Obstetrics Gynecology – MD, MSC, MMSC, Phd – Fertility Specialist

Male Infertility

Male infertility refers to the inability of a men’s sperm to fertilize a woman’s egg. About 10% -15% of couples fall into the category of infertility or infertility. This means that for a long time (at least for a year), they have tried to conceive a child with normal and regular sexual intercourse, but without any success. In about half of these cases, the male factor is the cause of the absence of conception. Men who suffer from infertility show the following: 

• Reduction in sperm production (sperm quantity & sperm density). 

• Reduced functionality & quality of sperm. 

• Difficulty in promoting sperm movement (ie low motility). Treating male infertility can often be the key to starting a family. Many couples often underestimate the effect it can have on infertility, a pathogenic condition of the man such as e.g. Chronic Prostatitis. 

Combined with various misdiagnosis, they unfortunately result in fruitless and costly efforts. In order for a pregnancy to be possible, the sperm must:

• Introduce first into the vagina (usually through sexual intercourse).

• To be promoted in the uterine cavity. 

• To meet and fertilize the egg. 

• The sperm must have the right structure and shape and the ability to move forward to allow fertilization. 

If he has suffered from degenerative disorders:

• in the figure 

• the structure 

• its mobility the sperm will not be able to reach or fertilize the egg.

Another important factor for male fertility is to have a sufficient number of sperm (eg at least 15-20 million sperm) in order to have a significant chance of pregnancy. In cases where the sperm concentration is less than 10 million, it indicates a sterile or infertile sperm. It is also worth noting that even if it is obvious that the male factor is the main cause of infertility, patients should not rule out the possibility that their female partners also have fertility problems. Therefore, both partners need to be thoroughly considered when they have difficulty conceiving. In any case, a couple should not be disappointed, as in many cases the cause is identified and the appropriate medication or treatment is given, resulting in a normal pregnancy. In the majority of cases of male infertility, the root is usually:

  • urogenital infection (prostatitis)
  • varicocele
  • These two diseases can coexist, but in any case both can be treated and cured. In rare cases, infertility may be due to hormonal disorders. Female infertility can have urogenital causes. 

Another important note is that for women who try unsuccessfully to conceive through in vitro fertilization (IVF), there is a high chance that an underlying inflammation in the urogenital system will prevent pregnancy. 

Although, for both men and women with infertility problems, it is extremely important to: find out evaluate face the possible problems that exist in their urogenital system. 

How is male infertility treated? 

The treatment of male infertility or infertility depends on: the causal factor how long the patient has the problem the age of the patient. The patient’s partner should be examined at the same time, looking for specific problems that may coexist. Often, the treatment of infectious (almost asymptomatic) infections of the female urogenital system can be used to help the weak sperm fertilize. Male infertility or infertility, therefore, is now an important factor in pregnancy failure. The control of these factors and the finding and treatment of the causes of infertility, give a greater chance for the restoration of spermatogenesis at normal levels. Chronic urogenital inflammatory diseases (eg prostatitis) and varicose veins in men seem to account for the largest proportion of patients with sperm quality problems. Even a limited number of sperm in sperm analysis, after proper treatment, can have quite good success rates. Chronic urinary tract infections in women can have the greatest impact on conception difficulties as well as pregnancy problems. Do not forget that proper treatment of these infections, gives promising results and high rates of successful pregnancy.