can impede fertility. Lifestyle Factors: Unhealthy lifestyle habits such as smoking, excessive alcohol consumption, drug abuse, and obesity may have adverse impacts on sperm quality and fertility. Environmental Factors: Exposure to environmental toxins, pollutants, and radiation has been shown to contribute to male infertility. Couples having difficulty conceiving may benefit from taking a male fertility test to assess both the quality and quantity of their sperm, the cost of which varies based on type and provider; typically these include semen analysis to measure count, motility, and morphology. Couples should consult with male fertility doctors regarding which tests and interventions would best meet their circumstances – both male and female factors must be addressed to ensure successful conception is realized.When to Consult a Male Fertility Doctor?
Consult a male fertility doctor if you and your partner have been actively trying to conceive for over one year without success, if either of you are over 35, seek assistance after six months, or have had reproductive issues like testicular injuries, hormonal imbalances, or surgeries in the past. Seeking professional advice sooner can also be important if experiencing difficulties maintaining an erection, ejaculating, or have genetic conditions running in your family – such as difficulties maintaining an erection, difficulty ejaculating or having genetic conditions run in your family – which increase chances of successfully reaching conception. A fertility specialist can perform tests to identify potential issues as well as guide treatments to maximize chances of achieving successful conception.Importance of Seeking Professional Assistance For Male Infertility
Male infertility can be an emotionally and physically taxing condition for couples trying to conceive, making the journey to conception all the more daunting and stressful. Seeking professional assistance to address this problem is vital; Dr. Mazen IVF Clinic stands out as an institution dedicated to helping couples overcome male infertility. One of the primary draws to Dr. Mazen IVF Clinic is its experienced medical professionals, including reproductive specialists trained to identify potential sources of infertility in men. At this clinic, you will find highly trained experts with vast knowledge of male infertility issues who are available to conduct comprehensive evaluations of your male reproductive system and identify any potential infertility causes. At the forefront of male fertility tests is using only the best available tests. At Dr. Mazen IVF Clinic, advanced diagnostic techniques are prioritized for providing accurate and thorough insights into male reproductive health. Cutting-edge technologies ensure potential fertility issues are detected early, providing timely intervention plans with tailored plans tailored specifically to individual men. Dr. Mazen IVF Clinic employs the best male fertility test methods available today – one that goes beyond traditional semen analysis to include factors like sperm count, motility, morphology, and genetic factors – for optimal test results. Their specialists utilize this comprehensive evaluation process to tailor interventions specifically tailored towards each individual thereby increasing the chances of successful conception. Dr. Mazen IVF Clinic can also provide couples with emotional support throughout their fertility journey, which can be emotionally draining. Their compassionate professionals offer understanding and empathy as they assist couples navigate this challenging experience with understanding. Dr. Mazen IVF Clinic excels at offering couples professional assistance for male infertility. By employing cutting-edge tests and taking an integrative approach to reproductive health, the clinic helps couples overcome male infertility and realize their dream of starting a family.How is male infertility diagnosed?
Male infertility can be diagnosed through a series of comprehensive tests designed to identify factors impacting sperm production, quality, and delivery. Healthcare professionals use these tests to pinpoint underlying causes for male infertility as well as create treatment strategies tailored specifically for each case. Some common diagnostic procedures include: Semen Analysis: This initial and most essential test evaluates the quantity, quality, and motility of sperm found in semen samples. A low sperm count, poor motility, or abnormal morphology could signal potential fertility problems that require further investigation. Hormone Testing: Blood tests are conducted to monitor hormones essential to sperm production, such as FSH, LH, testosterone, and prolactin levels. Any imbalance can negatively impact production. Genetic Testing: Genetic factors may contribute to male infertility. Chromosomal abnormalities or mutations that could potentially hereditarily contribute may be identified through genetic testing, providing invaluable insight into its cause(s). Testicular Biopsy: When necessary, small tissue samples from each testicle may be extracted to inspect for signs of sperm production and assess the health of testicular tissue. Ultrasound Imaging: Ultrasound scans may be used to visualize reproductive organs, helping identify structural abnormalities like blockages in the reproductive tract. Post-Ejaculation Urinalysis: This test analyzes urine after ejaculation to detect retrograde ejaculation – when sperm are entering the bladder instead of exiting via the penis – which could potentially lead to infertility and reduce fertility rates. Male fertility test cost varies based on their type and location of execution. So, get in touch with a male fertility doctor to know the cost of male fertility tests.What is In Vitro Fertilization (IVF) for male infertility?
IVF has emerged as a revolutionary solution for couples experiencing difficulties with conception, particularly when male infertility is involved. Male infertility refers to an inability of men to successfully conceive pregnant females due to various causes – low sperm count, poor motility, or abnormal morphology of their sperm being among these causes – so traditional methods of conception often prove ineffective – when this happens IVF becomes an attractive solution. As part of an effective treatment for male infertility, advanced male fertility tests can play a vital role. The best tests allow a thorough assessment of sperm quality, quantity, and functionality – such as Semen Analysis’s focus on concentration, motility, and morphology as key parameters – giving insight into overall sperm health while helping identify any issues that could impede fertility. As part of any IVF journey for male infertility, consulting a specialist male fertility doctor is essential. These experts possess comprehensive knowledge about male reproductive health and can conduct a detailed evaluation to pinpoint its specific causes. Furthermore, these doctors may suggest additional tests like hormone testing or genetic screenings to further refine the diagnosis. IVF for male infertility involves the collection of sperm, which is then combined with the partner’s egg in a laboratory setting. The resulting embryo is then transferred into the woman’s uterus, increasing the chances of successful conception.Male Fertility Services Offered at Dr. Mazen IVF
Dr. Mazen IVF’s expert team of andrologists and reproductive specialists use cutting-edge techniques, such as semen analysis, hormonal assessments, and genetic testing, to evaluate male fertility factors. We understand the unique sensitivity associated with male infertility; thus our compassionate approach ensures each patient receives personalized care throughout the process. Our male fertility services for men include innovative treatments such as intracytoplasmic sperm injection (ICSI) and testicular sperm extraction (TESE), designed to overcome various fertility challenges. We prioritize open communication to ensure individuals and couples remain well informed of all available options before participating actively in decision-making processes. Dr. Mazen IVF is dedicated to providing individuals and couples with optimal outcomes when it comes to starting a family. At Dr. Mazen IVF Clinic, we employ cutting-edge reproductive medicine techniques while offering evidence-based care that addresses male fertility issues with expertise, empathy, and commitment.
The most common causes that affect male infertility are problems with hormonal imbalances, erectile dysfunction, problems related to the storage and transfer of the sperms, and problems with sperm count and motility.
Around 10-15% of males that present with infertility issues have zero or extremely low sperm count. This is known as azoospermia. These are surgical sperm retrieval procedures where sperm extraction is done from a part of the male reproductive tract.
Male Infertility Treatments
Infertility is clinically defined as the inability to conceive after one year of unprotected intercourse spontaneously. The most common causes that affect male infertility are problems with hormonal imbalances, erectile dysfunction, problems related to the storage and transfer of the sperms, and problems with sperm count and motility. Treatment options include the following depending on the identified cause:
1) Hormonal therapy
Sex hormones play a vital role in spermatogenesis – a process that produces sperms. Some commonly tested hormones are FSH, LH, estrogen, testosterone, and prolactin. Hormonal supplements or other medicines can correct these imbalances. Erectile dysfunction can also be treated with medication.
2) Treatment of infections
Most of the time, it is sufficient to use antibiotics for underlying infections. However, there is still a chance that fertility may not be restored with clearance of infection.
3) Surgery
Surgery can repair a varicocele, which is a common cause of male infertility, or correct a hernia or obstructed vas deferens.
4) Assisted Reproductive Technologies
Assisted Reproductive Technologies (ARTs) are medical procedures that work by extracting sperm from the male by ejaculation or surgery (TESA/PESA) and introducing it into the female genital tract, or fertilize the egg in the lab by IVF or ICSI and insert it back into the female uterus for it to be implanted. They generally include:
- Intrauterine Insemination (IUI): This is also known as artificial insemination. It is a process where sperms are extracted from the male by direct ejaculation or surgical extraction (TESA/PESA). They are then washed, processed, and concentrated, and then inserted into the female genital tract. The goal is to process the sperm into collecting enough healthy and motile sperm that can fertilize the egg.
- In-vitro Fertilization (IVF): In this procedure, sperm cells are combined with a mature egg retrieved from the female outside of the body. Once fertilized, the embryo is transferred back into the uterus to be implanted.
- Intracytoplasmic Sperm Injection (ICSI): This procedure can be used where sperm counts are low, or there have been multiple failed attempts with IVF. In ICSI, a single sperm cell is injected directly into the cytoplasm of the egg extracted from the female.
Percutaneous Epididymal Sperm Aspiration (PESA)/ Testicular Sperm Aspiration (TESA)
Around 10-15% of males that present with infertility issues have zero or extremely low sperm count. This is known as azoospermia. These are surgical sperm retrieval procedures where sperm extraction is done from a part of the male reproductive tract in cases where no sperm is found in the semen analysis. The goal is to retrieve healthy motile sperm cells while minimizing the damage by the procedure. They are typically used with IVF or IVF with ICSI. Indications of these procedures include:
- Failure of vasectomy reversal.
- Absence of vas deferens in the male. This is a tube that carries sperm from the testes to the urethra.
- The male suffers from obstructive azoospermia – a condition where sperm is not found in the ejaculate.
- The male suffers from non-obstructive azoospermia, a condition where the production of sperm is too low to achieve pregnancy successfully.
Percutaneous Epididymal Sperm Aspiration (PESA)
This is a minor surgical procedure. A fine needle is inserted through the scrotum into the head of the epididymis under cover of local anesthesia, and the fluid is aspirated. Sperms are washed and processed from this fluid and used for IVF/ICSI.
Testicular Sperm Aspiration (TESA)
In this procedure, a fine needle is inserted into the testes through the scrotal skin under local anesthesia, and seminiferous tubules themselves are retrieved. They are then dissected in the lab to look for sperm production. With local anesthesia and analgesia cover, it is a relatively pain-free procedure.