Defining Male Infertility

A condition where the wife or the female partner fails to conceive naturally even after a year of unprotected sex due to the male’s inability.

What are the symptoms of male infertility?

Most of the symptoms are not very prominent; hence they go unnoticed until a man tries to have a baby. However, there are some subtle symptoms that may indicate infertility in men

  • Change in sexual desire
  • Change in hair growth
  • Erectile dysfunction and problems with ejaculation
  • Lump or pain in the testicles
  • Firm and small testicles

What are the reasons behind male infertility?

There can be manifold reasons behind male infertility like

  • Poor semen quality with immotile sperms or low sperm counts.
  • Morphologically poor sperms that fail to penetrate the eggs.
  • Blockage in the reproductive tract that prevents sperm from reaching the semen
  • Variococeles, infections and tumors (both benign and malignant)
  • Retrograde ejaculation where the semen fails to come out from the tip of the penis
  • Anti-sperm antibodies that destroys sperms
  • Hormonal imbalances and chromosome disorders
  • Trouble with sexual intercourse due to chronic diseases, anatomical abnormalities or psychological problems
  • Over exposure to harmful chemicals, radiation and x-rays
  • Rise in the scrotal temperature
  • Addictions like, smoking, alcohol or drugs
  • Obesity
  • Prior scrotal or testicular surgeries

Can a man with normal sexual performance suffer from infertility?

Yes, he can. A man who performs normally during sexual acts may still fail to impregnate his partner. Again, an impotent man with low sexual performance can still be fertile. This is because infertility and sexual performance is not directly linked. It is estimated that almost 50% childless couples fail to conceive naturally due to the male infertility factors.

How to diagnose male infertility?

Diagnosing male infertility includes a thorough investigation about the patient’s medical history, blood test to identify hormonal imbalance, chromosome disorder and genetic causes. Testicular biopsies to know about anatomical defects in the reproductive tract and semen testing are also done to diagnose a man for infertility.

What does the treatment of male fertility involves?

The treatment for male fertility may include medications and hormonal injections (HCG and FSH) to boost sperm count and motility rate. Apart from these, surgeries on some occasions might be taken up for the anatomy rectification of the male reproductive tract.

Are the surgeries for treating male infertility painful?

Not really, it may have a mild but bearable sensation. However, general anaesthesia can be induced if the patient does not want to experience any unpleasant feeling.

What is the time taken for these surgeries?

Most of these surgeries day care procedure that takes barely 15-30 minutes. However, the time limit may vary depending upon the criticality of the procedure and the condition of the patient.

How soon can a man resume his daily activities after these surgeries?

In most cases, patients are discharged within a couple of hours and they can resume to their normal life within 24 hours. However, for indulging in sexual activities, the wait might be a little longer, up to 15-20 days. The fertility specialist will guide you accordingly.

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