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Infertility in Men

Male infertility is the reason for 30% of cases of infertility among couples. The main reasons are:

  • Decrease in the number of sperm, as the man gets older;
  • Little sperm mobility;
  • Abnormal sperm;
  • Absence of sperm production;
  • Vasectomy;
  • Difficulty in sexual intercourse;
  • Sexually transmitted diseases.

A spermogram is performed to detect the reason for male infertility, an examination in which semen is evaluated. In macroscopic analysis, characteristics such as color, odor, viscosity, volume and pH are observed. In microscopy, sperm concentration, motility and morphology are identified.

One of the most common problems for the production of healthy sperm is the excessive increase in temperature inside the testicles. This can occur due to diseases such as cryptorchidism (irregular positioning of the testicles) and varicocele (varicose veins in the scrotum region), in addition to cases in which the permanence of man in high ambient temperatures alters the quality of the semen produced.

Problems with spermatogenesis can also be caused by changes such as orchitis (testicular inflammation) or by various endocrine diseases that alter the production of pituitary hormones that stimulate the production of sperm in the testicles.

On the other hand, there are several types of infectious processes, tumors and congenital malformations, which can alter the anatomy and obstruct the channels that transport sperm from the testicles to the outside. The total or bilateral obstruction of these channels, namely the epididymides and vas deferens, can cause infertility in man. In some cases, correction surgery solves the problem of infertility.

Some sexually transmitted infections that affect the ejaculation channel, such as infections caused by bacteria (chlamydia, ureaplasma), trichomoniasis or gonorrhea can alter sperm rates.

Finally, anatomical or functional problems that prevent the proper deposit of semen inside the vagina through intercourse, as with hypospadias, erection disorders and premature ejaculation, can also favor male infertility.

According to the cause of male infertility, the sexologist doctor in Delhi will indicate the appropriate treatment and the ideal procedure to be adopted.