Infertility is defined as the inability to achieve pregnancy in spite of having frequent, unprotected intercourse for at least one year. If you and your partner are experiencing difficulty having a baby, you are not on your own. As much as 10-15% of couples cannot conceive due to several causes.
Causes of male factor infertility
Common causes of male infertility include low sperm production or abnormal sperm function or motility. Certain health and lifestyle issues like excessive alcohol or smoking as well as excessive exposure to certain environmental elements are usually significant risk factors. Nevertheless there are sometimes certain diseases or urological abnormality in the male that can lead to sub-fertility or infertility.
These are dilated veins in the scrotum that could prevent normal cooling of the testicles, leading to decreased sperm production or impaired sperm function. With microsurgical varicocelectomy, excellent results are expected with very low recurrence rates.
This condition occurs when one or both testicles fail to move from the abdomen into the scrotum during fetal development. This can lead to testicular atrophy and reduced sperm production.
Infertility may result from disorders of the testicles themselves, or an irregularity affecting the hypothalamus or pituitary gland in the brain that produces the hormones that control the testicles.
Chromosomal abnormalities like Klinefelter’s syndrome is a genetic defect that occurs when a man has two X chromosomes and one Y chromosome instead of one X and one Y. This causes unusual development of the testicles, resulting in low or absent sperm production and possible low testosterone.
Sperm motility can be temporarily affected by certain infections. Repeated attacks of sexually transmitted diseases (STDs), such as chlamydia and gonorrhea, are most often associated with male infertility. These infections can cause scarring and block sperm passage. An occurrence of mumps after puberty may cause inflammation of the testicles and can impair sperm production. Inflammation of the prostate, urethra or epididymis also may alter sperm function.
Our consultant Urologist and Andrologist will usually conduct special testing of the testicles, prostate and seminal vesicles to determine if there is any correctable cause of infertility.
In many cases, and despite several investigations no cause will be found. In these cases Testicular exploration and sperm extraction (TESE) or aspiration is required to obtain sperms that can be used for in vitro-fertilisation (IVF) or intracytoplasmic sperm injection (ICSI).
In Collaboration with Orchid Fertility and Andrology services center in Dubai Healthcare City. A Northwestern medicine associated facility.