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A Guide to Male Infertility by a Urologist in Delhi


Planning for a pregnancy is an exciting time. However, it can be really frustrating when we encounter difficulties along the way. We often have conversations about women’s fertility, but we don’t talk much about male infertility. One would be surprised to learn that in almost half of pregnancies, the male factor is a major contributing factor. This implies that 10% of males who are trying to conceive suffer from infertility.

To provide readers with a better understanding of what male infertility is, its causes, and treatment options, Dr. Niren Rao, a leading urologist, has explained the same in this blog. The expert urology doctor practices at Dr. Niren Rao’s Urology Practice and is widely recognized for performing the best male infertility treatment in Delhi.

What is Male Infertility?

Male infertility is a disease of the reproductive system that makes men unable to have children. It indicates that a man has a reproductive system issue and is unable to plan a pregnancy with a female partner.

What are the Symptoms of Male Infertility?

One may experience male infertility if their female partner has not become pregnant after trying for one year. This implies one year of regular sex without using any birth control. The expert doctor will test both male and female partners to find the cause of infertility. If one is experiencing symptoms of male infertility, it is best to seek consultation with Dr. Niren Rao, a leading urologist in Delhi, at Dr. Niren Rao’s Urology Practice for a proper diagnosis and an effective treatment option.

What are the Leading Causes of Male Infertility?

It is very common for male infertility to arise during family planning. Here are the common factors that are responsible for male infertility:

  1. Issues With Sperm Health

Semen, at times, can have very little sperm. Sperm can either be abnormally shaped or have low motility. Such factors can prevent sperm from being available for insemination.

  1. Barriers to the Movement of Sperm

There are many tubes that sperm pass through in order to reach the egg. It is important to note that if there are obstructions along the way, it could be challenging for the sperm to go freely to the place of insemination.

  1. Functional Problems

This happens when one thinks about trouble with erections, premature ejaculation, or retrograde ejaculation (when the semen enters the bladder instead of the penis). It could also happen when the reproductive system has suffered trauma, like a physical injury, or when one has undergone chemotherapy. Chronic illnesses and hormonal imbalances can also arise here.

What are the Treatment Options for Male Infertility?

  1. VASO-Epididymal Anastomosis: Vaso-epididymal anastomosis, or vasoepididymostomy, is a surgical procedure for treating male infertility. Obstructive azoospermia (lack of sperm in semen) caused by vas deferens occlusion is treated with this treatment. It clears the channel of the obstruction, allowing sperm to pass through.

  2. PESA: PESA, also known as percutaneous epididymal sperm aspiration, is performed to remove mature sperm from the epididymis (a tube on the back of the testicles). When a blockage prevents the sperm from being present in the ejaculate, PESA is carried out as a part of reproductive procedures such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI).

  3. TESA: TESA, also called testicular sperm aspiration, is a medical treatment used to remove sperm from the testicles for use in in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). TESA is often performed when sperm production is impaired or obstructive azoospermia is present.

  4. Micro-TESSE: When performing Micro-TESSE, an operating microscope is used that offers magnification and visualization of the testicular tissues. As a result, the regions of the testicles where sperm production happens are more precisely extracted. This is a specialized approach, and even in situations of severe sperm production issues, it has the advantage of improving the likelihood of identifying viable sperm and focusing on locations with active sperm production.

 Conclusion

A proper evaluation of a male partner is necessary for all couples who are experiencing infertility issues. The treatment for male infertility begins with a simple physical examination, followed by a semen analysis and hormonal analysis. Depending on the examination, a diagnosis is made of obstructive or non-obstructive azoospermia.

To avail the benefits of male infertility treatment, book a consultation with Dr. Niren Rao, a urology doctor in Delhi, at Dr. Niren Rao’s Urology Practice.
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Location: Delhi, India

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