Dr. Soumya Rathi | ACE Fertility Centre

Male Infertility

MALE INFERTILITY - STILL A TABOO?

Dr. Soumya Rathi- Infertility and IVF specialist

Despite our progress, society is yet to transcend some baseless myths. One of them is that only women are at fault if they are unable to conceive. Despite several public awareness campaigns and the rise of social media, some people still believe that a mother gives birth to a child, hence she is the reason behind infertility.

Clinical infertility is defined as failure to get pregnant after 12 months or more of regular
unprotected sexual intercourse, according to the World Health Organization and the International Committee Monitoring Assisted Reproductive Technologies (ICMART). While one or both spouses may have a role in the couple’s reproductive difficulties, male infertility, like female infertility, is a clinical diagnosis that can only be determined after a thorough examination and testing.

What is the prevalence of male infertility?

According to specialists at the All India Institute of Medical Sciences (AIIMS), around 12–18 million couples in India are diagnosed with infertility each year. They discovered that, three decades ago, a normal Indian adult male’s sperm count was 60 million/ml, but now it’s about 20 million/ml.

It has been discovered that male infertility is becoming the leading cause of infertility, particularly in the age bracket of 29 to 35. They have defective sperm morphology or a combination of low sperm concentration and poor sperm motility. Male reproductive difficulties, on the other hand, are stigmatised and frequently go undetected and untreated due to societal stigma.

Common causes of male infertility :
  • Excessive body heat caused by consuming meat, caffeine, etc.
  •  Problems with the prostate that cause sperm transport to be obstructed
  • Anaemia, malnutrition, cancer, neurological disease, diabetes and other chronic diseases
  • disrupt the male productive system.
  • – Deficiency of zinc, vitamin C, folic acid can trigger infertility in men
  •  Obesity has an adverse effect on the production of hormones thus causing infertility.
  • Mutations in the genes that determine the male sex, called the Y-chromosome and other
  • irregular changes in the genes.
Can male infertility be cured?

Every situation has a solution, and male infertility is no exception. It’s not unusual for males to use one or a combination of the following methods to cure infertility:

  • Avoiding smoking, alcohol, drugs, reducing mental stress, exposure to toxins like pesticides and heavy metals and anything that leads to prolonged heat for the testicles are common preventive measures.
  • Antibiotics (if an infection is detected); fertility drugs (Clomiphene, Human Chorionic

Gonadotropin (hCG), or LH/FSH injections) prescribed by a fertility specialist.

  • If patients have a marginally low sperm count, Intrauterine insemination is an option.
  • In patients who have very low sperm count or defective sperm morphology, IVF or ICSI are the treatment options
  • In patients whose semen analysis reports show no sperms following options can be used for sperm retrieval.
  • Percutaneous Epididymal Sperm Aspiration (PESA) is a method, performed under local anaesthesia, which involves extracting sperm with a fine needle from the epididymis or testes. The sperm is then implanted into the egg through the process of ICSI (Intracytoplasmic Sperm Injection) to be used in IV
  • Testicular Sperm Extraction (TESE) is a popular surgical procedure that involves removing sperm from a large testicular tissue by biopsy. The possibility of finding more sperms increases as more tissue is extracted.
    • Testicular Sperm Aspiration (TESA) is recommended for people who have azoospermia. A needle is placed into the patient’s testicle, and the aspirated fluid is checked for sperm in order to ensure fertility.

When a man or a woman is coping with infertility, they face emotional censure from society. It’s a stumbling hurdle on your way to becoming a parent. We, at Ace Fertility Centre assist you in dealing with this difficult situation by providing you with sound advice and therapy tailored to your unique medical needs.

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