Andrology refers to the male counterpart of gynaecology, i.e., it studies the man. Thereby, andrologists in India are involved in advancing their medical treatments for improving and maintaining male health. This especially associates with the male reproductive system and men-related urological problems.
Infertility is a medical problem which affects not just females, but also males. This has become an increasingly common issue in males given the modern day, stressful lifestyles.
Male infertility results from the inability in men to ejaculate or if there are insufficient number of sperm found in males. New research works by top andrology doctor have suggested that in approximately 40 percent of infertility couples, the males play a critical role. That is, in most cases either the man is the sole reason for the infertility or a major contributing cause.
Causes of Infertility
When the male body faces difficulty producing good quality sperms, it causes male infertility. This makes it highly difficult for couples to conceive.
Issues with erections or ejaculation are common causes of male infertility. Physical blockages are other common issue. In certain males, multi-level obstructions caused due to specific infections also causes infertility. Some men who are born without a vas tube also face the issue.
Several other Issues that cause male infertility include:
- prescribed drugs such as chemotherapy
- recreational drugs (cannabis, cocaine),
- Lifestyle habit such as smoking or excessive alcohol
- hormonal imbalances (thyroid/ prolactin)
- previous testicular infection, injury, or surgery
- raised scrotal temperatures including varicoceles or recent febrile illness
- genetic problems
Andrology solutions for male infertility
Some of the difficulties causing male infertility can be medically corrected or reversed. However, certain others have no medical solutions yet.
With the modern technological and medical advancements, male infertility reversals are an increasing possibility. Normal fertility levels can be attained with medical interventions.
For instance, certain types of genetic problems cannot be reversed. However, these too can be recovered to some extent with direct surgical sperm retrieval procedures from the testicle.
- Poor sperm counts can be rectified most generally with certain measures such as wearing loose-fitting trousers, boxer shorts, avoiding smoking/alcohol intake, saying no to recreational drugs and gym supplements.
- Adopting a “healthy” lifestyle, balanced diet in addition to fertility vitamin supplements are also good solutions.
- Surgical bypass can be a great option for treating obstructions. Certain blockages caused in the ejaculatory duct in the prostate is treated by resection of the obstructing cyst, blockages of the vas (sperm duct).
- Microsurgical epididymo-vasostomy is used to treat blockages to the epididymis.
- Surgical sperm retrieval (SSR) is required in case usual retrieval is not a possibility.
The eventual choice of the andrology solution is based on a lot of factors, such as:
- Age of female partner
- Number of children planned
- Time interval since vasectomy (for vasectomy reversal)
- Assisted conception techniques
Solutions in case no sperms are found
Donor insemination (DI) is also a viable option for males with no sperm count at all. In this case, a sperm donor is chosen who has almost similar attributes as the patient.
In case, people can’t find solace in any of the treatments for male infertility, there is always an option of adopting a child.
Dr Rahul Yadav is a specialist in PESA, MESA, Micro TESE, Testicular Biopsy, Penile Prosthesis/Implant, Priapism Surgeries, Bilateral Vasectomy, Microsurgical Varicocelectomy, Microsurgical Vasovasostomy /Vaso-epididymostomy and Vasectomy.