Having trouble starting a family? It's a tough situation, but you're not alone. Many couples face infertility, and often, male infertility is a factor.
Male infertility occurs due to problems affecting either sperm transport or sperm production in men. Around two-thirds of men with infertility have a problem making sperm in the testes. It usually affects around 7% of males due to certain deficiencies in their semen quality – either lower sperm count or sperm don’t work properly.
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Male infertility refers to a man's difficulty in impregnating his partner. It's typically characterised by unsuccessful attempts to conceive over a year of regular, unprotected intercourse. While this situation can be challenging, there are various approaches to manage it.
Reproduction is a natural process in most couples. However, some couples find it difficult to conceive. The fertility of a man typically depends on his sperm quality and quantity. If the sperm count is poor quality or low in number, it’s difficult or impossible to cause pregnancy.
The treatment for male infertility is determined by its underlying cause. A doctor specialising in male reproductive health, also known as a reproductive endocrinologist or urologist, can help. Sometimes, lifestyle changes are all that's needed. Quitting smoking, cutting back on alcohol, or maintaining a healthy weight can make a big difference. These can include:
Male infertility treatments encompass several approaches depending on the underlying cause. Here's a comprehensive overview:
Medical Treatments
Hormone therapy addresses infertility issues stemming from hormonal imbalances, aiming to restore optimal hormone levels crucial for sperm production.
Surgical interventions address physical obstructions or anatomical issues that hinder sperm production or transport. These procedures often provide effective solutions when medical treatments are insufficient.
Assisted Reproductive Technology (ART) encompasses various methods to facilitate conception. Some common ones include:
These procedures can be complex, so a specialist doctor is essential. The recommended ART method will be based on the specific factors causing infertility.
Lifestyle modifications play a crucial role in improving male fertility. These changes address factors within an individual's control, creating a healthier environment for sperm production and function. Adopting these healthier habits can significantly increase the chances of conception, both naturally and in conjunction with other treatments.
Preparing for male infertility treatment begins with a thorough evaluation by a specialist. This typically includes a Physical Examination, where the doctor assesses the testicles and other components of the reproductive system. A Semen Analysis is conducted to evaluate the quantity, quality, and motility of the sperm.
Imaging for Structural Assessment: Visualising the male reproductive system through imaging helps identify structural abnormalities:
Other Imaging Modalities: In certain situations, other imaging techniques like CT scans may be used to assess the reproductive system. These modalities provide additional information and aid in diagnosis when other imaging tests are inconclusive. Beyond ultrasounds and MRI, other imaging techniques may be used in specific situations:
MBBS, MS– General Surgery,M.Ch.– Urology, Urologist
Comprehending the financial implications of infertility treatment is crucial for effective planning. The expenses can fluctuate significantly based on the required treatment, chosen clinic, and geographical location.
SCI Hospitals offer guidance on navigating the financial aspects of male infertility treatment. Many health insurance plans now offer coverage for infertility services, and there are also government schemes available that can help make treatment more affordable. For specific coverage details, it's advisable to directly contact SCI Hospitals or your insurance provider. Exploring financial assistance programs can also be beneficial in making treatment accessible.
While male infertility treatments can be highly effective, it's also important to be aware of the potential complications. Here are some potential complications associated with different male infertility treatments:
Low sperm count means the semen or fluid ejaculated by a man during an orgasm includes fewer sperm than average sperm count.
The condition of low sperm count is also known as oligospermia:
The condition of having no sperm at all is called azoospermia.
Male infertility is diagnosed through medical tests that confirm the issue lies with the male partner. In most cases, there are no obvious signs of infertility, as intercourse, ejaculation, and erections typically occur without difficulty. Only a medical examination can accurately determine male infertility and its underlying cause:
The primary indication of infertility is when you are unable to conceive. Other evident signs and symptoms may also be present. In certain cases, a man experiencing infertility might exhibit specific signs of sexual dysfunction or hormonal problems, such as erectile dysfunction or decreased body hair growth.
When to see a doctor
You don’t need to see a male infertility specialist unless you are trying to get pregnant but failing constantly. Men must talk to a doctor when they:
At SCI Hospital, the most common treatments for male infertility often involve addressing underlying medical issues. This can include medications to balance hormones or surgery to correct physical problems. Lifestyle changes like improving diet and exercise are frequently recommended too. We also offer advanced reproductive techniques when necessary.
Success rates vary depending on the cause and severity of infertility. SCI Hospital offers a range of treatments, including in-vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI), that have high success rates. Your doctor will recommend the best treatment plan based on your specific situation.
In many cases, male infertility is treatable. SCI Hospital's specialists can diagnose the cause of infertility and recommend effective treatments. While a complete "cure" may not always be possible, many men can achieve successful pregnancies with appropriate medical intervention and support. We encourage you to schedule a consultation to discuss your options. You can book an appointment online or call us to speak with a specialist. We offer both online and in-person consultations for your convenience.
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Dr. Vishal Dutt Gour is a highly respected and accomplished Consultant Urologist and Male Fertility Specialist at SCI International Hospital. He has an impressive 22 years of overall experience, including 19 years as a specialist. His expertise spans various domains, including male infertility, Micro TESA, and general urology, making him a go-to expert for patients seeking specialised care in these areas. Dr. Gour's patient-centric approach focuses on providing personalised care tailored to each individual's needs, ensuring that his patients receive the best possible care.
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