Dr.sathya balasubramanyam

MD DNB MRCOG (UK) FNB(Reprod med)

MALE INFERTILITY TREATMENT – AN ANALYSIS

Male infertility, although not discussed as often as its counterpart is known to contribute to about 50% of the total instances of infertility reported in couples. The social stigma that is still associated with it, amidst all the development and advancements we have acquired today has inhibited the study of statistics of infertility in India. Hence we do not have any data regarding the exact prevalence of infertility in India.

male infertility

Cause of Male Infertility

Most cases of male infertility are caused due to a reduction in sperm concentration, motility or morphology. Sperm quality assessment (functional evaluation) is not carried out in routine semen analysis. The issue seems to have increased in the recent times. Studies have linked the growth to the transformation in lifestyle and other environmental factors that are witnessed nowadays. 

Other causes of male infertility include acquired or congenital urogenital abnormalities, infections in the urogenital tract, issues such as varicocele, hormonal factors due to endocrine system disorders, immunological disorders and other genetic factors. About 75 % of the male infertility cases are caused due to unknown factors. 

Diagnosis Procedure for Male Infertility

A case of infertility is often doubted when; regular and unprotected intercourse for about a year fails to result in a successful pregnancy. The diagnosis of male infertility primarily involves a semen analysis to assess the sperm motility, concentration and morphology. An abnormal semen analysis reported will be followed up a repeated analysis after a period of about one week.

A similar report as the one obtained earlier will be followed up with various procedures and testing to ascertain the cause of infertility. In the case of mild abnormalities in the analysis, the repeat analysis can be repeated after about two months. 

Managing Male Infertility

One of the most common abnormalities that are discovered with the help of a physical examination is varicocele. The guidelines for its treatment do not warrant surgery for improving fertility. However, varicocele that results in pain or discomfort can be treated with the help of surgery.

Infection in semen is another disorder that affects the male reproductive system. However, they are not known to cause any long-lasting effect on the health of the man. Antibiotic treatment for the disorder, though known to cure the infection is not known to bring about any improvement in fertility.

Issues such as reduced sperm concentration and motility can be managed to a small extent by prescribing antioxidants in the like of Vitamins C and E for a period of at least two months. They are known to restrict DNA fragmentation in sperm to some extent.
Use of gonadotrophins and ubiquinone in some cases are known to slightly improve several factors of infertility in various trials conducted as part of the research. The only condition that has shown considerable improvement with medical management is Hypogonadotrophic Hypogonadism (HH).

There is a lot that is yet to be studied regarding various aspects of male infertility. With increased researches, studies and dedicated efforts from the best in the field, the time is ripe for development of more procedures to increase the rate of successful pregnancies.

 

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DR.SATHYA BALASUBRAMANYAM

Dr. Sathya Balasubramanyam

MD DNB MRCOG (UK)
FNB(Reprod med)
CLOUD NINE HOSPITAL

Clinical Director Fertility

SEETHAPATHY CLINIC AND HOSPITAL

Consultant Reproductive Medicine

SUNDARAM MEDICAL FOUNDATION

Consultant Reproductive Medicine

VIJAYA HOSPITAL

Consultant Reproductive Medicine


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