Male Infertility: Causes, Sperm Problems, Diagnosis, Treatment, Coping Tips | Health


Infertility is an unacceptable stage for all individuals, including men, as they experience physical, emotional and mental turmoil while being diagnosed. That doesn’t mean you shouldn’t dream of having one. Infertility is a common condition in which couples, including men, are unable to conceive a child despite several attempts due to various factors such as age, sperm quality and lifestyle.

A diagnosis of infertility can be physically, mentally, and emotionally turbulent, and it is important to understand the causes of infertility before understanding treatment procedures. In an interview with HT Lifestyle, Dr. Amisa N., fertility expert consultant at Bangalore Maternity and Child Hospital and IVF Electronic City, said men fail to conceive after a year of unsuccessful fertility attempts for the following reasons: He argued that he should consult a doctor because of the possibility.

  • erectile dysfunction
  • Problems with ejaculation leading to delayed ejaculation or retrograde ejaculation
  • decreased libido
  • pain or swelling in the genital area
  • Patients who have undergone surgery in the genital area in the past

Causes of male infertility



Dr. Amisa N said that when it comes to men, infertility can be caused by various issues such as:

  • sperm production
  • sperm count
  • Sperm shape and movement

In addition to these issues, other risk factors include:

  • senior citizen
  • drinking and smoking
  • being overweight or obese

As for medical conditions, there are several:

  • You experience a condition commonly called retrograde ejaculation, in which semen enters the bladder instead of exiting the penis.
  • swelling around testicles
  • Inability of the testes to descend into the scrotum
  • Consumption of antibodies that attack and destroy sperm
  • Decreased testosterone production due to hormonal imbalance

According to Dr. Preeti Mahawal, Nova IVF Fertility Consultant, Uttam Kumar Sarani, Kolkata East, the main causes of male infertility can be categorized as follows:

  1. Disorders that cause male infertility: When sperm are produced, they pass through a small tube called the epididymis, where they mature and exit into a large tube called the vas deferens to empty the sperm in the ejaculatory duct, where they are mixed with semen. During ejaculation, muscle contractions force semen into the urethra and out of the penis. Infertility can result if one of the tubes is blocked or missing due to a vasectomy or injury.
  2. Problems with sperm count and quality can affect a man’s fertility. Sperm problems include:
  • Lack of Sperm (Azoospermia) – A blockage, infection or damage to the vas deferens prevents sperm production and the semen does not contain sperm.
  • Low Sperm Count (oligospermia) – A low sperm count at the time of ejaculation makes it difficult to achieve a pregnancy.
  • Abnormal Shape – Normally, healthy sperm have a streamlined, tadpole-like shape, but abnormally shaped sperm can cause problems passing through a woman’s egg.
  • Low motility – Sperm with low motility cannot swim through the female reproductive system.

3. Functional problems that cause infertility include:

  • Impotence – the inability of a man to obtain or maintain an erection for sexual intercourse.
  • Ejaculation Problems – A condition in which semen enters the bladder instead of exiting the penis.
  • Testicle problems caused by factors such as injuries, infections, and chemotherapy.
  • Certain diseases such as sclerosis and diabetes can cause erectile and ejaculating difficulties.
  • Alcohol consumption can interfere with sperm activity.

Diagnosis of male infertility



Dr. Amisa N said: “When you talk to your doctor, the diagnosis can be divided into two stages. First, a general physical exam is done that examines your genitalia. You will be asked about certain injuries, surgeries, chronic health problems.After a medical history is taken, a semen sample will be taken from the person and analyzed for sperm motility, production, shape and number.”

Male Infertility Treatment Procedures

“While the ideal treatment for improving fertility depends on certain factors such as age, infertility causes and personal preferences, advances in medicine are making men look to other alternative treatments and opinions. It can be explored and it may take time, but the results are good,” said Dr. Preeti Mahawal. She recommended:

  • Surgery – Obstructions of ducts such as the vas deferens and varicocele can be surgically corrected and repaired.
  • Treatment of genital tract infections with antibiotic therapy may not restore fertility, but may improve the condition of the reproductive organs to promote fertility.
  • For sexual problems, drugs and counseling can help improve problems that cause infertility, such as erectile dysfunction and premature ejaculation.
  • If your infertility problems are caused by high or low levels of male hormones, there are hormone treatments and medications.
  • Sperm are injected directly into the egg through a process called assisted reproductive technology (ART). In this process, sperm are obtained and inserted into the female reproductive tract through processes such as in vitro fertilization and intracytoplasmic sperm injection.


Dr. Amisa N. said, “Male infertility treatment procedures depend on specific conditions such as age and cause of infertility. A variety of alternative treatment options are proposed, including surgery to block or correct the tube along with medications to help treat the infection, and assisted reproductive technology (ART).The eggs and sperm are treated in the lab.”

Addressing Infertility Issues

“For individuals, dealing with infertility can be anxious and difficult because of the uncertainty it brings. Fear of what might happen brings emotional and mental strain, and in such situations it is important for men to seek help and make plans to deal with this difficult time. It’s important to set a benchmark where you can determine if you’re mentally and financially viable,” advised Dr. Amisa N.



She added, “Second, especially during this tragic time, it’s important to communicate and express your feelings instead of hoarding them.” , friends, and even support groups and counseling services. During these times, it is important to manage emotional stress during treatment by practicing stress reduction techniques such as yoga and meditation. Infertility is a common condition experienced by many, and it is important to maintain an optimistic outlook in situations like these. As technology has advanced significantly, numerous treatment options have become available, and following these steps as suggested by your doctor may help treat infertility over time. ”



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