Male Infertility Treatment in Kolkata
Medical and surgical treatment for Male Infertility treatment
Male infertility refers to any health problem that makes it more difficult for a man’s female partner to conceive.
About 13 out of 100 couples are unable to conceive despite regular contact for a year. Infertility affects both men and women for a variety of reasons. More than a third of infertility cases have a malefactor. Most of the time it’s due to issues with his sperm production or delivery. You can visit a clinic for medical and surgical treatment for male infertility in Kolkata.
First, let us understand what happens under normal condition
Sperm are microscopic cells produced by a man’s body. Ejaculation is the process by which sperm enters a woman’s body during intercourse. Sperms are produced, stored, and transported by the male reproductive system. Hormones, which are chemicals in your body, are in charge of this. The two testicles produce sperm and the male sex hormone (testosterone). Male fertility is dependent on your body producing and delivering appropriate sperm. The sperms are injected into the female partner’s vaginal canal. The sperm pass through her cervix, uterus, on their way to her fallopian tubes. Fertilization occurs when a sperm and an egg meet there.
When genes, hormone levels, and environmental factors are all in place, the system works. And conception is possible.
Symptoms of male infertility
In most cases, no evident symptoms of infertility are present. Sexual activity, erections, and ejaculation everything could seem normal. But your female partner would not be able to conceive. This is when most couples visit us. Medical tests will be required to determine the cause of your infertility.
What factors contribute to male infertility?
Infertility can be caused by issues with sperm production or the way they travel. Medical testing can assist in determining the cause. About two-thirds of infertile males have a problem with producing insufficient sperm or sperm that aren’t functioning properly.
- Problem with sperms traveling
Once sperm are created in the testicles, they are transported through tiny tubes to the penis, where they are ejaculated with semen. This process should be able to proceed without any tube obstructions.
- Low sperm count
The possibility of fertilization of a female’s egg is reduced if the number of sperm in your sperm (sperm count) is low. A sperm count of less than 15 million sperm per milliliter of semen is considered poor.
- Poor sperm motility or abnormal shape
If the sperm has poor motility they will not be able to reach the egg or penetrate the egg to initiate fertilization.
If sperms are of abnormal shape they are considered anomalous. As anomalous person depends on the other family members for daily activity in the same way these sperms can not reach, penetrate eggs or fertilize them.
- Varicocele
A varicocele is a swollen vein in the testicles that drains the blood. It is the most common cause of male infertility that is reversible. Although the actual reason for varicoceles causing infertility is uncertain, it may be linked to poor testicular temperature control. Varicoceles cause sperm quality to deteriorate.
Many people go for varicocelectomy and they wrongly consider that after the procedure their sperm count will increase and they will be able to conceive. But in actuality, in 20 to 25% of cases after varicocelectomy sperm count decreases. It is not advisable in fertility clinics before your fertility treatments, until the concerned person doesn’t have any pain, swelling or any other varicocele symptoms.
- Infections
Few infections can affect sperm production or health, or produce scars that prevent sperm from passing through epididymis (epididymitis). Inflammation of the epididymis (epididymitis) or testicles, as well as other sexually transmitted infections such as Gonorrhea or HIV, are among these infections.
- problems with ejaculation
Retrograde ejaculation occurs when sperm enters the bladder instead of exiting from the tip of the penis during orgasm. Early ejaculation can also be present. In these cases, we collect the urine sample. And separates the spermatozoa from the urine. And these collected sperms could be used in Assisted reproductive techniques like ICSI.
- Obstruction
The tubes that sperm travel through can become obstructed at times. Blockage can be caused by repeated infections, surgery (such as vasectomy), or developmental problems. obstructions can be in any section of the male reproductive tract. During ejaculation, sperm from the testicles cannot leave the body due to a blockage.
- Hormones
The pituitary gland produces hormones that tell the testicles to produce sperm. Sperm development is hampered by low hormone levels.
- Antibodies
Anti-sperm antibodies are immune system cells that wrongly perceive sperm as hazardous invaders and attempt to remove them or kill them.
How male infertility is diagnosed?
Male fertility issues might be difficult to diagnose. The most common issues are with sperm production or delivery. A complete medical history and physical examination are required to make a diagnosis. Blood testing and sperm tests may also be recommended
- Physical Exam and Medical History
We will gather information about your medical and surgical histories. Anything that could affect your fertility will be discussed. These could include reproductive system problems, low hormone levels, illness, accidents or if you have any erection or ejaculation issues. You could also be asked if you suffered from any mumps infection during Childhood.
The physical exam will check your penis, epididymis, vas deferens, and testicles for issues. The doctor may also look for varicoceles.
- Sperm Analysis
It is a routine lab test used to determine the level of sperm production and whether the sperm are operating properly (motility, morphology etc). It gives full information about sperms.
- Transrectal Ultrasound
A transrectal ultrasound helps to view the reproductive organs and helps to determine the cause of infertility.
Male Infertility Centre in Kolkata
Medical Treatment For male Infertility
- Medication
Some men with infertility can benefit from medication to increase their sperm count. An estrogen receptor blocker, such as clomiphene citrate, activates the hypothalamus and pituitary gland in the brain and may be prescribed by your doctor. Hormone production and the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which can increase sperm production, occur as a result of this.
Human chorionic gonadotropin (HCG) may be provided to men with low testosterone levels to balance FSH and LH levels and boost sperm production.
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Assisted Reproductive Techniques
If the sperm count cant be increased with medication, an assisted reproductive technique known as ICSI is recommended. In this Sperm is injected directly into the egg to assist in fertilization in the IVF laboratory. More techniques such as Assisted hatching, PGS/PGD testing can be used to increase the odds of success.
Surgical Treatment For male Infertility in Kolkata
Some causes of infertility are structural and can be treated with surgery, which is often a one-day procedure. And you can get back to normal within the same day
Microsurgery of the sperm duct
Obstacles in the ductal system that transports sperm to the penis are removed by sperm duct microsurgery. In most cases, sperm regains normal motility within two years.
Testicular biopsy
Spermatozoa may or may not be present in the ejaculate of some people. Azoospermia is the medical term for this illness. In those cases, sperms are extracted through a biopsy and used in ICSI treatment.
TESA
TESA, or testicular sperm aspiration, is a procedure in which a needle is inserted into the testis and fluid and tissue are aspirated under negative pressure. The aspirated tissue is subsequently processed in an embryology facility, where the sperm cells are retrieved for ICSI.
MESA
Microsurgical Epididymal Sperm Aspiration (MESA) is a procedure that involves dissecting the epididymis under an operating microscope and incision of a single tubule. It is used in obstructive azoospermia. The Epididymal tubule leaks fluid into the Epididymal bed, which collects in the Epididymal bed. The fluid that has pooled is subsequently aspirated. Sperm retrieved is used in ICSI.
Infertility has lot many treatments, all you need to do is visit a clinic for male infertility treatment in Kolkata. We are here to help you and guide you in your fertility journey. Together we can make it a success.