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Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. Medicines are usually given to the woman first to increase the number of eggs she releases.

One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia.

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These may cause abortion, neonatal death, fetal resorption, and apparent infertility. Age: Male fertility starts to fall after 40 years. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Treatment of the cause: 27. Tubal and uterine factors: 1.

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Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. An evaluation by a physician is the only way to sort it out. Hormonal Problems A small percentage of male infertility is caused by hormonal problems.  The hypothalamus-pituitary endocrine system regulates the chain of hormonal events that enables testes to produce and effectively disseminate sperm.  Several things can go wrong with the hypothalamus-pituitary endocrine system: · The brain can fail to release gonadotrophic-releasing hormone (GnRH) properly.  GnRH stimulates   the hormonal pathway that causes testosterone synthesis and sperm production.  A disruption in   GnRH release leads to a lack of testosterone and a cessation in sperm production. · The pituitary can fail to produce enough lutenizing hormone (LH) and follicle stimulating hormone   (FSH) to stimulate the testes and testosterone/sperm production.  LH and FSH are intermediates   in the hormonal pathway responsible for testosterone and sperm production. · The testes� Leydig cells may not produce testosterone in response to LH stimulation. · A male may produce other hormones and chemical compounds which interfere with the   sex-hormone balance.

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Physical Problems A variety of physical problems can cause male infertility.  These problems either interfere with the sperm production process or disrupt the pathway down which sperm travel from the testes to the tip of the penis.  These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.  The following is a list of the most common physical problems that cause male infertility: Variocoele: A varicocele is an enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men.  These images show what a variocoele looks like externally and internally.  A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development.  Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.  Variococles can usually be diagnosed by a physical examination of the scrotum which can be aided by the Doppler stethoscope and scrotal ultrasound.  Varicocoele can be treated in many ways (see treatment section), but the most successful treatments involve corrective surgery. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39]. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. If you experience any symptoms of infertility, seek advice from a doctor who can diagnose the problem and offer the best treatment for you.  Updated March 27, 2019 Resources Flo Period & Ovulation Tracker 4. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. A doctor or WHNP takes a medical history and gives a physical examination. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Coital frequency is positively correlated with pregnancy rates.