Infertility is one of the most common issues in India. Conceiving is already complicated, and male infertility adds a massive hurdle. However, this does not mean a man can never own a child. With the right consultation and treatment, one can overcome this issue.
According to Dr. Niren Rao of Dr. Niren Rao’s Urology Practice, who provides the best male fertility treatment in Delhi, male fertility is not uncommon, and there are plenty of treatments for it. One must strive for the best urologist in the city.
What is Male Infertility?
Male infertility is a reproductive system condition that prevents a man from becoming pregnant with a female. The man, woman, or both of them may have infertility concerns if they engage in recurrent unprotected intercourse for more than a year and do not become pregnant.
How Common is it?
According to the Indian Society of Assisted Reproduction (ISAR), it affects between 10 and 14 percent of Indian couples. For those trying to get pregnant naturally for a year and still having difficulties, seeking medical attention and finding the best urologist in Delhi becomes critical.
Why is Conception a Complicated Process?
Conception is already a complex phenomenon that demands:
The man needs to produce healthy sperm, and the woman needs to produce good-quality eggs.
Her fallopian tubes should stay unblocked to facilitate sperm reaching the egg.
The sperm should be capable of fertilizing the egg.
The fertilized egg must be able to be implanted into the uterus.
Lastly, the quality of the embryo.
The embryo must also be healthy and have a favorable hormonal environment for the pregnancy to go to full term. Infertility may result from the impairment of even one of these components.
Who is More Prone to Getting Male Infertility?
Male infertility might affect some men more than others. One could have a higher chance if:
They are obese or overweight.
Forty years of age or older.
Got radiation exposure.
One has been exposed to environmental pollutants, including lead, calcium, pesticides, or mercury.
Regular consumption of alcohol, drugs, or cigarettes.
Currently using flutamide, cyproterone, bicalutamide, spironolactone, ketoconazole, or cimetidine, among other drugs.
Their testicles are becoming hotter due to environmental heat. This could happen to those routinely using wheelchairs, saunas, or hot tubs.
Already experienced undescended testicles.
Previously had scrotal varicoceles, which are enlarged veins.
Those come into contact with testosterone. Some men require injections, implants, or topical gel for low testosterone.
Why Does Infertility Occur in Men?
A variety of biological and environmental factors may impact fertility. Among the possibilities are:
Azoospermia: The failure to make sperm cells may cause infertility.
Oligospermia: The generation of sperm of inferior quality.
Genetics Disorders: Klinefelter's syndrome, myotonic dystrophy, microdeletion, and other genetic illnesses are a few examples.
Unhealthy sperm: The sperm isn't healthy and won't live long enough to fertilize the egg.
Medical conditions: Several medical conditions, such as diabetes, a few autoimmune diseases, cystic fibrosis, and a few infections, are provided as examples.
Medications: certain drugs and supplements.
Varicoceles: This is a disorder where your testicles' veins are bigger than usual. This causes them to overheat, which might alter the kind or quantity of sperm you produce.
Treatments: Chemotherapy, radiation therapy, or testicular removal surgery are all cancer therapies.
Unhealthy Habits: Substance abuse includes alcohol, tobacco, and narcotics.
a testicular trauma.
Hormonal Disorders: Issues with the pituitary glands or hypothalamus may impact your ability to conceive.
Symptoms of Male Infertility
Being unable to become a father is the most common sign of male infertility. There are high chances of this being the only symptom. However, in some circumstances, signs and symptoms are caused by an underlying issue, like a hormonal imbalance, an inherited disorder, dilated veins around the testicle, or a condition that prevents sperm from passing through. Observable symptoms and signs include:
Erectile dysfunction, or difficulties keeping an erection, can cause issues with sexual function, such as problems ejaculating or ejaculating little amounts of fluid.
Having discomfort, swelling, or a bump around the testicles
Respiratory diseases that recur
Being unable to smell
Gynecomastia - the abnormal development of breasts
Hair loss on the face or body or other chromosomal or hormonal problems
A sperm count that is below average (less than 15 million sperm per milliliter of semen or less than 39 million sperm in total per ejaculate)
How is Male Infertility Evaluated and Diagnosed?
A thorough physical examination is the first step in the diagnosis to ascertain the patient's general health and spot any medical issues.
Their healthcare professional may ask them and their partner questions about their sexual preferences.
The next action may be to undergo testing to determine the cause of infertility.
If the physical examination and medical history fail to reveal any causes for the inability to conceive.
Types of Azoospermia
There are two main azoospermia:
Obstructive Azoospermia: An actual physical obstruction in the reproductive system causes the male infertility syndrome known as obstructive azoospermia, in which the sperm are generated normally in the testes but are prevented from reaching the semen. Congenital disabilities, infections, or past procedures are just a few causes.
Non-obstructive Azoospermia: Non-obstructive azoospermia is a male infertility disorder in which the testes can produce sperm, leaving no sperm in the semen. Numerous things, such as hormonal imbalances, genetic anomalies, testicular damage, and radiation or toxin exposure, can contribute to this. Compared to obstructive azoospermia, this is a more intricate and challenging kind of azoospermia.
Treatments for Obstructive and Non-Obstructive Azoospermia
Obstructive Azoospermia
VEA (Vaso-Epididymal Anastomosis): In situations of obstructive azoospermia, the vas deferens and epididymis are connected surgically. This allows sperm to bypass the obstruction and be present in the semen.
Non-Obstructive Azoospermia
PESA (percutaneous epididymal sperm aspiration) involves aspirating sperm by inserting a needle into the epididymis through the scrotum.
TESA (testicular sperm aspiration): A needle is used to aspirate sperm straight from the testis during TESA (testicular sperm aspiration).
Micro-TESE: To detect and retrieve viable sperm, tiny bits of testicular tissue is surgically removed and examined under a microscope. This method is known as micro-TESE.
When to See a Doctor?
Consult a physician if any of the following apply and one hasn't been able to conceive after a year of consistent, unprotected sexual intercourse or earlier:
Low sex desire, issues with erection or ejaculation, or other issues with sexual functioning.
Testicle area ache, pain, bulge, or swelling.
A background of prostate, testicular, or sexual issues.
A scrotum, penis, testicles, or groin operation.
A spouse older than 35.
To get male fertility treatment in Delhi, one should visit the best male fertility doctor in Delhi for the best results.
Male infertility is more common than one may perceive. If looking for a suitable neurologist in Delhi, one can visit Dr. Niren Rao at Dr. Niren Rao’s Urology Practice.
With years of experience and the best medical practices, it has become the best urology clinic in Delhi. Visit Dr. Niren Rao’s Urology Practice today!
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