Male Infertility
Male infertility refers to the inability of a man to impregnate his partner despite regular, unprotected intercourse. This condition can result from various factors affecting sperm production, sperm motility, or the structural integrity of reproductive organs.
Identifying the specific cause is crucial for determining the most effective treatment approach.
Male Infertility
Male infertility refers to the inability of a man to impregnate his partner despite regular, unprotected intercourse. This condition can result from various factors affecting sperm production, sperm motility, or the structural integrity of reproductive organs.
Identifying the specific cause is crucial for determining the most effective treatment approach.
Male Factor Infertility Treatment Options
Obstructive Causes
Surgical procedures, such as Vaso-epididymo-anastomosis, may enhance sperm count in 40% of cases.
If sperm count remains low, In Vitro Fertilization (IVF) with Intracytoplasmic Sperm Injection (ICSI) becomes the primary solution for couples desiring a biological child. Donor insemination is an alternative.
Non-Obstructive Causes
- In case of genetic defects like KLINE FELTERS syndrome, Micro deletion in Y chromosome etc. donor insemination is the option. Adoption is another alternative in case the couple is averse to treatment.
- If the testes are atrophic due to infections again donor insemination is the option.
- Varicocelectomy (Ligation of veins or embolisation) might improve sperm count.
- Erectile dysfunction: medications like Sidnaphyll and counseling can help. If the sperm count is good then IUI is an option. In case of very low sperm count IVF-ICSI is the option. For impotency, penile prosthesis are available which can couples have normal sex.
Sperm Aspiration Procedures
- Microsurgical Epididymal Sperm Aspiration (MESA): Obtains sperm from the epididymis using an operating microscope.
- Percutaneous Epididymal Sperm Aspiration (PESA): Involves needle puncture of the epididymis with sperm aspiration, a simpler technique.
- Testicular Sperm Aspiration (TESA): Involves suctioning testicular tissue for sperm isolation.
- Testicular Sperm Extraction (TESE): An open procedure where a portion of testicular tissue is removed for sperm extraction.
Infertility in Men Treatment
Fertility treatments typically impact semen quality around three months after initiation. Surgical or medical therapy is considered, and if not viable, assisted reproductive technologies (ART) are explored. Long-term goals, financial considerations, and the female partner’s evaluation are crucial factors in choosing a treatment plan.
Specific Therapy
Successful medical therapy addresses chemical, infectious, or endocrine imbalances. Examples include treating prostatitis, epididymitis, or varicocele, replacing pituitary hormones, or administering testosterone for hypoandrogenic hypogonadism.
Empiric Therapy
Attempts to correct ill-defined conditions, such as using clomiphene citrate or tamoxifen for low sperm density. However, these treatments often have limited success.
Assisted Reproductive Technology (ART)
In addition to medication and surgical treatments, ART like In Vitro Fertilization (IVF) and Intracytoplasmic Sperm Injection (ICSI) are common. Procedures for men include sperm extraction methods like epididymal aspiration and testicular sperm extraction.
Intracytoplasmic Sperm Injection (ICSI)
ICSI is a technique overcoming severe male factor infertility. It involves injecting a single live sperm directly into a human egg, enabling fertilization for couples facing challenges in conceiving.
Sperm Extraction Procedures
Sperm extraction techniques have evolved, including epididymal aspiration, and testicular sperm extraction. Each method has unique benefits and considerations, contributing to the success of IVF procedures.
Book Your Appointment Now
Consult Dr. Ankita Sethi at RIDGE FERTILITY AND IVF CENTER. Contact us to book your appointment, and please have your medical history ready. Your fertility is our priority.