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Andrology/Male Infertility

Infertility is a disease of the reproductive system. It makes a person unable to have children. It can affect a man, a woman, or both. Male infertility means that a man has a problem with his reproductive system. It means you cannot start a pregnancy with your female partner.

Male infertility can be caused by low sperm production, abnormal sperm function or blockages that prevent the delivery of sperm. Illnesses, injuries, chronic health problems, lifestyle choices and other factors may contribute to male infertility.

The inability to conceive a child can be stressful and frustrating, but a number of treatments are available for male infertility.

Symptoms

    The main sign of male infertility is the inability to conceive a child. There may be no other obvious signs or symptoms.

    In some cases, however, an underlying problem such as an inherited disorder, hormonal imbalance, dilated veins around the testicle or a condition that blocks the passage of sperm causes signs and symptoms. Signs and symptoms you may notice include:

  • Problems with sexual function
  • Pain, swelling or a lump in the testicle area
  • Recurrent respiratory infections
  • Inability to smell
  • Abnormal breast growth (gynecomastia)
  • Decreased facial or body hair or other signs of a chromosomal or hormonal abnormality
  • A lower than normal sperm count

Diagnosis

    Infertility tests can be expensive and might not be covered by insurance — find out what your medical plan covers ahead of time.

    Diagnosing male infertility problems usually involves:

  • Physical Examination and Medical History
  • Semen Analysis
  • Scrotal Ultrasound
  • Transrectal Ultrasound
  • Hormone Testing
  • Post-ejaculation Urinalysis
  • Genetic Tests
  • Testicular Biopsy
  • Specialized Sperm Function Tests

Treatment

    In cases of infertility, it's recommended that the female partner also be checked. There may be specific treatments recommended for your partner. Or, you may learn that proceeding with assisted reproductive techniques is appropriate in your situation.

    Treatments for male infertility include:

  • Surgery
  • Treating Infections
  • Treatments for Sexual Intercourse Problems
  • Hormone Treatments and Medications
  • Assisted Reproductive Technology (ART)

Precautions

    Male infertility isn't always preventable. However, you can try to avoid some known causes of male infertility.

    Treatments for male infertility include:

  • Don't Smoke.
  • Limit or Abstain from Alcohol.
  • Steer clear of Illicit Drugs.
  • Maintain a Healthy Weight.
  • Don't get a Vasectomy.
  • Avoid things that lead to prolonged heat for the testicles.
  • Reduce Stress.
  • Avoid exposure to pesticides, heavy metals and other toxins.

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