Male Infertility management- An integral approach:
May 27, 2024
Male factor infertility refers to issues related to the male reproductive system that contribute to difficulties in conceiving.The incidence of male factor infertility varies, but it accounts for approximately 40-50% of infertility cases.The Preliminary test is the microscopic analysis of the semen. This test is called as Semen Analysis.The common defects are low count, poor motility abnormal morphology or erectile dysfunction.
Symptoms • Issues with sexual function, such as problems ejaculating or ejaculating little amounts of fluid, decreased sexual desire, or issues keeping an erection (erectile dysfunction) • Having discomfort or a bump near the testicles • Respiratory diseases that recur • Being unable to smell • Abnormal breast development (gynecomastia)
Poor sperm parameters can be caused by various factors, including: • Hormonal imbalances • Genetic abnormalities • Varicocele (enlarged veins in the scrotum) • Infections or inflammation of the reproductive tract • Lifestyle factors such as smoking, excessive alcohol consumption, or drug use • Exposure to environmental toxins or radiation • Idiopathic (unknown cause)
What should be done if the semen analysis report shows abnormal results? 1) Consult with a Specialist: Schedule an appointment with an expert in male fertility- Andrologist. He/she will review the semen analysis report and conduct a thorough evaluation to determine the underlying cause of the abnormal results.
2) Further Testing: Depending on the initial evaluation and suspected underlying cause. a. Hormone levels, including testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin b. Genetic testing to identify any chromosomal abnormalities or genetic conditions c. Ultrasound imaging of the scrotum to evaluate the testes and surrounding structures
3) Treatment for Male Factor Subfertility: Treatment will depend on the underlying cause and severity of the condition. Some possible options are: a. Hormone therapy to correct hormonal imbalances b. Surgical repair of varicocele or other structural abnormalities c. Medical management – micronutrients or antibiotics d. Lifestyle modifications such as quitting smoking, reducing alcohol intake, and maintaining a healthy weight e. Assisted reproductive techniques such as intrauterine insemination (IUI) or in vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI), which can help overcome sperm-related issues and increase the chances of conception Overall, if the semen analysis report shows abnormal results, it's important to seek prompt evaluation and treatment from a specialist in male fertility. With proper diagnosis and appropriate treatment, many couples can overcome male factor subfertility and achieve their goal of starting a family. As a fertility expert, Dr Shreeja Karan understands the emotional and physical challenges that couples face when struggling with infertility. With great empathy and sensitivity, she offers personalized care and support to each patient, guiding them through every step of their fertility journey. Dr Shreeja is known for her expertise in diagnosing and treating various causes of infertility, including ovulatory disorders, male factor infertility, and tubal factors. She utilizes advanced diagnostic techniques and evidence-based treatment options to optimize the chances of conception for her patients. If you're struggling with infertility and seeking compassionate care from a skilled and experienced fertility expert, Dr. Shreeja Karan at Rainbow Hospital, Sarjapur Road, is here to help. Schedule an appointment with her today and take the first step towards building the family you've always wanted.
Dr. Shreeja Karan
Consultant – Obstetrics & Gynaecology & Fertility Specialist
Rainbow Children's Hospital, Sarjapur Road