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Dr. Manu Rajput and Dr. Kanu Rajput

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Male Infertility

Best Doctor For Male Infertility Treatment In Delhi

Male infertility is when the male partner cannot cause pregnancy in a fertile female partner. It is one of the most common conditions in males, affecting almost 7% of the male population, although much less talked about.

TYPES OF MALE INFERTILITY

Based on recovery of the condition, male infertility is divided into the following two types:

• Complete infertility: This condition is present in the sterile male, and there are rare chances of getting fertile. Complete infertility is due to a genetic mutation that causes an inability to produce healthy sperm in sufficient concentration. Assisted reproductive technology is also of no use in such patients. The options generally available to these people are donor sperm.

• Subfertility: This type of infertility is caused due to some underlying conditions that can be treated with the help of medications or surgery. Treatment for underlying diseases can restore fertility.

CAUSES OF MALE INFERTILITY

Various causes are involved in the development of male infertility. However, some of the common causes of male infertility are:

• Genetics: Genetics is one of the most dominating factors for male infertility. It covers almost 15% of all male infertility problems. One of the most common genetic conditions for male infertility is Klinefelter’s syndrome which affects around 1 in 500 newborns. The condition is caused due to the problem in gamete formation leading to small testes, low levels of male hormones and poor sperm count.

Another genetic cause of male infertility is the microdeletions in the Y chromosomes. In this condition, the deletions in Y chromosomes lead to either absent or poor sperm count or sperms produced with altered morphology.

• Spermatogenesis-altering causes Various factors affecting spermatogenesis, resulting in reduced production of sperms or poor quality sperms. Varicocele is a condition affecting almost 40% of males with infertility. This condition results in the production of excess heat in the scrotum and oxidative stress that affects spermatogenesis. Celiac disease, bicycle riding, drug addiction, excessive alcohol, and medications such as chemotherapy and steroids also involve forming sperm. Hypogonadism also results in low sperm production.

• Anatomical causes: Despite producing healthy sperm in the optimum quantity, various anatomical abnormalities prevent the sperm from reaching the site through which they are ejaculated. These causes include problems in the Vas deferens, a tube which forms from the passage for sperm to travel. The Vas deferens may either be blocked or utterly absent, as seen in some cases of cystic fibrosis. Other anatomical abnormalities include infection, hypospadias, retrograde ejaculation and blockage of the ejaculatory duct.

• Other causes: Other causes that contribute to male infertility include age, poor lifestyle, infection, trauma or injury to the testes and age. In almost 25% to 30% of the cases, no known cause of infertility is found, and the condition is known as idiopathic male infertility.

MALE INFERTILITY SYMPTOMS

The following are the symptoms of male infertility:

• Swelling and pain in testes.

• Low libido or Low Sexual Desire

• Low volume of semen

• Ejaculatory problems

• Erectile dysfunction

• Low sperm count in semen analysis

• Reduced body hair due to hormonal imbalance

• Smaller than normal testes

MALE INFERTILITY TESTS

Both partners should be fertile to achieve pregnancy. Thus in cases of infertility, various tests are performed to identify the exact cause. In some instances, male infertility tests cannot identify the cause. Following are the different diagnostic techniques used for diagnosing male infertility:

• Physical evaluation: The doctor will physically evaluate the reproductive organ and will try to ascertain if there is any swelling in the testes. The doctor may ask various queries related to lifestyle habits, medical history or family history.

• Sperm analysis: This is one of the essential tools for diagnosing male infertility. The semen of the patient is collected, and the number of sperms, morphology, and mobility are analyzed. The semen is also tested for the presence of any infection. Sperm analysis is done through a series of tests to arrive at an accurate conclusion, as the sperm in different samples may vary.

• Other tests: The doctor advises various other tests to precisely diagnose the cause of infertility in a particular patient. These tests include a genetic test, a biopsy of the testes, an ultrasound of the scrotum, the level of reproductive hormones, and pre-ejaculation urinalysis.

IGNORING MALE INFERTILITY

Unlike female infertility, male infertility is not taken seriously. Even though the researchers have proved that almost in 40-50% of the cases, pregnancy is not achieved due to the problem in males. Interestingly, no new diagnostic techniques emerged to diagnose male infertility; the world is still using the old method of counting sperm on slides. Sidelining the thought of male infertility will bring frustration, depression, and embarrassment, devastatingly affecting the marriage life. The need of the hour is to consult male infertility experts who are highly experienced in providing treatment and counselling for managing male infertility. Dr. Manu Rajput and Dr. Kanu Rajput are amongst the Best Ayurvedic Sexologist in Delhi, Gurgaon and NCR region. Make a prior appointment to avoid inconvenience and to have a hassle-free experience.

PREVENTION OF MALE INFERTILITY

Following are the tips for preventing male infertility:

• Avoid smoking

• Limit the quantity of alcohol

• Refrain from taking addictive drugs

• Manage Obesity

• Do not keep the laptop on the lap for an extended period

• Manage stress

• Take a sound sleep

• Exercise regularly

• Avoid exposure to harmful chemicals and toxic substances

• Avoid mobile phone radiation near testes

• Do not supplement yourself with sexual vigour-improving drugs without consulting a physician

• Keep yourself on a healthy diet

WHEN TO VISIT DOCTOR

Book an appointment with your doctor if:

• You are unable to cause pregnancy in the fertile female partner despite one year of unprotected sex

• You have a problem with ejaculation

• You have reduced libido

• The volume of semen is too low

• You are suffering from erectile dysfunction

• You have pain or swelling in the testes

• You have undergone any testicle or scrotum surgery

• You had trauma or injury in your reproductive organs

AYURVEDIC TREATMENT OF MALE INFERTILITY

Unlike the allopathic treatment, which does not provide a comprehensive management strategy for various causes of male infertility, ayurvedic therapy, from time immemorial, has been considered the best treatment for sexual problems, including male infertility.

Apart from the drugs used in treating this condition, the purification of the body and mind are also on the priority list of ayurvedic therapy. Potent herbal medicines combined with the cleansing of the body and stress management procedure; the patient gets rid form the problem right from its roots. Drugs that are generally used in treating the condition include Kapikacchu, Gokshura, Ashwagandha, Shatavari and Yashtimadhu.

FOODS FOR IMPROVING MALE INFERTILITY

Various foods help in managing male infertility, such as:

• Grape Seed extract

• Royal Jelly

• Panax ginseng

• Dandelion

• Ashwagandha

• Maca Root

• Omega 3 fatty acids

• Pumpkin seeds

• Fresh fruits and juices