Male infertility - possible causes and best treatment

With the long absence of conception, it is commonly believed that all responsibility lies with the future mother. The problems of the gynecological plan often prevent the onset of pregnancy. But in practice, in 45% of cases, the absence of children in a married couple leads to male infertility.

Can there be infertility in men?

Infertility in men is common. Approximately half the time when problems with conception are observed, the fault lies with the potential father. The term "male infertility" is used if the pregnancy of the spouse or partner does not occur within 1 year with a regular sexual life without the use of contraceptives. In this case, it is common to distinguish 2 types of infertility in men:

Primary - a violation in which all attempts to conceive a child were unsuccessful.
Secondary - is observed if earlier there was a conception, regardless of whether the pregnancy ended successfully or not. This form is well amenable to therapy, especially if there is conception during the last 3 years.

Causes of infertility in men

Having considered the types of male infertility, it should be noted that the causes that cause them are often similar. Among the main factors provoking the violation of reproductive function in men, doctors call:

diseases of the sexual system of an infectious-inflammatory nature: epididymitis, orchitis, vesiculitis, prostatitis;
varicocele ;
violation of the process of formation of spermatozoa - spermatogenesis;
changes in seminal fluid of isolated nature - viscipathy;
congenital anomalies of the male reproductive system: monarchism, cryptorchidism , hypospadias;
Systemic diseases: diabetes, tuberculosis, thyroid disease, respiratory system, mumps, liver cirrhosis;
presence of surgical interventions on the organs of the small pelvis: removal of the inguinal hernia, hydrocele, operations on the bladder;
carrying out hormonal, radiation or chemotherapy, taking certain medicines;
violation of ejaculation;
genetic diseases.

In addition, there are factors that increase the risk of infertility:

bad habits;
ionizing radiation;
contact with toxic substances;
work on chemical production;
trauma to the genitals;
severe psychological trauma.

Secretion infertility in men

Sector is called a kind of infertility, in which the process of producing the necessary number of spermatozoa is violated. At the same time, violations of both the structure, morphology of spermatozoa, and their mobility can be noted. Both these factors are important parameters of male germ cells. Immediately due to them, fertilization of the egg in the female body takes place.

Secretion male infertility can be temporary or permanent. Thus, a periodic violation of secretion of germ cells can occur when:

increased body temperature;
exposure to high temperatures (sauna, sauna);
toxic effects.

The constant violation of secretion is more often due to genetic malfunctions or congenital anomalies. Thus, varicocele and infertility in men are two inseparable concepts. In addition, the defeat of the secretory cells of the tubular system in the male genital glands often occurs in case of epidemic parotitis, autoimmune diseases. Atrophy of tubules and secretory cells are irreversible disorders, in which the only chance to conceive a child is the use of donor sperm.

Obturation form of infertility in men

Often, the male factor of infertility is associated with a violation of the process of promoting spermatozoa along the vas deferens. Pathology can be one-sided and two-sided. In the first case, in the diagnosis there is a sharp decrease in spermatozoa in the ejaculate. In the case of violation of patency of both channels in the resulting sample of sperm, the sex cells are completely absent. There are many reasons for the development of the obturation shape. Among frequent doctors allocate:

epididymitis (inflammation of the epididymis);
trauma of the gonads;
tuberculosis of the genital organs;
accidental trauma in operations on the organs of the small pelvis (rectum, ureters, rectum).

Infertility in men - signs and symptoms

The signs of infertility in men are often hidden. Representatives of the male often feel well, and the problem is revealed in the planning process by a couple of children. Often the first woman is examined and only then is her partner. However, in some cases, there may be symptoms that indirectly indicate a malfunction of the reproductive system in men. Among them are:

problems of a sexual nature (small volume of ejaculate, violation of the process of ejaculation, erectile dysfunction, decreased sexual desire);
pain and swelling in the testicle;
respiratory infections are resumed;
gynecomastia (growth of mammary glands);
decrease in the thickness of the hairline of the body and face.

Diagnosis of male infertility

Diagnosis of infertility in men begins with a general medical examination. The doctor examines the external genitalia, collects anamnesis (from what age was initiated the sex life, the frequency of sexual acts, the presence of random links in the past). For a detailed assessment and identification of the cause that caused male infertility, a complex of diagnostic manipulations is carried out.

Among the main studies - spermogram . This laboratory analysis of the sperm sample evaluates the quality of the ejaculate and the ability to fertilize. Spermogram includes counting:

total number of spermatozoa;
mobile forms;
cells of a regular and anomalous structure.

Analysis for infertility in men

Before determining infertility in men, to make a final diagnosis, doctors prescribe a lot of research. Among the methods aimed at establishing the cause of male infertility:

Ultrasonography of the pelvic organs and scrotum. The main goal is to exclude anomalies in the development of the genitals, varicocele, which often prevents conception.
Blood test for hormones. Testosterone is under control, which directly affects the reproductive system.
A testicular biopsy is a study of the sex gland tissue site. It allows to determine the degree of production of spermatozoa, exclude secretory dysfunction.
Special functional studies of spermatozoa - doctors study the vitality, the ability of germ cells to penetrate into the egg.
Transrectal ultrasound is used to detect possible blockage of the vas deferens, seminal vesicles.

Test for infertility in men

The test for infertility in men, except spermogrammy, may include other laboratory studies of ejaculate. A MAR test is often used. With its help, the number of germ cells covered with antispermal bodies is established. Such sperm are not capable of fertilization because of the impossibility of destruction of the egg shells and penetration inside. When the number of these spermatozoa exceeds 50% of the total number, immunological infertility is diagnosed, in men this is common. To become a daddy, you have to resort to auxiliary procedures.

Treatment of male infertility

Often, the treatment of this disorder is complicated by the difficulty of determining the exact cause, so the treatment of infertility in men is aimed at improving reproductive function in general. To do this, drugs are prescribed that stimulate the synthesis of germ cells and improve blood circulation in the pelvic organs. Therapeutic measures for male infertility are aimed at (male immunological infertility):

treatment of chronic sexual infections;
elimination of problems of a sexual nature;
restoration of hormonal disorders.

Infertility in men - is it treated or not?

Even before the start of therapy, patients are often interested in the doctors - is infertility treated in men and what are the chances of becoming a father? Doctors do not give an unambiguous answer, paying attention to the fact that each case is individual. The best therapy is obturational form of pathology. When the secretion of secretion is often resorted to auxiliary reproductive methods.

Male infertility - treatment, drugs

How to treat infertility in men - doctors determine based on the results of the tests performed, the reasons for the violation. All medicines are prescribed strictly individually, with indication of dosage, multiplicity and duration of application. Among the drugs used more often used:

Lutain is a herbal remedy. Normalizes the reproductive function, increases the viability of male sex cells, restores the sensitivity of receptors to sex hormones.
Spematon is a combined plant-based remedy. Quickly restores fertility in men.
AndroDoz is a multicomponent preparation containing in its composition a complex of amino acids. Improves the quality of the ejaculate, fertilizing the ability of spermatozoa.
Tribestan is a preparation based on an extract of anchor. Increases sexual desire, stimulates the ability of the sex cells to fertilize. Used for disorders of the reproductive system.

Male infertility - treatment with folk remedies

Talking about how to treat male infertility, it is necessary to note the effectiveness of individual folk remedies. Before using them, consult a doctor.

Broth goritsvet

Ingredients:

Gorisvet - 1 tbsp. a spoon;
water - 500 ml.

Preparation, application

The grass is poured with boiling water.
Insist 2 hours, wrapped in a warm blanket.
Take in place of tea 3 times a day, pre-strain.

Decoction of Adam's root