Modern methods of diagnosis of male infertility

While many people still think that infertility - this is a women's issue, approximately 40% of couples who can not conceive a child, the reason for this is a man. Therefore, it is important that the diagnosis of infertility were not only women but also men. It can be frustrating, but the sooner the cause of infertility is set, the higher the probability that you will still be able to have a baby. In addition, the consent of the men to get tested quite often saves a woman from having to go through many unpleasant procedures, and, in many cases, allows the couple to save a lot of money.

To begin the man should go to the urologist. It is, first of all, talk with the patient to find out what he was ill or sick in the past now, what medicine to take or accept, whether he made any surgery. In addition, the doctor needs to know about the bad habits of the patient (you must speak openly about everything - even the admission of the drug, which, incidentally, are not conducive to successful conception), the peculiarities of his sex life, as well as about what underwear he wears. The fact that the briefs are very close fitting to the body, can increase the temperature of the scrotum to a level at which the sperm cells are viable. After the conversation the doctor conducts a physical examination.

Spermogram

When using this method of diagnosis is evaluated sperm count, shape, motility, and other characteristics. In general, the more motile sperm per ejaculate normal shape, the higher fertility patient. Often, however, there are exceptions. Many men are fertile, in spite of the low concentration of sperm cells and other abnormalities. On the other hand, approximately 15% of infertile males ejaculate Semen analysis looks completely normal and the concentration of sperm in it is high enough.

If during the first analysis was obtained a normal result, your doctor may prescribe another test - to confirm the result. If both tests gave normal results, it is usually interpreted as a lack of serious problems with male fertility. Where spermogramma show any abnormalities doctor prescribes additional diagnostic procedure to determine the cause.

Analyses on hormones

For sperm production, testosterone is responsible Five myths about testosterone   and several hormones which are secreted in certain brain regions. It is estimated that in 97% of cases the hormones are not the main cause of infertility in men The causes of infertility in men: it can lead to infertility state . However, during diagnostic tests for hormones often are assigned.

Genetic testing

If you suspect that infertility man can be recommended to undergo genetic testing. It helps to identify different genetic problems that may prevent onset of a healthy pregnancy in partners of men. So far, experts disagree about exactly which genetic tests should be carried out for the diagnosis of infertility Diagnosis of infertility - how much should be examined couple So different doctors can prescribe a variety of diagnostic procedures.

Identify other causes of infertility

In the body, some men produce antibodies to their own sperm. They attack sperm towards the egg, thus preventing fertilization. To identify such antibodies are special tests.

Retrograde ejaculation - a condition in which there is an emission of semen into the bladder. Usually the reason is transferred before surgery. Quite often, infertility in men is caused by such a breach as varicocele - abnormal veins, located above the testicle (usually - on the left), which can be corrected by surgery. Some men are completely absent vas deferens - a congenital disorder that causes infertility The causes of infertility - heredity and lifestyle   only a small number of patients. Obstruction anywhere between the testicles and penis can also lead to infertility. All of these disorders can be detected during a medical examination, which makes the urologist.

Approximately 25% of cases the cause of infertility in men can not be established. However, a thorough diagnosis of the men and women to discover the cause of infertility can be about 25% of couples. Many couples get pregnant within a year after that - provided that they comply with the doctor's recommendations and, if necessary, receive treatment.

Symptoms of infertility in men - a manifestation of male infertility

For male infertility cause certain causal factors that have a variety of clinical manifestations. Symptoms of infertility in men is directly dependent on the clinical variant of the disease, nor do they differ in specificity. During the test, the couple found out that very often men do not notice the presence of some symptoms, do not complain, so it may affect the efficiency of the whole course of treatment due to late uptake

Changes as a result of suffering an inflammatory disease

A common cause of male fertility disorders is infectious factor. Infections are detected in approximately 22% of men surveyed. If we talk about the clinical manifestations, it must be emphasized that most of the infections occur without symptoms or complaints and subclinical (clinical symptoms are not pronounced). One of the symptoms may be discharge from the urethra Discharge from the urethra - common nuisance among women   or urethra, which acquire pathological character - change the highlight color (from the milk until the muco-purulent discharge), their number, as well as smell. When these early symptoms of the disease as early as possible is necessary to consult a doctor, because the consequences of late treatment can be very negative. In practice, faced with the fact that until the last man postpones his visit to the doctor, as is afraid to hear what the cause of infertility The causes of infertility - heredity and lifestyle   violence is a male factor.

The greatest negative impact on the reproductive function of male spermatogenesis has a disease like gonorrhea Gonorrhea - self-ruled . The disease is characterized by the appearance of specific symptoms, which must pay attention to the man and not put off a visit to a specialist. Most often it occurs in the form of gonorrhea gonococcal urethritis. The disease has a characteristic clinical picture and can be characterized by the following symptoms:

• the man there are complaints of discomfort, a burning sensation and pain when urinating
• if the pressure on the urethra, it will discharge mucopurulent character
• with the progression of the inflammatory process observed flushing (or redness) of the glans penis and the external opening of the urethra, there are pain in the groin area. Pain syndrome is attached due to the presence of inflammatory reaction on the part of the prostate gland

Against the background of complications after undergoing a male gonorrhea may face a problem of infertility

Sexual dysfunction in male infertility clinic

One of the clinical manifestations of the pathology of sexual function in men is the presence of ejaculatory disorders and sexual function. In the absence of pathological changes in the frequency of vaginal intercourse an average of up to three per week. Symptom of the disease is considered to be the average rate of change and development of the violations of the ejaculatory function. Ejaculation should be considered impaired if it is not vaginally (ekstravaginalnaya ejaculation), premature or absent. Once a man has a complaint to the changes that were observed during sexual activity, it is important to address in time for timely care. Otherwise there is a risk of later complications. Most often, the couple hesitates to go to the doctor with complaints of this kind, but in this situation, from this shame must get rid of.

In a number of clinical cases of sexual function is impaired in the background of hormonal imbalance in men. If such violations are taking place against the backdrop of changes in testosterone Five myths about testosterone   in the blood, it would be clinically manifest varying degrees of severity hypogonadism. There underdevelopment of secondary male sex characteristics, which can be detected during physical examination of the patient. It is important to evaluate the condition of the scrotum, as the determination of the volume of the testicles is fundamental to the assessment of male fertility. Germ cells are produced only in men with normal testicular size. There is a dependence of the size of the testicles, not only of ethnicity but also on the growth of man. If during the inspection found makroorhiya (ie increase in volume of the testicles), it should not always be regarded as a pathological condition. In this case, a more detailed study to rule out the presence of tumor processes.

Marina Solovyov