Infertility has customarily been considered as a lady's issue. In any case, things being what they are, we men don't get off that effortlessly. Around one out of each three instances of fruitlessness is because of the man alone, and we're by one means or another required in barrenness about a fraction of the time.
A finding of male barrenness can be one of the hardest difficulties a man can confront. When male fertility is examined, a male factor "issue" is found in 30% of couples, and a contributing male factor is involved in 50% of couples. Besides being the cause of the problem, another reason to evaluate men for infertility is because it may be a symptom of significant but otherwise silent disease.
After 12 months of trying to conceive,you should consult your gynecologist for a referral to a fertility specialist. A series of tests will need to be performed on you and your partner. They will give clues to the particular cause of your infertility and ultimately a treatment plan to overcome the problem.
Firstly, the specialist will look at both your medical histories. For the woman, this includes any previous pregnancies, regularity of periods, painful periods, pelvic pain, infections, or surgery. For the man this will include whether he has fathered children previously, testicular injury, developmental problems, infections, surgery and exposure to certain environmental factors.
A physical examination will also be performed which may include:
Although medical advice can get complex, for the most part, the discussion that you have with your doctor should make sense to you and you have a right to have all of your questions answered so that it does make sense to you. Click here…
Sperm production is hormonally driven. Brain hormones govern sperm production and are precisely controlled. The male genitalia are responsible for sperm and ejaculate production.
Oligospermia is a male fertility issue defined as a low sperm concentration in the ejaculate. Low sperm concentration or “sperm count” is the number of sperm in a prescribed volume of ejaculate.
Azoospermia is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present. Read more...
A testis biopsy is helpful in many cases of azoospermia. If an evaluation of azoospermia is not clearly showing whether there is a problem with sperm production or one of a blockage in the ducts of the reproductive tract, then the next step is to examine the testis itself and assess sperm production.
Only about 20% of young men actually know the exact time to have sex during the female cycle to achieve a pregnancy. The critical period can be assessed by either basal body temperature charting or home kits that detect the LH surge in the urine immediately (24 hours) prior to ovulation.
Surgical treatment options include varicocele repair, ejaculatory duct resection and vasectomy reversal. What is nice about surgical treatments for male infertility is that they can "cure" the problem and allow for conception at home and not in the laboratory. Read more...
Sperm Mapping is a technology that "maps" the location of sperm in the testis. The technique is designed to benefit severely infertile men. It is a minimally-invasive, non-surgical procedure performed under local anesthesia in the office. With Sperm Mapping, Our Fertility specialists an determine if a man with azoospermia (no sperm in the ejaculate) is a candidate for sperm retrieval to have children. Sperm Mapping also helps to minimize invasive testis sperm retrievals and reduces the potential damage to the testis from these procedures.
Sperm retrieval procedures are designed to collect sperm from organs within the male reproductive tract. First developed in 1985, sperm retrieval combined with in vitro fertilization (IVF) and ICSI are invaluable for allowing infertile men without ejaculated sperm the opportunity to be fathers. Our Urologists and Fertility physicians have years of experience in sperm retrieval procedures and pioneered many popular retrieval, minimally invasive methods that are used today. Read more...