Causes of Male Fertility

CAUSES OF MALE SUB FERTILITY

Causes
  • Low Sperm Production: Conditions such as hormonal imbalances, genetic defects (e.g., Klinefelter syndrome), and certain infections (e.g., mumps) can lead to reduced sperm production
  • Abnormal Sperm Function: Sperm may be malformed or carry abnormal DNA, which can affect their ability to fertilize an egg
  • Sperm Delivery Issues: Blockages in the reproductive tract, such as those caused by infections (e.g., sexually transmitted infections like gonorrhea or chlamydia), can prevent sperm from reaching the egg
  • Varicocele: Enlarged veins within the scrotum can impair sperm production and function
  • Lifestyle Factors: Smoking, excessive alcohol consumption, drug use, and exposure to environmental toxins can negatively impact sperm quality and production
  • Medical Conditions: Chronic health problems like diabetes, obesity, and certain autoimmune diseases can contribute to subfertility
  • Medications: Some medications, including certain antibiotics, antihypertensives, and chemotherapy drugs, can affect sperm production and function
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Medical Remedies
  • Medications: Drugs like clomiphene citrate and gonadotropins can stimulate sperm production
  • Hormone Treatments: Hormonal therapies can address imbalances that affect sperm productio
  • Surgery: Procedures can repair varicoceles, reverse vasectomies, or remove blockages
  • Assisted Reproductive Technology (ART): Techniques like in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) can help achieve pregnancy
Medical Effects
  • Scrotal Discomfort or Pain: A dull, aching pain or discomfort, especially when standing or late in the day
  • Testicular Atrophy: Shrinkage of the affected testicle due to impaired blood flow
  • infertility in some cases
Treatments

Treatment options for varicoceles include:

  • Medication: Pain relievers and anti-inflammatory drugs can help manage discomfort
  • Surgery: Varicocelectomy is a surgical procedure to remove or ligate the affected veins. This can improve symptoms and potentially enhance fertility
  • Embolization: A minimally invasive procedure where a catheter is used to block the blood flow to the varicocele


Alternative Methods

Some alternative methods that may help manage symptoms include:

  • Lifestyle Changes: Improving diet, reducing alcohol intake, quitting smoking, and managing stress can enhance sperm quality
  • Supplements: Antioxidants like vitamins E and C, zinc, and coenzyme Q10 may improve sperm health
  • Acupuncture: Some studies suggest acupuncture can improve sperm quality and fertility
  • Herbal Remedies: Certain herbs like ashwagandha and maca root are believed to boost fertility, though scientific evidence is limited

Authored by Dr. Anitha Mani - Infertility Specialist & Laparoscopy Surgeon

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