Treatment is determined on the cause of infertility. Many issues can be resolved with medications or surgery. This would allow for conception via normal sex. The treatments listed below are divided into three categories:
- Male Infertility Treatment without Surgery
- Male Infertility Surgical Treatment
- Unknown causes of Male Infertility Treatment
For male infertility treatment contact the World IVF centre and IVF specialist in Lajpat nagar.
Male Infertility Treatment without Surgery
Anejaculation occurs when no sperm fluid is discharged during a man’s sexual climax. It is uncommon, although it can be caused by factors such as spinal cord injury prior surgery, diabetes, multiple sclerosis anomalies that are present at birth, as well as other mental, emotional, or unexplained issues. To treat this illness, first drugs are used. There are various options if they fail. Ejaculation can be induced by penile vibratory stimulation (PVS) or rectal probe electroejaculation (RPE, also known as electroejaculation or EEJ). A needle can also be used to extract sperm directly from the testicle (Testicular Sperm Aspiration).
Rectal probe electroejaculation is usually performed under anaesthetic. This is true for all, except in men with a damaged spinal cord. RPE recovers sperm in 90 of every 100 men who had it done. This procedure is used to gather a large amount of sperm. However, sperm motility and shape may still reduce fertility.
Penile vibratory stimulation causes the tip and shaft of the penis to vibrate, assisting in the production of a natural climax. While it is non-invasive, it does not perform as well as RPE. This is especially true in the most serious cases.
Because sperm may be weak in men with anejaculation due to impaired sperm (cells) and semen (fluid) transit out of the body, assisted reproductive procedures such as in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI) are of significant use to men with anejaculation.
Infection of the Genital Tract
Infertility is rarely associated with genital tract infection. It is only encountered in roughly 2 out of every 100 males who are having fertility problems. In such circumstances, a sperm test is frequently used to determine the problem. White blood cells are discovered during the examination. White blood cells produce an excessive amount of “reactive oxygen species” (ROS). This can harm sperm, reducing the likelihood of sperm fertilising an egg. A severe infection of the epididymis and testes, for example, may result in testicular shrinkage and epididymal duct obstruction. In order to produce results, the infection must not be abrupt.
Antibiotics are frequently used for severe illnesses. However, they are not used for minor inflammations. Some antibiotics have the potential to impair sperm production or function. Nonsteroidal anti-inflammatories (such as ibuprofen) are frequently substituted.
Inflammation from sources other than illness can potentially have an impact on fertility. Chronic prostatitis, for example, can, in rare situations, block the ejaculatory ducts.
Hyperprolactinemia occurs when the pituitary gland produces an excessive amount of the hormone prolactin. It contributes to infertility and erectile dysfunction. Treatment is determined by what is causing the rise. If a pituitary tumour is present, drugs or, less usually, surgery may be performed to treat it.
Hypogonadism (hypogonadotropic hypogonadism)
Hypogonadotropic hypogonadism occurs when the testicles do not produce sperm due to inadequate stimulation by pituitary hormones. This is caused by a pituitary or hypothalamic gland issue. It is the cause of a small percentage of male infertility. It can occur from birth and is usually noticeable when a young guy enters puberty (“congenital”). It could also appear later (“acquired”) in life.
Male Infertility Surgical Treatment
Treatments for Varicocele
Varicoceles can be corrected with a modest outpatient procedure known as varicocelectomy. The treatment of these enlarged veins improves sperm motility, number, and shape. For more information on varicocele treatments, go here.
Microsurgical Vasovasostomy: Vasovasostomy is a procedure performed to reverse a vasectomy. Microsurgery is used to connect the two severed sections of the vas deferens in each testicle. For additional information on this treatment, go here.
Vasoepididymostomy is a procedure that connects the upper end of the vas deferens to the epididymis. It is the most often used microsurgical technique for treating epididymal blockages. For additional information on this treatment, go here.
Ejaculatory Duct Transurethral Resection (TURED)
Ejaculatory duct obstruction can be surgically addressed. A cystoscope is inserted into the urethra (the tube inside the penis) and a small incision in the ejaculatory duct is made. However, there may be issues. Blockages may reappear. Other possible but uncommon complications include incontinence and retrograde ejaculation caused by bladder injury. Furthermore, only one in every four couples conceive naturally after undergoing this procedure.
Unknown Causes of Male Infertility Treatment
It can be difficult to determine the cause of male infertility. This is referred to as “idiopathic” male infertility. Experience may be used by your health care practitioner to determine what works. This is known as “empiric therapy.” Because infertility is frequently caused by hormonal imbalances, empiric therapy may help to regulate hormone levels. It’s difficult to predict how effectively empiric therapy will work. Each case is unique.
ART (Assisted Reproductive Techniques)
There are ways to get pregnant without intercourse if infertility therapy fails or is not available. These are known as assisted reproductive procedures (ARTs). Your doctor may recommend the following treatments depending on the kind of infertility and the cause:
IUI stands for intrauterine insemination (IUI). In IUI, your doctor will insert sperm into the female partner’s uterus via a tube. IUI is frequently effective in treating low sperm count and movement issues, retrograde ejaculation, and other causes of infertility.
Fertilization in vitro (IVF). In vitro fertilisation (IVF) is the process through which the egg of a female partner or donor is combined with sperm in a lab petri dish. In order to perform IVF, the ovaries must be stimulated to generate numerous eggs (ova). This is frequently done with medications administered as daily injections. It enables the retrieval of a large number of mature eggs. The fertilised egg (embryo) is returned to the uterus after 3 to 5 days of growing. IVF can be used to treat a variety of hormonal disorders in women as well as blocked tubes or idiopathic infertility (where there is no cause that explains the fertility problem). However, it is increasingly being used in cases where the man has severe and incurable oligospermia (low sperm count).
Injection of Intracytoplasmic Sperm (ICSI). ICSI is a type of IVF. It has transformed the treatment of severe male infertility. It allows couples, who were previously thought to be infertile, to become pregnant. With a small needle, a single sperm is delivered into the egg. After the egg has been fertilised, it is placed in the uterus of the female partner. If you have really poor sperm quality, your doctor may recommend ICSI. For this approach, sperm can also be extracted surgically from the testicles or epididymis.
Retrieval of sperm for ART. Many microsurgical techniques can be used to extract sperm that has been obstructed by obstructive azoospermia (no sperm). The goal is to obtain the highest quality and number of cells possible. This is done while attempting to avoid harming the reproductive tract. These treatments include:
Male infertility is frequently treated as an outpatient treatment. These are performed under general anaesthesia or intravenous sedation. While postoperative pain is usually moderate, recovery and follow-up time varies. Your doctor should perform a physical exam after varicocele repair. This is to see if the vein has entirely disappeared. Because the veins are not eliminated after surgery rather blocked up to prevent aberrant blood flow, they frequently remain swollen. For at least a year, or until pregnancy, sperm should be tested every three months. If your varicocele reappears or you remain infertile, speak to your doctor about ARTs.
Vasectomy reversals result in just minor discomfort following surgery. However, you should expect to be off from work for 4 to 7 days. Many factors influence the likelihood of pregnancy. It is primarily determined by your female partner’s age and fertility. The amount of time between your vasectomy and reversal also has an impact on success. The longer you wait, the less probable it is that the reversal will be successful. Book your appointment with the World IVF centre for infertility treatment in Delhi.