Male infertility is a condition that affects a man’s ability to help his partner get pregnant, commonly due to issues with sperm count, movement, or shape. Affecting 10-15% of couples in India, it can be caused by lifestyle choices, medical conditions, or environmental factors, with possible symptoms including hormonal imbalances, diminished sexual desire, and erectile dysfunction. Diagnosis is determined through tests like semen analysis and sperm DNA fragmentation tests. Fortunately, new breakthroughs bring hope, with treatments ranging from advanced sperm retrieval procedures like PESA and TESA, to surgical solutions like varicocelectomy and vasectomy reversal, and fertility preservation via semen freezing.
Male infertility
What are the Causes of male infertility
- Lifestyle factors: Unhealthy habits such as smoking, excessive alcohol use, drug consumption, obesity, and a poor diet can affect the quality and quantity of sperm.
- Medical conditions: Infertility can be caused by hormonal imbalances, infections, injuries to the reproductive organs, genetic factors, and chronic diseases like diabetes or cancer.
- Environmental factors: Exposure to toxins, pollutants, and radiation in the environment can be harmful to sperm production and function.
Common Symptoms of Male Infertility
- Hormonal imbalances: Changes in the body’s hormone levels that can impact reproductive functions.
- Genetic disorders: Conditions or abnormalities in the genes that can affect fertility.
- Diminished sexual desire: A reduced interest in or motivation for sexual activity.
- Ejaculation difficulties: Problems experienced during the release of semen.
- Low semen volume: A decreased amount of fluid released during ejaculation.
- Erectile dysfunction: Difficulty in achieving or keeping an erection firm enough for sexual intercourse.
Male Infertility Diagnosis
- Sperm function tests: A basic semen analysis is conducted according to WHO guidelines, where a sample is examined to report on physical characteristics, count, motility, and morphology.
- Physical examination and scrotal scan: These are conducted to identify any physical anomalies.
- Sperm DNA Fragmentation Index test: This test gives insights into the integrity of sperm DNA to aid in diagnosis and treatment planning.
- Genetic testing: This includes karyotyping and checking for chromosomal abnormalities in sperm for a comprehensive diagnosis.
- Acrosome Intact Test & Zona Binding Assay: These assessments look into specific aspects of sperm function, though they are not commonly performed these days.
Treatment Options for Male Infertility
What are the common male infertility tests performed?
- Semen Analysis: This is a foundational test where a semen sample is examined under a microscope. It gives our experts vital information about the number, shape, and movement of the sperm.
- Physical Examination and Scrotal Scan: Our team conducts thorough physical assessments and uses advanced scans to check for any physical issues.
- Sperm DNA Fragmentation Test: This specialized test examines the genetic material within the sperm. It provides important insights into the integrity of the sperm’s DNA, which helps in planning personalized treatment.
- Genetic Testing: We can perform comprehensive genetic tests, including karyotyping, to look for any chromosomal abnormalities in the sperm that might be contributing to infertility.
What treatments are available to treat male infertility?
For men who have no sperm in their ejaculate (a condition known as azoospermia), these minimally invasive techniques can retrieve sperm directly from the reproductive tract.
- PESA (Percutaneous Epididymal Sperm Aspiration):
- This is a solution for men who have blockages preventing sperm from passing through the reproductive tract.
- It is a minimally invasive procedure where a fine needle is used to gently collect sperm from the epididymis (a tube behind the testicles).
- The retrieved sperm can then be used for fertility treatments like ICSI.
- TESA (Testicular Sperm Aspiration):
- TESA is another modern approach for retrieving sperm for IVF/ICSI.
- The procedure involves inserting a needle into the testicle to collect a small amount of tissue and sperm.
- It is often recommended for men with obstructive azoospermia.
- Micro-TESE (Microscopic Testicular Sperm Extraction):
- This is a suitable option for men who have issues with sperm production.
- It is an advanced procedure performed in an operating room using a powerful microscope to locate and extract sperm.
- Micro-TESE has significantly improved sperm retrieval rates while being a safer option that removes minimal testicular tissue.
Fertility Preservation
- Semen Freezing (Sperm Banking):
- This process involves the collection, freezing, and storage of sperm for future use.
- It is a valuable option for men who wish to preserve their fertility due to medical reasons like cancer treatment, age-related concerns, or certain medical procedures.
- The frozen sperm can be thawed later and used in treatments like IUI or IVF.
Surgical Solutions
In some cases, a surgical procedure may be recommended to correct a physical issue and restore fertility.
- Varicocelectomy: This surgery removes swollen veins near the testicles (varicoceles). Correcting these veins can improve blood flow and enhance fertility.
- Varicocele Embolization: A minimally invasive alternative to surgery, this procedure redirects blood flow away from a varicocele, causing it to shrink.
- Transurethral Ejaculatory Duct Resection: This is a surgical option to clear blockages in the ejaculatory duct that may be caused by injuries or infections.
- Vasectomy Reversal: For men who have had a vasectomy, this surgical procedure can reconnect the tubes that carry sperm, aiming to restore fertility.
Male Infertility Treatment Cost
Key Factors Influencing Treatment Cost:
- The specific cause of infertility: The underlying diagnosis will determine the complexity of the treatment required.
- Diagnostic Tests: The number and type of initial tests needed to pinpoint the exact issue.
- Type of Treatment: Costs differ greatly between simpler treatments like medication or Intrauterine Insemination (IUI) and more advanced procedures like IVF with ICSI.
- Surgical Intervention: If surgical sperm retrieval techniques such as PESA, TESA, or Micro-TESE are necessary, this will be a factor in the overall cost.
- Medications: The type and dosage of prescribed medications will also influence the final expense.
We encourage you to schedule a private consultation with our team to discuss your specific situation and receive a detailed financial plan tailored to your needs.
Why Choose Ferty9 for Male Infertility Treatment
- Advanced Laboratory: We utilize state-of-the-art facilities, including a Class 1000 clean room for a sterile atmosphere and precise K-System incubators to ensure stable conditions for embryo growth.
- Comprehensive Range of Advanced Treatments: Our expert team is skilled in performing advanced sperm retrieval procedures, including PESA, TESA, and Micro-TESE, offering hope even in complex cases of azoospermia.
- Focus on Patient Well-being: At FERTY9, we prioritize your success and well-being above all else.
Maximizing Success with Proven Techniques: To give you the highest probability of a successful pregnancy, we exclusively perform blastocyst transfers in all our IVF cycles. This advanced technique allows for the selection of the strongest embryos, significantly improving the chances of implantation.
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