Male Infertility In Nagpur -Dr Akash Bande

Male Infertility In Nagpur

Male infertility in nagpur can affect both men and women. Specifically, male infertility is a condition that affects individuals assigned male at birth (AMAB) and hinders their ability to impregnate someone assigned female at birth (AFAB).

Male infertility encompasses any health issue in a man that reduces the likelihood of his female partner becoming pregnant. Various factors can cause infertility in both men and women. In more than a third of infertility cases, the issue lies with the man, usually due to problems with sperm production or sperm delivery.

The male reproductive system is responsible for producing, storing, and transporting sperm, all under the control of hormones in the body. Sperm, along with the male sex hormone testosterone, are produced within the two testicles. These testicles are housed in the scrotum, a skin sac located beneath the penis.

Male Infertility Symptoms

The primary sign of male infertility is the inability to conceive a child. Often, there are no other noticeable signs or symptoms. However, in some cases, an underlying issue such as an inherited disorder, hormonal imbalance, dilated veins around the testicle, or a condition that blocks the passage of sperm can cause symptoms. These signs and symptoms may include:

Problems with sexual function, such as difficulty with ejaculation, small volumes of fluid ejaculated, reduced sexual desire, or erectile dysfunction
Pain, swelling, or a lump in the testicle area
Recurrent respiratory infections
Inability to smell
Abnormal breast growth (gynecomastia)
Decreased facial or body hair, or other signs of a chromosomal or hormonal abnormality
A lower than normal sperm count (fewer than 15 million sperm per milliliter of semen or a total sperm count of less than 39 million per ejaculate)

What are the signs of unhealthy sperm?

The primary symptom of male infertility is the inability to conceive a biological child. However, male infertility can also trigger various psychological and emotional challenges, including:

Depression
Loss
Grief
Feelings of inadequacy
Sense of failure

If you or your partner experiences any of these emotions, seeking support from a therapist or psychiatrist can be beneficial.

Additionally, in some cases of male infertility associated with low testosterone production from the testicles, symptoms like fatigue, impotence, depression, weight gain, and apathy may manifest. Consulting with a urologist specializing in male infertility or a reproductive endocrinologist can provide guidance and assistance if you or your partner experience these symptoms.

How is male infertility diagnosed?

Male infertility can be diagnosed by a primary care physician (PCP) or by a specialist such as a urologist who focuses on male infertility, or a reproductive endocrinologist. During an assessment, a PCP will conduct a comprehensive physical examination to assess your overall health and identify any physical issues that may impact fertility. They may also inquire about your sexual habits and medical history, including:

Duration of attempts to conceive with your partner
Previous successful pregnancies with a partner
History of sexually transmitted infections (STIs), including diagnosis and treatment
Use of contraceptives and birth control methods
Family history of male infertility
Lifestyle factors such as smoking, alcohol consumption, or recreational drug use
Current medications being taken

If the physical examination and health history do not reveal an apparent cause for male infertility, the provider may order further tests to investigate potential underlying factors.

Treatment

Lifestyle changes

To enhance the production of healthy sperm, consider incorporating the following lifestyle adjustments:

Maintain a healthy weight that is suitable for you.
Increase your intake of fruits and vegetables.
Engage in regular physical activity such as walking, jogging, bicycling, dancing, or weightlifting.
Manage stress effectively through relaxation techniques or hobbies.
Cease smoking, limit alcohol consumption, and refrain from using recreational or nonprescription drugs.
Avoid the use of sexual lubricants during intercourse.

Medications

Hormone therapy is utilized to regulate hormone levels that are either too high or too low, which can impact sperm quality. Additionally, you may need to discontinue or seek alternatives to certain medications, such as:

Tricyclic antidepressants
Calcium channel blockers
Anti-androgens

Surgery

Surgical treatments for male infertility may include:

Vasectomy reversal: This procedure reconnects the vas deferens, which were previously severed during a vasectomy, allowing sperm to enter the semen again and restoring the possibility of pregnancy.
Vasoepididymostomy: This surgery addresses blockages in the epididymis, the coiled tube where sperm mature, which prevents sperm from entering the semen.
Sperm retrieval: In cases where sperm cannot naturally enter the semen, a healthcare provider may perform a biopsy to retrieve sperm directly from the testicles or epididymis.
Varicocelectomy: Varicocele is a condition characterized by varicose veins in the scrotum, leading to blood pooling in the testicles and potentially affecting sperm quality. Surgery removes these varicose veins, which can improve the chances of pregnancy in some cases.

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