Infertility in men. Analysis for infertility. Treatment of male infertility

Male infertility can be cured if you pay attention to the problem and fight it in time, so do not put a cross on happy fatherhood - modern medicine is able to overcome most of the causes of the disorder of the reproductive function.

According to statistics, 35% of infertile couples do not become pregnant due to the inability of a man to impregnate a woman due to absolute or relative infertility.

Factors that affect male reproductive performance can be very diverse, like treatment, if possible. Let's try to understand what are the causes, signs, features of male infertility and how to overcome this ailment, preventing to create a full-fledged family and feel like a real man.

Signs of infertility

If during a year a couple in the prime of their reproductive age lives an active sexual life( at least twice a week there is a sexual intercourse) and does not use contraception, and the child can not be conceived, then both partners need to be screened for infertility.

As a rule, infertility of men, absolute or treatable, does not make itself felt by any symptoms until the moment when the spouses decide to conceive a child and all attempts are not successful.

Infertility does not occur until the reproductive age of

Since diseases that can trigger a breakdown in the reproductive function are numerous, individual symptoms of these diseases can still be observed:

• a small amount of sperm with ejaculation, the presence in it of uncharacteristic inclusions( blood)
• painin testicles, prostate
• weak erection
• presence of neoplasms
• underdevelopment of genitals

Mobile spermatozoon capable of fertilization

Causes of the husbandwho

Infertility As mentioned infertility are certain diseases, congenital malformations of sexual organs or injury. Pathological processes and changes in reproductive function arise under the influence of such factors:

• excessive alcohol consumption, tobacco smoking, drug use
• contamination of the ecology of
• infection, including venereal
• the presence of other diseases that indirectly or directly affect the formation of infertility( diabetes mellitus, parotitis)
• hormonal disorders
• frequent stresses
• stay exposed to high temperatures
• inflammatory processes
• contact withadioaktivnymi
• and chemical substances long-term use of certain drugs( including antibiotics)

reception of many drugs can cause temporary infertility

Another category consists of those causes of male infertility, as the trauma of sexual organs and congenital anomalies of their development.

Diseases in male infertility

All factors that provoke infertility affect the process of sperm production, its qualitative composition, the ability of spermatozoa to get to the egg. This is expressed in such diseases:

• anejaculation - the complete absence of sperm during ejaculation
• Nekrospermiya - all the sperm in the ejaculate dead
• Leykospermiya - increased content in the white blood cells of sperm caused by the occurrence of severe inflammation
• Azoospermia - sperm composed entirely absent sperm
• Piospermiya - presencethe composition of sperm of pus that arises from the inflammatory process of
• Astenozoospermia - insufficient motility of spermatozoa
• Oligospermia - inadequate sperm volume( less than 1.5 ml)
• Teratozoospermia - increased number of sperm with irregular structure that can not produce fertilization( normal spermatozoa less than 4%)
• Cryptospermia - the ejaculate contains a small number of live spermatozoa

Spermatozoa

There are also a number of diseases that provoke infertility, not related to changes in sperm quality:

1. Varicocele -Nalchik that is treated surgically
2. Erectile dysfunction - sexual intercourse does not occur due to lack of erection or weak strength
3. Anatomically irregular structure of genitals - sperm is excreted into a hole on the scrotum and not into the opening of the urinary canal, the absence of seminal ducts or theirobstruction
4. Endocrine disorders

Video: Male infertility. What are the reasons?

To which doctor should I go for male infertility?

If you suspect of male infertility, do not despair - modern medicine operates with enough methods of diagnosis and treatment of this ailment. The problem of reproductive harm in men is engaged in andrology - a section of medicine that examines men, their health, diseases of the genital area and the ability to reproduce.

Therefore, the most rational in the event of possible infertility will be a call to a qualified andrologist doctor who will prescribe the necessary tests and studies, and when diagnosing prescribes adequate treatment( if possible)

Andrologist consultation

If such a rather specific specialist can not get toA qualified urologist will be provided by a urologist.

The doctor will listen to complaints, collect anamnesis, specify the conditions of life and work, nutrition of men, as well as the characteristics of sexual life. After an external examination, the urologist will prescribe an examination.

history of history

infertility examination and analysis After collecting an anamnesis, the physician visually examines the male genitalia to determine possible pathological processes, the presence of tumors, the size of the genital organs, in particular the testicles.

Also, a urologist or andrologist will pay considerable attention to the scalp on the body, the intensity of which can talk about the level of male hormones.

Afterwards, a number of tests for infertility are prescribed, which include:

• general blood and urine tests
• spermogram
• analysis for various sexual infections
• analysis for the presence of antibodies to spermatozoa
• scrotal ultrasound
• examination of the passage of the seminal ducts
• analysis for sex hormones

Spermogram

The most revealing analysis is the spermogram - the study of sperm. In the course of the study, the volume and consistency of the ejaculate, the motility, the quantity and quality of spermatozoa, and the presence of various inclusions( blood, leukocytes, pus) are established. With the help of this analysis, you can not only establish the ability of a man to fertilize, but also the presence of various diseases of the reproductive system.

Ejaculate

To spermogramma it is necessary to prepare in advance for the analysis to be maximum indicative. A man before sperm delivery must:

• abstain from sexual intercourse for 4 days
• exclude alcohol intake
• avoid overheating: do not visit sauna or bath, do not take bath
• stop taking medication

A man must take responsibility for sperm delivery

Most often, sperm is obtained by masturbation - this kind ofis most optimal and recommended by WHO.It is also possible to receive ejaculate by performing an interrupted sexual intercourse, in which the sperm is placed in a special sterile container.

It is also possible to use a sterile medical condom that does not have a lubricant during sexual intercourse.

Medical condom

The ejaculate obtained is measured in volume, checked for viscosity, acidity, sperm color, examined under a microscope, and set the parameters that do not correspond to the norm.

Male hormonal infertility

If the studies establish pathological changes in the spermogram that are characterized by inferiority of spermatozoa, their anatomically irregular structure( the appearance of two tails or their complete absence), or a small number of them in the ejaculate, then an additional study is ordered for the level of hormones.

Testosterone molecules are produced in the testes

This analysis should show how well hormones of FSH and LH produced by the pituitary gland are produced and testosterone produced by the testicles. If the level of LH is underestimated, then substitution therapy is used, when hormonal preparations are taken, and in the case of an underestimated level of FSH and testosterone, treatment is usually ineffective. Elevated levels of these hormones are amenable to correction and patients receive a positive prognosis.

Treatment of infertility in men

First of all, in the treatment of male infertility, male living, working conditions, nutrition and sexual life must be adjusted, and other factors that negatively affect spermatogenesis must be eliminated. Further, the treatment will be symptomatic, that is completely dependent on the cause that caused it:

• surgery for varicocele, obstruction of the vas deferens, some abnormalities of the development of the genitals
• treatment with antibacterial, antifungal and other drugs if the patient has infertility detected infectious, bacterialor fungal pathogens
• hormone correction for male hormone production incorrect

Infertility treatment

If the reasonsbut infertility can not be improved, and the quality of sperm can not be improved, but in the ejaculate one can select at least one living and moving spermatozoon, then artificial insemination or fertilization may become the only method of conception when an isolated sperm( or several) is introduced into the uterus or an egg in an artificial way.

Treatment of infertility with folk remedies

Among the traditional medicine there are many recipes that help improve the process of spermatogenesis. The most often recommended intake of various herbal decoctions:

1. On an empty stomach it is necessary to take half a glass of celery juice and parsley
   for 15 days. From infertility one should take quince juice: 1 spoonful.for 10 days
2. The stimulation of the sexual function helps the mummy, if mixed with carrot juice in the proportion: 1 part mummy to 20 parts juice
3. Spoon the seeds of sage fill with a glass of boiling water and insist until completely cooled. Drink infusion is necessary for a teaspoon twice a day, for 2.5-3 months
4. Melissa and birch leaves need to pour 1 liter of boiling water and insist for 2 hours, then drink a glass three times a day
5. 2 tbsp. Spoons of Adam's root should be poured with 1 glass of boiling water, and after the broth cool, take it twice a day in a spoonful. The course of treatment with such a tool should be 1.5 months

Timely infertility treatment will allow to become the father of

Male infertility is not a sentence. Today, there is an innovative method of diagnosing and treating reproductive disorders in men, so do not despair and put an end to a happy future - visit a specialist, go through treatment and enjoy life in a full-fledged family.

Video: Male infertility. How to help a man become a father?