| MALE INFERTILITY |
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| We provide comprehensive management and treatment for Azoospermia, Oligospermia, Impotency, Erectile dysfunction and premature ejaculation. |
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Treatment of Male Factor
Obstructive causes
Surgical Procedures such as Vaso-epidydimo-anastamosis might improve the sperm count in 40% of cases. If sperm count in low then IVF-ICSI is the only solution if the couple is keen on their own genetic child. Another options is donor insemination.
Non Obstructive causes
- In case of genetic defects like KLINE FELTERS syndrome, Micro deletion in Y chromosome etc. donor insemination is the option. Adoption another alternative in case the couple is averse to treatment.
- If the testes are atrophic due to infections again donor insemination is the option.
- Varicocelectomy (Ligation of veins or embolisation) might improve sperm count.
- Erectile dysfunction: medications like Sidnaphyll and counseling can help. If the sperm count is good then IUI is an option. In case of very low sperm count IVF-ICSI is the option. For impotency, penile prosthesis are available which can couples have normal sex.
- Azospermia can be managed through the following procedures.
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Sperm Aspiration
This is a procedure to obtain viable sperms from the male reproductive tract. The following methods are used to extract the sperms for use in ICSI.
- Microsurgical Epidydimal Sperm Aspiration (MESA): To obtain sperms from the epididymus using an operating microscope.
- Percutaneous Epididymal Sperm Aspiration (MESA): To retrieve sperms, epididymus is punctured with a needle & sperms are aspirated with a syringe. This is a simpler technique.
- Testicular Sperm Aspiration (TESA): This involves sucking out the testicular tissue &sperms are isolated from it.
- Testicular Sperm Extraction (TESE): It is an open procedure where a small portion of testicular tissue is removed through an incision. This tissue is placed in culture media &sperms are extracted from it.
Some Common Terminology
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| Hypospermia |
| Normozoospermia |
| Oligozoospermia |
| Asthenozoospermia |
| Teratozoospermia |
| Oligoasthenoteratozoospermia |
| Azoospermia |
| Aspermia |
| Necrozoospermia |
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| : low semen volume |
| : Normal ejaculate (WHO Criteria) |
| : Sperm concentration fewer than 15 x 106/ml |
| : Fewer than 50% of motile sperm |
| : Fewer than 4% with normal morphology |
| : Signifies disturbance of all three variables |
| : No spermatozoa in the ejaculate |
| : No ejaculate (absence of semen) |
| : All of the spermatozoa are dead as defined by vital staining |
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| RELATED ARTICLES |
| Male Infertility |
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