Male infertility

Male infertility's disease overview

Infertility is defined as the situation of husband and wife after a year of living, having sex on average 2-3 times/week, not using any contraception that the wife has not yet Pregnant.

Infertility may be due to the fact that the wife or the husband or the husband and the wife.

What is

What is male infertility?

Infertility in men is a disease that is simply understood that it makes men unable to give birth.

Male infertility accounts for about 20% of infertile couples. Exploration of infertility causes in men is also very limited, semen testing is almost the only exploration to assess the fertility of men.

This disease is usually divided into 2 main categories:

  • Nam Nguyen Phat infertility:
  • This is a situation that the couple has never given birth and does not use any other preventive measures. However, for many years, it is impossible to give birth to the main cause of the male.

  • Secondary male infertility:
  • This is the case where the couple gave birth to at least 1 to more than 2 times or pregnant but moving, miscarriage, miscarriage, Abortion. Although not using any other preventive measures, it is impossible to have children. The main reason is due to the male.

    Causes of Male infertility's disease

    Causes of infertility in men include:

  • Problems in the process of ejaculation such as premature ejaculation, reverse ejaculation, some diseases such as cystic fibrosis, testicular not going down or being twisted
  • Sperm quality: about 13% to 50% of infertility cases are due to factors from men such as low sperm, shape or abnormal movement of sperm

    Due to male gynecological diseases: prostatitis, foreskin inflammation, testicular inflammation ... are the causes of infertility in men.

    The abnormalities in sperm production function: a common cause that can originate due to shrinkage testicles, genetic defects, diseases such as diabetes, straps Being, previously injured or had testicular surgery or groin area.  drink a lot of alcohol: Drink plenty of alcohol to impair sperm quality, reduce libido. The poison accumulated in alcohol causes erectile dysfunction directly affects the ability to have children in men.

    Smoking: Tobacco is the leading cause of infertility in men, causing sperm to be weakened, deformed or testicular atrophy.

  • Stress, stress: often stress or stress that disrupts male hormones. The story of blankets is not fulfilled to increase the likelihood of infertility
  • Regularly wearing tight clothes: The habit of wearing tight, tight clothes causes the testicular temperature to increase the process of sperm production.
  • Unsafe sex: The habit of violent sex, many times continuously causing the penis to be damaged, causing obstacles for the reproductive process in men. .
  • Exposure to some chemicals and toxins such as pesticides, radiation, marijuana ... and steroids (including testosterone)
  • Lesions caused by cancer and treatment process
  • In addition, many cases of infertility men are not determined, including some conjectures that may be due to genetic cause.
  • Symptoms of Male infertility's disease

  • The ability to produce weak sperm.
  • scrotum, swelling, pain
  • erectile dysfunction and regular ejaculation.

  • Pain in the penis, sometimes blue or yellow pus.
  • Hair loss, obesity, wrinkled and dry skin. The body is sweaty, often stressed, anxious.
  • Infertility in men often do not have clear symptoms and signs. A man with a problem of fertility is still living and ejaculation normally. With the naked eye, it is also impossible to identify sperm quantity and quality. Therefore, medical examination is essential to identify whether the results are infertile or not.

    People at risk for Male infertility's disease

  • Age: Men over 40 years of age have inferior fertility than younger people
  • Tobacco use: Smoking can increase the risk of erectile dysfunction and the number of sperm is small in men.
  • Alcohol use: For men, heavy alcohol use can reduce the number and ability to move the sperm
  • Overweight: The number of sperm of a man and the level of testosterone may be affected if obese
  • Exercise issues: Lack or non -exercise enough to contribute to obesity and increase the risk of infertility.
  • Prevention of Male infertility's disease

  • Maintain weight at a normal level, avoid excess or underweight.
  • Scientific diet, reasonable, enhance eating green vegetables, fresh fruits, vitamins and soybeans for the body
  • No smoking
  • Limit alcohol, stimulants
  • Reducing pressure, stress, always keeping the spirit of comfort and fun to improve the quality of life.
  • Periodic health examination, early detection of disease for timely treatment and prevent adverse effects on reproductive status.
  • Diagnostic measures for Male infertility's disease

    First, the doctor will ask for medical history, history, clinical examination and then conduct tests such as:

  • Test semen
  • Take semen test samples: Conditions to abstain from intercourse from 2 days to 7 days, use semen containers according to standard and sterile. Do not take semen from home, do not use condoms when sampling (because condoms often contain spermicide)

  • Satal biochemical test
  • Vinica bags are high in fructose, prostate containing phosphatase acid and zinc, epididymis containing carnitin and a-glucosidase. Based on these characteristics, which segment can be diagnosed with ejaculation line.
  • Testing for antibody antibodies
  • Quantifying LH, FSH, Prolactin, Estradiol, Testosterone. Testosterone is the most important point of testicular function.

    Inhibin b: Inhibin B is the most important endocrine indicator of the sperm process (the external function of the testes).

    Genetic tests (chromosomes, genes) to assess the level of chromosomal disorders and genes.

  • Histological tests
  • Passion of the epididymis for sperm.

    Biopsy (using biopsy or biopsy).

  • Ultimate - genital ultrasound:
  • Detect prostate abnormalities, seminal vesicles, testicular, epididymis, sperm veins, testicular size.

  • Vasector scan: Find a clogged place on the vasom path
  • Pumping contrast drugs into vas deferens and X-rays. The vasectomy circulates well when the contrast remedy clearly shows vasectomy, seminal vesicles, crystal and bladder balls on X -ray films. If you see the contrast drug stops on the way to prove clogged.

    Male infertility's disease treatments

    Methods of infertility treatment in men include:

  • Medication: The drug can be used to treat some problems affecting male fertility such as hormonal imbalance and erectile dysfunction. >
  • surgery: Surgical method can help treat congestion in vasectomy or varicose veins in the testes.
  • In addition, you can also apply reproductive support methods (Art) including all methods of treating infertility in which both eggs and sperm are use. Some common methods are:
  • Methods of direct and uterine sperm pump (IUI)
  • The method of injecting sperm into eggs (ICSI)
  • IVF method (IVF)
  • Using sperm or donated eggs
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