Male infertility doctor. Treatment of infertility in men

Treatment male infertility- one of the specialized areas medical care, provided in the network of clinics “Mother and Child”. Male infertility is the inability of a man to impregnate a woman, the absence of a desired pregnancy in a couple with regular attempts to conceive for 1 year. If age expectant mother exceeds 35 years, the absence of pregnancy for 6 months while maintaining regular sexual activity without using contraceptive methods can be diagnosed as infertility.

According to statistics, every fifth couple in the world faces infertility. Female and male factors of infertility as the causes of infertility in the family have the same ratio. However, a medical examination of the possible causes of infertility in a couple should begin with the man - basic andrological studies are absolutely painless, and their results make it possible to quickly exclude the factor of male infertility.

Causes of male infertility

In modern reproductology, primary and secondary male infertility are distinguished. Primary – if a man has not become pregnant throughout his entire sexual life. Secondary - if a man already has children, but conception does not occur during this period.

A man's reproductive abilities depend, first of all, on the quality and quantity of male reproductive cells - sperm. The process of sperm formation - spermatogenesis - normally occurs from the onset of puberty until the end of life. At the same time, male reproductive cells are vulnerable to negative influences, which are inflammatory diseases of the pelvic organs, infectious diseases - including sexually transmitted diseases, disruption of the endocrine system, and immunological pathological processes in the body.

A sedentary lifestyle, including smoking, excessive consumption of alcoholic beverages, the use of anabolic steroids, frequent exposure to high temperatures (regular visits to the bathhouse or sauna) - all these factors negatively affect spermatogenesis and sperm quality. It is worth noting that irregular sexual intercourse can also lead to stagnation in the auxiliary male sex glands, which is a predisposing factor in the development of inflammation with its negative impact on sperm parameters and the possibility of fertilization.

A man’s reproductive abilities also depend on the structure of the organs of his reproductive system. Congenital anomalies of their development, acquired pathologies of the genital tract, leading to disruption of the transportation and release of sperm are common causes of infertility in men.

So, if pregnancy does not occur in your couple, you should contact a specialist - andrologist and undergo a series of studies.

Diagnosis of male infertility

  • initial examination by an andrologist;
  • sperm examination: spermogram, MAR test, electron microscopic examination of sperm (EMIS), study of DNA fragmentation in sperm;
  • hormonal examination: blood test for hormone levels thyroid gland, sex hormones and the “stress” hormone – prolactin;
  • genetic examination: karyotyping, study of mutations in the CFTR gene (cystic fibrosis gene), study of the AZF locus on the Y chromosome;
  • Ultrasound examination (ultrasound): scrotum, prostate, Doppler (performed as prescribed by an andrologist).

Based on the results of the diagnostics, an individual treatment program is created. Each program for the treatment of infertility in men at Mother and Child is created through the interaction of doctors of various specializations under the guidance of an andrologist and a reproductologist. A collegial approach allows us to achieve better results in choosing treatment tactics and achieving pregnancy in couples.

Treatment of male infertility

Conservative treatment of male infertility: hormonal therapy is prescribed for diagnosed endocrine disorders, antibacterial therapy is prescribed for detection of chronic or acute sexually transmitted infections.

Surgical treatment of male infertility: surgical operations carried out for varicocele or some congenital anomalies of the male reproductive system, when sperm are absent in the ejaculate, but are present in the testicle itself or its epididymis. In our center, we perform sperm aspiration from the epididymis (PESA), or from the tissue of the testicle itself (TESA). These methods are low-traumatic and are performed under general intravenous anesthesia.

IVF/ICSI: One of the signs of male infertility is unsatisfactory spermogram, which indicates a significant decrease in the number and motility of sperm. In this case the best way achieving pregnancy - in vitro fertilization (IVF). If there are few sperm, their motility is reduced, and their fertilizing ability is affected, the procedure of intracytoplasmic sperm injection (ICSI) is recommended. ICSI gives a chance of success even to those men whose semen contains only a few viable sperm.

We successfully overcome male infertility in the vast majority of cases. “Mother and Child” specialists – andrologists, reproductive specialists, endocrinologists, immunologists, geneticists, embryologists – doctors of the highest qualification category, candidates and doctors medical sciences. The equipment of our infertility treatment centers allows us to use the most effective and safe methods for diagnosing and treating infertility in men, used in international reproductive practice today. We do not use ready-made solutions; we create an infertility treatment program that helps you become a happy father of healthy children.

Have you been planning to have a baby for a long time, but pregnancy never occurs? According to statistics, in more than 50% of cases, conception does not occur due to problems with the man’s reproductive health. What to do in this situation? The capabilities of modern medicine make it possible to treat male and female infertility even in the most difficult cases.

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Cost of infertility treatment

Initial consultation with an andrologist: 3,200 rubles
Repeated consultation with an andrologist: 2,700 rubles
ICSI: from 15,000 rubles
TEZA: 28,500 rubles
Micro-TEZE: 68,200 rubles

Causes and treatments for male infertility

  • anatomical abnormalities of the male genital organs (for example, hypospadias or obstruction of the vas deferens);
  • sexual-ejaculatory dysfunction (impotence, retrograde ejaculation);
  • endocrine hypothalamic-pituitary pathologies leading to disorders of spermatogenesis (hyperprolactinemia, hypogonadotropic hypogonadism, etc.);
  • inflammatory and infectious diseases (for example, chronic prostatitis):
  • impaired spermatogenesis due to genetic diseases;
  • immunological disorders (presence of autoimmune antibodies to sperm);
  • varicocele;
  • disruption of spermatogenesis due to exposure to exogenous factors (radiation and chemotherapy, taking certain medicines, alcohol, etc.).

Thus, by and large, the causes of male infertility can be divided into 3 categories:

  • sperm are not formed at all;
  • sperm do not mature;
  • the seed cannot be ejaculated normally and does not enter the woman’s reproductive system physiologically.

Diagnosis of male infertility

Diagnosis of male infertility involves conducting various studies aimed at assessing the reproductive function of the body. First of all, the urologist-andrologist prescribes a spermogram, the results of which can reveal certain disorders in the process of spermatogenesis. Among the main indicators that are considered when deciphering the study are the total amount of ejaculate, the concentration of sperm in semen, the percentage of motile sperm from their total number, as well as the percentage of morphologically normal forms.

In addition to a spermogram, laboratory diagnosis of male infertility is required, including a urine test, microscopic examination of prostate secretions, analysis for sexually transmitted infections, as well as determination of the level of the hormones prolactin, testosterone, FSH and LH in the blood plasma. In addition, according to indications, a culture of the flora of prostate secretions or sperm can be carried out, the purpose of which is to identify both inflammatory and infectious diseases.

A thorough diagnosis of male infertility allows you to prescribe an effective treatment regimen and, in many cases, restore fertility.

At the Nova Clinic center in Moscow, various methods for diagnosing male infertility are used, which make it possible to comprehensively assess the condition of the male reproductive system and detect all possible pathological changes.

Treatment methods for infertility in men

The main question that patients usually ask a urologist-andrologist is: “Is male infertility treated?” Yes, male infertility is treated, and very effectively, using various methods, the use of each of which is determined by the results obtained during a thorough diagnosis.

  • Conservative treatment of infertility in men

Treatment of male infertility with medicinal methods is aimed at restoring the natural reproductive ability of a man and is used, as a rule, in the presence of an inflammatory or infectious process, as well as in the case of endocrine disorders.

  • Surgical treatment of infertility in men

Surgical methods for the treatment of male infertility are indicated for such pathologies as varicocele (varicose veins of the spermatic cord), cryptorchidism (impaired descent of one or both testicles into the scrotum), obstructive azoospermia (in this case, the absence of sperm in the ejaculate is due to the presence of obstructions in the vas deferens). Experienced surgeons at Nova Clinic, using the most modern and effective techniques, regularly perform such operations, successfully treating infertility in men even in complex cases.

  • Treatment of male infertility using ART methods

For the treatment of severe forms of infertility in men, the IVF + ICSI method (intracytoplasmic sperm injection) is effectively used, which allows artificial fertilization of an egg even in the complete absence of mature sperm in the ejaculate.

In conclusion, I would like to add that regular checkups and seeking help from a urologist-andrologist when the slightest discomfort appears in the genital area can often prevent serious consequences.

Despite the fact that reproductive medicine has come a long way and makes it possible to overcome complex forms of infertility in men, prevention remains the best way reproductive health support.

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Thanks to development modern methods In research, specialists were able to prove that infertility is caused by male factors in 50% of cases.

Why does infertility occur?

The main reasons for infertile marriages due to the male factor are:

  • Genetic diseases, congenital defects of genitourinary development;
  • Hormonal imbalances in the body;
  • Tumors of the pituitary gland, which is responsible for the production of many hormones;
  • Damage or injury to the scrotum or testicles;
  • Previous surgical interventions on the scrotum area;
  • Varicocele - varicose veins of the seminal ducts (as a result of this pathology, sperm overheat and die without having time to fulfill their main mission);
  • Chronic infections, including hidden ones, which a man may not even be aware of;
  • Past mumps (mumps);
  • Obesity, arterial hypertension;
  • Diabetes mellitus, lipid metabolism disorders;
  • Irradiation of the body or long courses of chemotherapy;
  • Constant stress - this factor in itself does not cause the development of infertility in men, but can significantly affect the quality and quantity of sperm.

In addition, one of the common causes of male infertility is the abuse of alcoholic beverages, and the amount of sperm produced may remain unchanged, but the quality of the reproductive cells is greatly affected.

Diagnostic testicular biopsy

20,000 rub.

Sperm DNA fragmentation study TUNEL with gradient

8,000 rub.

Nonspecific stimulation of spermatogenesis III complex

2,100 rub.

IMSI

Method of visualization and selection of sperm without signs of apoptosis (vacuoles) under high magnification

32,000 rub.

Is there a cure for infertility in men?

A specialist from our center will be able to give you the answer to this question after a comprehensive examination.

If the reason for a woman’s lack of pregnancy is a deterioration in sperm quality, then the treatment of infertility in a man will be effective and safe, after which the couple will be able to begin actively planning a pregnancy naturally.

If infertility in a man is caused by congenital anomalies in the structure of the genitourinary system, then the partner’s pregnancy will only occur through IVF using the sperm of a spouse or donor, provided that doctors are unable to obtain a single high-quality germ cell.

Male infertility can be treated successfully if the patient consults a doctor for early stages development of problems, when everything can still be solved with high-quality conservative therapy. When establishing the cause, the main task of specialists and the patient is to completely exclude factors leading to non-pregnancy.

A man must strictly follow all the specialist’s recommendations, lead an active lifestyle, and eat a balanced and varied diet. Stress and psycho-emotional overload should also be avoided, as this leads to a deterioration in the quality of sperm, complicating the already difficult process of conception.

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If you are still researching male infertility treatment clinics, choose AltraVita!

Becoming a father is a dream that many men have, but some of them face difficulties in making it a reality. If a partner does not become pregnant after a year of active sexual activity without contraceptives, then it becomes possible to talk about a diagnosis such as infertility.

To successfully overcome the problem, it is recommended to undergo a comprehensive examination, during which a number of studies are prescribed, including an analysis of hormones in men, a spermogram, and others. The variety of causes of childlessness, complex laboratory diagnosis of male infertility, the complexity of interaction between the male gonads and other organs of the endocrine system - all these factors complicate the diagnosis and treatment of reproductive disorders in men.

Therefore, it is better to undergo the examination in a clinic, where there is also necessary equipment, and experienced specialists.

First stage of examination

Study of anamnesis

Before testing a man for infertility using laboratory tests, a specialist collects and evaluates medical history data, among which the greatest interest is information about past urogenital diseases and fertility (gonorrhea, chlamydia, mycoplasmosis, etc.). In addition, the patient’s lifestyle, chronic diseases and previous surgical operations, which could potentially cause the impossibility of conception, are studied. It also turns out how long it takes for conception to occur, the presence of abortions and pregnancies in the partner, etc. Such information is relevant if IVF is planned for male infertility.

Spermogram

Tests for infertility in men begin with a spermogram. This analysis is mandatory; to obtain correct results, you should abstain from sexual intercourse for 48-72 hours. During this period, the consumption of alcohol, strong drugs, and visiting the sauna and bathhouse is not allowed. If pathological changes are recorded in the ejaculate, then a repeat test will be required after 2 weeks. A similar study is carried out when conducting IVF for male infertility.

MAR test

Some other tests for male infertility are sometimes performed as part of a spermogram. Most often - MAR test. The test is designed to identify the number of sperm that may be covered with antisperm bodies, making fertilization impossible. If more than 50% of such sperm are recorded, then a diagnosis of “immunological infertility” is made.

ELISA

According to which the titer of antisperm antibodies in the blood serum of a man and his partner is determined.

Andrologist examination

During which the severity of secondary sexual characteristics is assessed, the condition of the penis, testicles, mammary glands, distribution of hair on the body. During the examination, the doctor assesses the size, consistency and location of the testicles in the scrotum using palpation.

Cytological analysis

Allows you to obtain information about the discharge of the urethra and seminal vesicles.

Other studies

  • Bacteriological analysis.
  • The secretion of the prostate gland is examined.
  • Determination of blood group, Rh factor.
  • Blood chemistry.
  • Tests for the presence of infections.
  • General blood analysis.
  • Analysis of hormones in men.

Second stage of examination

If during the first stage of the examination the cause of infertility was not discovered, the specialist will prescribe a number of additional tests and studies, including:

  • Advanced analysis of hormones in men (FSH, LH, testosterone, sex hormone binding globulin), which is relevant for severe azoospermia and pathospermia.
  • If a pituitary tumor is suspected, it is recommended to check prolactin levels.
  • Ultrasound examination of the scrotum, which is also performed for IVF in male infertility.
  • Its goal is to study structural changes and detect pathologies in the appendages, testicles and prostate gland.
  • The TRUS method is intended to detect changes in the seminal vesicles if congenital agenesis of the vas deferens or obstruction of their distal sections is present.
  • Doppler examination can detect subclinical varicocele and the presence of venous reflux in the testicular vein system.
  • ELISA combined with PCR to detect sexually transmitted infections. Genetic studies, including karyotyping.
  • A semen centrifugate test is usually prescribed for non-obstructive azoospermia.
  • Study of post-orgasm urine.
  • Testicular biopsy for diagnostic purposes is performed quite rarely. Most often, this operation is required to perform IVF for male infertility.

List of tests for diagnosing male infertility

When planning a pregnancy through IVF, a comprehensive examination of the male body is required, which consists of two stages.

Initially, the medical history is carefully collected and studied, and spermogram analyzes are deciphered. After this, a series of diagnostic measures are prescribed, the results of which will provide a complete picture of the condition of the man’s body.

Primary tests for infertility in men consist of collecting a medical history, which contains all the information about what diseases the patient suffered from. An examination and ultrasound examination are carried out. Tests are also prescribed for the man to determine the immunological factor of infertility and a spermogram.

Before donating sperm for analysis, sexual rest for 48-78 hours is strongly recommended. If pathospermia is detected, then after half a month you will need to re-donate the ejaculate.

Define immunological cause Infertility can be achieved through special tests that determine the presence of antisperm antibodies in the ejaculate and blood serum. For this purpose, ELISA antibody titer and MAR test are prescribed. If the study gives a positive result, then we are talking about the immunological factor of infertility.

Testing for infertility in men at the second stage involves studying the hormonal profile and analyzing post-orgasmic urine (with retrograde ejaculation). It is also necessary to determine the presence of pathogens in the genitourinary area and conduct a genetic examination.

Diagnostic methods

  • Hormone tests for a man allow you to find out the exact levels of LH, FSH, SHBG and testosterone. If there is a suspicion of disturbances in the activity of the thyroid gland or a tumor in the pituitary gland, it is recommended to determine the level of thyroid hormones and prolactin.
  • Ultrasound examination provides an opportunity to evaluate the structure of the prostate gland, as well as the organs of the scrotum. The pathology of the seminal vesicles is detected using the TRUS technique.
  • Diagnosis of infertility in men is carried out using the Doppler method. For this purpose, a Doppler study of the vessels of the scrotum is performed, due to which the subclinical form of varicocele is determined, as well as the presence of reflux in the testicular venous system.
  • Pyospermia can be detected during sperm culture with microscopy of the ejaculate.
  • Testing for the presence of STIs is carried out using ELISA and PCR diagnostics.
  • Non-obstructive azoospermia is diagnosed by examining the ejaculate centrifugate.

If retrograde ejaculation is suspected, e.g. V bladder sperm penetrates, a post-orgasm urine test is prescribed. Such an extensive study allows us to identify the exact cause of male infertility and prescribe qualified treatment.

In order for a healthy baby to be born, pregnancy must be planned. For these purposes, it is also necessary to undergo an examination. Tests for a man when planning a pregnancy will show existing abnormalities in the body and promptly undergo treatment. Of course, the list of studies when planning conception for men will be shorter than for women - after all, a woman not only participates in conception, her ability to bear a fetus depends on her state of health. However, screening a man before conception is just as important.

The common belief that if a woman does not get pregnant, then the reason is her, is often erroneous. Male infertility is no less common than female infertility. Is it possible to help a man in this case? Let's figure out which doctor treats male infertility, where it needs to be treated and how it is generally treated. Modern medicine has great opportunities for providing high-quality treatment for male infertility; the use of various treatment methods in combination with medications and changes in a man’s lifestyle allows one to achieve good results in solving this problem.

Causes of male infertility

Male infertility means the inability of a man to impregnate a woman. This problem can be discussed if a woman does not become pregnant within a year after the start of regular sexual activity without contraceptives.

Infertility in men can have various causes, but it is always based on three main factors:

  • impaired viability or motility of sperm;
  • significant decrease in sperm count;
  • disruption of the passage of sperm through the vas deferens.

Congenital or acquired diseases can lead to such consequences. So, The most common causes of male infertility are:

  • varicocele;
  • testicular injuries, torsion;
  • infectious diseases (infertility in men and mumps are closely related conditions; sexually transmitted infections can also lead to reproductive dysfunction);
  • inflammatory diseases of the prostate gland, urethra;
  • immunological and hormonal disorders;
  • exposure to toxic substances: alcohol, drugs, certain medications.

First of all, a man should undergo the necessary tests to detect and confirm the fact of infertility. This can be done at a family planning center or a male infertility clinic. If you are interested in treatment in Moscow, then there will be no problems with this, since any medical center has a specialized doctor - an andrologist. If there are no such clinics in your city, you can get tested for infertility by a urologist or andrologist at a local clinic.

Infectious mumps (mumps) as a cause of infertility

According to statistics, every fourth infertile man acquired this disease after suffering from infectious mumps, which is popularly called mumps. Infertility in men after mumps develops due to the fact that the mumps virus affects the gonads (testes in boys). A complication of mumps is manifested by orchitis (inflammation of the testicle), which also negatively affects the reproductive capabilities of men. It should be noted that mumps does not always affect the testicles; this only occurs with severe orchitis. Milder forms of mumps may have no effect on testicular development in future men!

Can rubella cause infertility in men?

Rubella is also a viral disease. As a rule, this is a disease suffered in childhood (up to 5 years). The disease itself does not in any way affect the reproductive function of a man, but during the acute period of the disease, boys are likely to have orchitis, which ultimately can cause infertility.

The influence of sexually transmitted diseases on the development of infertility

There are similar causes of female and male infertility - this is infertility that occurs against the background of chronic sexually transmitted infections:

  • trichomoniasis;
  • ureaplasmosis;
  • gonorrhea;
  • chlamydia.

Chlamydia in men can cause infertility, since chlamydia causes a persistent inflammatory process in the organs of the reproductive system.

Diagnosis of infertility in men

What should you do if you suspect male infertility and how to identify it? It is best to immediately contact an andrologist - a doctor who diagnoses male infertility. Today, in case of an infertile marriage, it is considered economically feasible to first test for infertility in a man, and then examine the woman. Whatever the reasons for male infertility, there will always be changes in the spermogram. The test begins with the man having to undergo a test - submitting sperm for analysis.

Sperm testing allows you to determine the total number and activity of sperm, and the level of acidity. Further, if there are abnormalities in the spermogram, the examination consists of a microbiological examination of sperm, ultrasound and x-ray diagnostics of the pelvic organs.

Ultrasound diagnosis of male infertility can reveal abnormalities in the structure of the testicles, prostate gland and some developmental anomalies.

How to determine infertility in a man if it is associated with the patency of his vas deferens?

In this case, X-ray diagnostics using contrast is used.

Diagnosis also includes hormonal testing. Hormone studies can help establish hormonal infertility. Genetic research reveals genetic infertility.

When conducting an immunological study, it is revealed immunological male infertility. For this purpose, a MAP test of sperm and blood, a postcoital test and a latex agglutination test are performed.

Symptoms of male infertility

The first signs of infertility in men are not always immediately apparent. But there are congenital conditions that allow one to suspect the possible development of reproductive dysfunction. They will be expressed in undescended testicles - the presence of cryptorchidism. Undescended testicles are due to hormonal reasons. To preserve spermatogenesis in the future, surgical treatment at an early age is recommended, which has a positive effect on testicular growth and function. The first signs can be suspected if there is varicocele, which is often detected in adolescence. If the dilation of the veins of the spermatic cord is not eliminated, then the pathology progresses, and with the onset of fertile age, male infertility associated with varicocele appears.

Detected in adolescence, congenital hypogonadism will cause delayed sexual development, which can also be considered a sign of potential infertility in a man. It is important to early identify primary hypogonadism and carry out replacement therapy to stimulate sexual development.

Signs of male infertility may include small testicles with a doughy consistency, external signs of eunuchoidism, low growth of female-type hair, and developed mammary glands. You need to pay attention to this and consult a urologist.

According to WHO standards, the main symptoms of male infertility are considered to be: low sperm count (less than 0.5 ml), erectile dysfunction, obesity, feminine body features. Infertility in men may be indicated by auxiliary symptoms: absence of a testicle, small testicles, different size of testicles. At the same time, a man can feel absolutely healthy, have sexual relations and learn about his problem only if he tries to conceive a child. Symptoms appear within a year of regular sexual activity with one woman and are manifested in the inability of a man to conceive a child, subject to the woman's reproductive health. But we can talk about male infertility strictly after examination!

Types of male infertility

Depending on the reasons, there are several types:

  • secretory form of infertility in men;
  • obstructive form;
  • hormonal infertility;
  • genetic infertility;
  • male immunological infertility;
  • secondary infertility.

Secretory form of infertility

A condition in which sperm production is impaired. In this case, a decrease in the number and activity of germ cells is determined. Defects in the structure of sperm can be traced: the presence of two heads, underdeveloped tails, pathology of the heads and necks.

In the obstructive form, there is partial or complete obstruction of the spermatic cords, which makes it impossible for sperm to enter the vagina.

Hormonal infertility

This form is associated either with direct damage to the testicles (trauma, infectious disease) or with dysfunction of the hypothalamus and pituitary gland. Serious hormonal changes observed in congenital hypogonadotropic syndromes: Kalman, Prader-Willi, Lawrence-Moon-Bardet-Biedl. Pituitary dysfunction is acquired (pituitary tumors). Such conditions require hormonal correction and surgical removal of the tumor.

Genetic infertility

It is believed that in men, genetic diseases are the cause of infertility in 30-50% of all cases. Gene mutations can contribute to decreased motility and changes in the morphological properties of sperm.pThe most common genetic pathology is Klinefelter syndrome (extra X chromosome). This leads to a disruption of spermatogenesis and the man has a small testicle size. Mutation of the Y chromosome leads to azoospermia and oligozoospermia. A mutation in the cystic fibrosis gene (CFTR) causes a man to lack the vas deferens.

Immunological infertility (autoimmune infertility)

Separately, it is worth highlighting autoimmune infertility, the causes of which are the least studied. Most often it is a consequence of scrotal trauma, surgery or inflammatory processes. Autoimmune infertility in men is associated with the appearance of antibodies to one’s own sperm (immune response). Antisperm antibodies (ASAT), which are formed during immune infertility, attach to the sperm membrane. The presence of antisperm antibodies on the surface of most sperm in male immunological infertility worsens the prognosis for pregnancy, which is associated with impaired sperm motility and their ability to penetrate the cervical mucus and reach the egg.

Secondary infertility

Secondary infertility is spoken of when a man previously had the ability to fertilize a woman and already has children, but for some reason fertility is lost. The causes of secondary infertility in men can be inflammatory processes, trauma to the genital organs, unsuccessful surgeries on the genital organs, exposure to radiation, etc. Depending on the cause of male infertility, treatment will vary.

Traditional methods of treating male infertility

Is there a cure for male infertility? The question does not have a clear answer. Most often, the problem can be dealt with and the birth of a child in the family can be achieved naturally. But this is sometimes preceded by a long treatment process, which can take years. Let's touch on the issues of how to treat infertility in men and what methods of treating male infertility exist.

Treatment methods for male infertility, depending on the cause, can be divided into conservative, surgical and balneological (sanatorium-resort treatment).

Conservative methods include non-traditional methods of treatment: acupuncture and hirudotherapy. There are sanatoriums whose main activity is the restoration of men's health, which also contributes to the treatment of male infertility. Most often people go here for rehabilitation after conservative or surgical treatment of male infertility. Reviews about sanatorium-resort treatment are contradictory. However, it all depends on the form of infertility and the degree of changes.

In addition, there is a method of assisted reproductive technology IVF ICSI - injection of sperm into the cytoplasm of the egg. For example, with azoospermia, a woman can be fertilized only by ICSI.

Drugs for the treatment of male infertility are mainly hormonal and immunocorrective drugs, and in the presence of an inflammatory process - antibiotics.

Treatment of infertility caused by varicocele

Male infertility with varicocele is treatable! If the operation is performed on time, the testicles have not atrophied and there are sperm in the ejaculate, then taking drugs for the treatment of male infertility (in this case to stimulate spermatogenesis), you can achieve results.

Obstruction of the vas deferens in obstructive form of infertility

The development of obstruction occurs as a result of epididymitis (inflammation of the epididymis), trauma to the testicles or groin areas. Currently, reconstructive plastic microsurgical operations are performed.

The operation to eliminate infertility in men consists of restoring the patency of the vas deferens. The success of the operation in this case depends on the length of the area of ​​obstruction. The obstructed area is excised or a new path for sperm is formed.

Treatment of male infertility with hirudotherapy (leeches)

Among the non-traditional methods of treatment, it is worth noting the use of hirudotherapy for male infertility. Under the influence of leeches, blood circulation in the pelvic organs improves, erection and spermatogenesis improve, and congestive and inflammatory processes are eliminated.

Hirudotherapy for male infertility is used as an auxiliary treatment for certain forms of infertility. For example, if it is associated with inflammatory process prostate gland. Hirudotherapy for male infertility can only be recommended by a doctor if he is confident in its effectiveness. this method treatment in your case. The same can be said about herbs for men against infertility, which can be prescribed by a doctor in complex therapy and are most often used in the form of dietary supplements for oligospermia. The effect of this treatment has not been proven.

Treatment of immunological infertility

Treatment of immunological infertility in men is complex and ineffective. In the treatment of autoimmune infertility in men, enzyme preparations, cytostatics, glucocorticoid hormones, and plasmapheresis are used. Most often, this type of infertility cannot be treated, and in this case one should resort to the ICSI procedure.

Couple treatment of male infertility

Infertility in a married couple can be male, female or combined. But even dividing the problem in this way, you should not put the entire burden of treatment on one partner. The fight against infertility is always a mutual process, in which the psychological atmosphere in the family will play a huge role. The feeling of illness and of being “wrong” can cause a feeling of guilt in a family member and create additional stress, which will not have a favorable effect on preparing for the role of a parent. Particular attention should be paid to the situation of joint treatment of female and male infertility. In approximately a third of all cases of this diagnosis, the problem of infertility or simply reduced reproductive functions affects both partners.

The causes of the problem may lie in pathological disorders of the reproductive system of both women and men, which will entail specific diagnoses and treatment strategies, or they may have an unclear etiology, which will lead to a diagnosis of infertility of unknown origin. And as practice shows, even absolutely healthy men and women can actually have problems conceiving a child. According to statistics, such couples account for approximately 20% of couples with general infertility.

Each case of combinations of women's and men's health problems is quite unique, and therefore requires an individual approach and a responsible attitude on the part of the couple. Essentially, when treating female and male infertility, each person fine-tunes their own “reproductive mechanism,” but besides this, it is important to make sure that the partners tune in to each other. Spending time together in special medical sanatoriums can help with this.

Treatment of severe forms of infertility in men

From the above it is clear that there are many methods of treating male infertility, including IVF for male infertility or IVF together with ICSI. IVF can be performed in reproduction centers in large cities; this procedure will help overcome the problem in cases of severe forms of male infertility. Treatment of male infertility in Moscow can be carried out at the IVF Center clinic. The address and telephone number of the clinic are listed on the website.

If you encounter this problem, visit the forum on this topic. On the forum you will learn about the treatment of infertility in men and reviews about the best clinics and doctors. This information is readily shared by people who have the same problem. But information obtained on the forum can only be useful information, a hint and a reason to contact a specialist. Do not try to cope with the problem yourself, do not waste precious time and contact a specialist in time.

You can familiarize yourself with the diagnostic examination programs at the IVF Center and the prices for the clinic’s services.

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