Important issues related to the evaluation of the male factor include the most appropriate time for the male evaluation, the most efficient format for a comprehensive male exam, and definition of rationale and effective medical and surgical regimens in the treatment of these disorders. It is extremely important in the evaluation of infertility to consider the couple as a unit in evaluation and treatment and to proceed in a parallel investigative manner until a problem is uncovered. It has been shown that the longer a couple remains sub fertile, the worse their chance for an effective cure. Many couples experience significant apprehension and anxiety after only a few months of failure to conceive. Unduly prolonged unprotected intercourse should not be advocated before a workup of the man is instituted. Initial screening of the man should be considered whenever the patient presents with the chief complaint of infertility. This initial evaluation should be rapid, non-invasive and cost effective. Of interest is the fact that pregnancy rates of up to 50% have been reported when only the woman has been investigated and treated even when the man was found to have moderately severe abnormalities of semen quality.
And there are several hormones which affects on a person for producing a child like testosterone, Luteinizing hormone (LH), Follicle-stimulating hormone (FSH).
Follicle-stimulating hormone (FSH) is a gonadotropin, a glycoprotein polypeptide hormone. Follicle-stimulating hormone (FSH) is synthesized and secreted by the gonadotropic cells of the anterior pituitary gland, and regulates the development, growth, pubertal maturation, and reproductive processes of the body.
Normal Follicle-stimulating hormone (FSH) levels in adult males are typically between 1.5 to 12.4 international Units Permili Litre (mIU/mL). A high Follicle-stimulating hormone (FSH) level in a male may mean the testicles are not functioning correctly. While low Follicle-stimulating hormone (FSH) levels in males may indicate problems with the pituitary gland in the brain.
Luteinizing hormone (LH) is a hormone produced by gonadotropic cells in the anterior pituitary gland. In males, where Luteinizing hormone (LH) had also been called interstitial cell–stimulating hormone, it stimulates Leydig cell production of testosterone
For males, the normal range is 1.24–7.8 international Units Per Liter (IU/L). If Luteinizing hormone (LH) levels are below the normal range, it may indicate a pituitary gland problem. Their pituitary gland may not be making enough Luteinizing hormone (LH), which may lead to low testosterone
In general, the normal testosterone range in males is about 270-1070 Nanograms Per Decilitre (ng/dL) with an average level of 679 Nanograms Per Decilitre (ng/dL). A normal male testosterone level peaks at about age 20, and then it slowly declines. Testosterone levels above or below the normal range are considered by many to be out of balance.
Infertility may be due to a single cause in either you or your partner, or a combination of factors that may prevent a pregnancy from occurring or continuing.
There are two types of infertility:
Primary infertility and secondary infertility
Primary infertility is the inability to conceive a child after regular intercourse for at least 1 year.
While Secondary infertility occurs in couples who have previously been pregnant at least once, but are unable to achieve another pregnancy.
As per medical research, in 50 to 60 percent infertile cases male have infertility problem. A number of causes exist for male infertility that may result in impaired sperm count or mobility, or impaired ability to fertilize the egg. The most common causes of male infertility include abnormal sperm production or function, impaired delivery of sperm, conditions related to a man’s general health and lifestyle, and overexposure to certain environmental elements.
Type of Diseases:
Testicles are very important in sperm production if testicles are not working well then it makes a problem.
There are two type of testicles disease:
First one is Hydrocele: A hydrocele is a type of swelling in the scrotum that occurs when fluid collects in the thin sheath surrounding a testicle. Hydrocele is common in newborns and usually disappears without treatment by age 1. Older boys and adult men can develop a hydrocele due to inflammation or injury within the scrotum
And the second is varicocele: A varicocele is an enlargement of the veins within the loose bag of skin that holds your testicles. A varicocele is similar to a varicose vein you might see in your leg. Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility.The sperm diseases there are three types of sperm diseases named Azoospermia, Oligospermia and Necrospermia.
The first one is Azoospermia, It is a medical condition of a man whose semen contains no sperm. It is associated with infertility, but many forms are amenable to medical treatment.
Azoospermia’s main cause is infection it includes pus cells in semen.
Blood in semen or presence of bacteria.
This condition does not have any symptoms.
Azoospermia is further divided into two more types: obstructive Azoospermia and Non obstructive Azoospermia
Obstructive azoospermia (OA) is defined as the absence of spermatozoa in the ejaculate despite normal spermatogenesis.Obstructive azoospermia (OA) is a common urologic condition and accounts for 6.1% (1) to 13.6% (2) of patients presenting for fertility evaluation.
Non‐obstructive Azoospermia (NOA) is defined as no sperm in the ejaculate due to failure of spermatogenesis and is the most severe form of male infertility.
Second type is oligospermia this is a male fertility issue characterized by a low sperm count. Other aspects of the sexual health of men with this condition are typical. This includes the ability to get and maintain an erection, as well as produce ejaculation at orgasm. Sperm count in your ejaculate can vary throughout your life as I have explained normal sperm count is between 200 to 600 millions so If a person has less than 120 million sperms count than he has oligospermia, this disease is because of infection in vein, physical disturbance , anxiety and abnormal hormones level.
Now I will tell you about the third infertility disease that is Necrospermia, Necrospermia is a condition in which there is a low percentage of live and very much percentage of immotile spermatozoa in semen. It can be diagnosed via a semen analysis with vitality staining performed to determine whether the sperm are dead or alive and immotile. Because of this man are unable to make a woman pregnant.
There are some conditions required for pregnancy:
50 to 60 percent of active motile
Good health is essential for both men and women
Male semen has normal sperm count
After every 72 hours men should produce 1.5 to 5 milliliters semen.
If a person is not meeting this given criteria, then he is not able to produce a child or make a woman pregnant
When a normal person ejaculates then he releases 200 to 600 millions of sperms. If he has 50 millions or less than 50 millions active sperms then he is not able to produce a child.
In mathematical expression we have a formula:
A man produce 50,000 sperms in a minute, 72 millions in a day these sperms get mature in 84 days.Infertility may be occurs because of different sperm disease.
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For better cure avoid sexual relation with partner during course and medication, avoid eating potato, beans, beef, all spices and cold drinks.
Use pumpkin, carrot, mutton, milk, yogurt, fresh fruits, honey, dates and fish.
Don’t put your laptop on your lap it also affects your penis and make you infertile, so avoid to do this thing
Quit smoking. Tobacco has multiple negative effects on fertility, not to mention your general health and the health of a fetus. If you smoke and are considering pregnancy, quit now.
Avoid alcohol. Heavy alcohol use may lead to decreased fertility. And any alcohol use can affect the health of a developing sperms. If you’re planning to become father, avoid alcohol, and don’t drink alcohol.
Reduce stress. Some studies have shown that couples experiencing psychological stress had poorer results with infertility treatment. If you can, find a way to reduce stress in your life.
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