When Male Infertility comes in-between you & Your Parenthood
increasing consumption of alcohol smoking and delaying parenthood are some of the reason for the rise in cases of male infertility. In fact, nearly 30% of all infertility cases are attributed to male.
The major cause of male infertility is low sperm transport disorder. The major common issue of male infertility is a problem in the sperm making development in the testes. Other complaints like hormonal disturbances, physical and psychological problems can also cause male infertility. Sperm abnormalities can also be genetic. Thorough assessment and medical tests can determine the fertility factors and medical history. After identifying the underlying causes, Dr Perminder Shah and her team work with the couple in ways that will increase their chances of conceiving.
if the man has a hormonal deficiency, it can be treated with medications. Some men with relatively mild sperm abnormalities can be treated with clomiphene citrate tablets and HCG injections to improve the quantity and quality of semen.
if there is a varicocele, it can be treated surgically, however, several studies have shown that there is not much increase in pregnancy rates with surgical correction of varicocele.
Cases of azoospermia (no sperm in semen) might be treated with surgery otherwise donor sperm can be used if the couple is willing.
In case donor sperm is required, the Shah Hospital can arrange donors aged between 21-35 years. The donors are physically and psychologically healthy, free of hepatitis B and C, HIV, VDRL & Other sexually transmitted diseases. The donors have to undergo through a screening for genetic abnormalities and other disorders.
if medical treatment falls, the couple is advised intrauterine insemination (IUI) or intracytoplasmic sperm injection(ICSI) depending upon the severity of sperm abnormality.
Intra Uterine Insemination (IUI): IUI is advised in cases of mild to moderately low sperm count and motility sexual problems in the men like impotence or premature ejaculation and painful intercourse. In IUI, the man’s prepared sperm sample is inserted into the wife’s womb using a very thin catheter, just before ovulation.
Intra Cytoplasmic Sperm Injection(ICSI): ICSI is advised in cases of very low sperm counts (less than 5 million ), the high number of morphologically abnormal sperm and sperm obtained via surgery.
In this procedure, the woman’s ovaries are stimulated with medicine to produce eggs. The eggs are then collected under ultrasound guidance. After that, a single sperm is directly injected into the egg using micromanipulation devices. Thus tremendously increase the chances of fertilisation and embryo development. Good quality embryos