What is Male Infertility?
Male infertility is defined as the inability of the male to cause pregnancy in a fertile female. In humans, 40-50% of infertility is due to some problem with the male. It affects about 7% of all men and it is due some deficiency in semen quality.
- There are reports from All India Institute of Medical Sciences that over 12–18 million couples in India suffer from infertility every year.
- There are several reports suggesting that there is gradual reduction of sperm count in various countries of Europe and USA. Sperm count of a normal Indian male used to be 60 million/ml thirty years ago, it is now around 20 million/ml.
Incidence of male infertility:
- A 10-year comparison study on sperm quality and quantity (2000–2001 to 2010–2011),indicated the percentage of semen ejaculation, which is considered less than normal (below 4 ml), increased from 34% to 65% and the most suitable ejaculation volume (more than 4 ml) went down from 15% to 3%.
- The morphology of sperm also showed, in 2000–2001, 26% of the sperms were above 60% normality, whereas in 2000–2011 this was reduced to 7%.
- A similar study from Calcutta, which included semen analysis of 3729 men with infertility issues in two different decades, that is, between 1981–1985 and 2000–2006 concluded a significant decline in the sperm motility and seminal volume in the present decade, but no change in overall sperm concentration.
- A decrease was seen in sperm motility with age in both decades.
Male Infertility Treatment Clinic in India– Delhi-IVF
Delhi IVF & Fertility Research Centre is a leading Male infertility treatment clinic in India. Most of the cases of male infertility are due to ejaculatory dysfunction or sperm quality. These disorders are characterized by failure of the male to deposit good quality sperms into the vagina for some reason or the other. Some of the causes are as follows:
Some of the Causes of Male Infertility are:
- Premature ejaculation.
- Retrograde ejaculation.
- Impotence or the inability to maintain an erection(diabetes)
- Excessive alcohol intake,
- Fatty diet,
- High blood pressure and the drugs used to treat high blood pressure.
Environmental Risk Factors:
- Environmental pollution, such as lead, cadmium, mercury, ethylene oxide, vinyl chloride, radioactivity, and x-rays
- Cigarette or marijuana smoke, heavy consumption of alcohol
- DES (Diethylstilbisterol) exposure in uterus
- Air, water and soil pollution with plastic solvents which are esterogeneic.
- Exposure of the genitals to elevated temperatures — hot baths, whirlpools, steam room or at work sites.
Some Medical factors:
- Hernia repair
- Undescended testes.
- Genital infection
Deficient Sperm Production
About 90%of couples with male infertility have the problem of the complete absence of sperms (azoospermia), or low sperm count (Oligospermia), poor quality of sperm or (Immotile sperms) or abnormal sperms. At Delhi IVF, even a few healthy sperms are enough to fertilize the eggs by Intra cytoplasmic sperm injection (ICSI).
Damage related to Cancer:
Treatment for cancer, radiation therapy or chemotherapy can also impair sperm production sometimes. Removal of one of the testicles due to any disease like cancer also may affect male fertility. At Delhi IVF we can freeze and store sperms, before the treatment for cancer is initiated.
Around 30% to 75% of infertility in men is due to some infection of the reproductive organs. The presences of anti-sperm antibodies, which assault and obliterate the sperms, are normally a decent marker that an infection is present. Such diseases are typically treated with antibodies..
Ejaculatory Duct Obstruction presents with a low discharge volume on semen along with no sperm number or low sperm motility. Ejaculatory conduit impediment is the reason for fruitlessness in 1-5% of infertile men. Albeit abnormal, ejaculatory conduit block is determined and treated to have negligibly intrusive procedures. In some cases, there is the complete absence of vas deferens. At Delhi IVF we can overcome this problem by surgical procedures as TESA, MESA or TESE.
Some Other Factors May Contribute to Male Infertility Such As:
- Genetic problems.
- Infections of the testes (like tuberculosis, mumps, sexually transmitted diseases etc).
- Having medical treatment such as drug treatment, radiotherapy or surgery– for example, to correct a hernia, undescended testes or testicular torsion twisted testicles.
- Varicose veins.
- Also affected by lifestyle factors such as being overweight or having a job that involves contact with chemicals or radiation.