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Male infertility causes symptoms treatment
Description of Male infertility
Definition
Male infertility is an inability of the male to cause pregnancy in a fertile female even after unprotected intercourse. It usually occurs because of sperm that are abnormal, or inadequate in number, or problems with ejaculation.
Causes and Risk factor
A) Genetic causes of male infertility Chromosome defects: Inherited disorders such as Klinefelter’s syndrome in which a male is born with two X chromosomes and one Y chromosome (instead of one X and one Y) leads to abnormal development of the male reproductive organs. B) Medical causes of male infertility Varicocele: Swelling of the veins that drains the testesInfection: Some infections can hinder sperm production or sperm health or can cause scarring that blocks the passage of sperm.Antibodies that attack sperm: In some men, the body itself produces antibodies that mistakenly identify sperm as harmful invaders and attempt to eliminate them.Tumors: Nonmalignant tumours and cancer can affect the male reproductive organs directly, through the glands that release hormones related to reproductionEjaculation issues: Retrograde ejaculation occurs when semen travels back to the bladder during orgasm instead of emerging out the tip of the penis.Hormone imbalances: Infertility can result from disorders of the testicles or an abnormality of hormonal systems such as the hypothalamus, pituitary, thyroid and adrenal glands.
C) Environmental causes of male infertility Industrial chemicals: Prolong exposure to harmful chemicals, pesticides, organic solvents, paints may lead to low sperm counts.Heavy metal exposure: Exposure to lead or other heavy metals also may cause infertility.Radiation or X-rays: Exposure to moderate radiation can reduce sperm production. However, with high doses of radiation, sperm production can be permanently reduced.Subjecting to high temperature: Frequent use of saunas or hot tubs may temporarily impair your sperm count.
D) Health, lifestyle and other causes of male infertility Tobacco consumption: People who smoke as well as those who are passive smokers are at a higher risk of male infertility.Illicit drug use: Use of cocaine or marijuana may temporarily reduce the number and quality of your sperm as well.Excess alcohol consumption: Drinking excess alcohol can lower testosterone levels, cause erectile dysfunction and decrease sperm production.Emotional stress: Mental stress can interfere with certain hormones needed to produce sperm.Weight: Obesity impairs fertility by causing hormonal disturbances
Signs and Symptoms of Male Infertility
1) Having lower than normal sperm count2) Difficulty with ejaculation reduced sexual desire or difficulty in maintaining an erection (erectile dysfunction).3) Pain, swelling or a lump in the testicles.4) Abnormal breast growth (gynecomastia)5) Decreased facial or body hair6) Small and firm testes
Complications associated with male infertility
Mental stress: Male infertility can lead to low self-confidence in men which might lead to extreme mental and psychological stress. Relationship problems: The inability to have a child might also lead to relationship difficulties and eventually to depression.
Tests and diagnosis
1) Scrotal ultrasound: This test uses high-frequency sound waves which helps your doctor see if there is a varicocele or any other problems in the testicles.2) Hormone testing: A blood test measuring the level of testosterone and other hormones as abnormalities in hormonal or organ systems might also contribute to infertility.3) Genetic tests: A blood test can reveal whether there are subtle changes in the Y chromosome signs of a genetic abnormality which is also a cause for low sperm concentration.4) Transrectal ultrasound: This procedure allows your doctor to check your prostate, and look for blockages in the tubes that carry semen (ejaculatory ducts and seminal vesicles).
Treatments for male infertility
1) Surgery: Vasectomy reversal is often performed as an outpatient procedure which is done to restore the male s ability to release sperm from the testicles into the semen.2) Treatments for sexual intercourse problems: Medication or counselling can help improve fertility in conditions such as premature ejaculation or erectile dysfunction.3) Hormone treatments and medications: You may need to undergo hormone replacement or medications in cases where infertility is caused by high or low levels of certain hormones or problems with the way the body uses hormones.4) Assisted reproductive technology (ART): ART treatments involve using the sperms obtained either by normal ejaculation, surgical extraction or from the donor individual. The sperms are then inserted into the female genital tract or used to perform in-vitro fertilization.