Treatment of male infertility

Treatment of male infertility begins with an appeal to a highly qualified specialist. Conducting a competent survey makes it possible to establish specific causes of violations in the reproductive field. Only after this begins the preparation of an individual program for the treatment of male infertility, taking into account the peculiarities of the origin of this or that form of this pathological condition.

General recommendations of

Regardless of the form of male infertility, men who are trying to conceive a child should observe the following recommendations:

• refusal to smoke and drink alcohol;
• regular sexual life with a partner with a frequency of sexual acts at least once every 3-4 days;
• moderate physical activity;
• adherence to a balanced diet and body weight control;
• avoidance of stressful situations;
• rejection of tight underwear made from synthetic materials( for the influence of close male underwear see here;
• restriction visits baths and saunas

Treatment secretory forms of male infertility

object therapy secretory form of male sterility is the normalization process of development and maturation of sperm this purpose..the following measures can be performed:

• treatment of varicocele - the most effective method is the operative treatment of varicocele using microsurgical. Th or laparoscopic approach After sclerotherapy or embolization of the affected testicular vein in most cases there is improvement in spermatogenesis;
• treatment of hydrocele - correction of the small sizes of hydrocephalus can be performed using puncturing, or sclerosis, but experts have resorted frequently to the surgical treatment of this pathology;
• Treatment of cryptorchidism - as a rule, surgical correction of this disease is carried out in early childhood. Operative intervention can be performed both in a classical way, and with the use of laparoscopic access;
• treatment of hormonal disorders - hormone replacement therapy is conducted FSH, LH, male sex hormone that stimulates the growth and maturation of spermatozoa( see male hormones.);
• treatment of sexual infections - timely detection and adequate treatment of sexually transmitted infections prevents chronicization of the pathological process and helps to normalize the reproductive system. Antibacterial, antiviral, anti-inflammatory and immunocorrective medicines are used.

Treatment of obturation form of male infertility

Elimination of the cause of obstruction of the vas deferens can significantly increase the chances of successful conception. In order to eliminate such disturbances following group of methods are used:

1. techniques aimed at restoring patency seed - depending on the level of obstruction of the vas used several options operations: - vazoepididistomiya - consists in crosslinking epididymal tubule with the vas deferens;
   - vasovazostomiya - is aimed at removing the impassable part of the vas deferens;
   - transurethral resection of the prostate - makes it possible to fight with obturation infertility caused by occlusion of the ejaculatory ducts;
2. methods aimed at extracting spermatozoa - allow to obtain material for performing auxiliary reproductive procedures. The following options for obtaining spermatozoa:
   - PESA - is a percutaneous puncture of the epididymis;
   - MESA - microsurgical operation to obtain contents of epididymis;
   - TESE - open puncture testicular biopsy;
   - testicular biopsy - percutaneous puncture of the testicles.

Treatment of autoimmune form of male infertility

Treatment of immunological incompatibility of partners is the most difficult task. In identifying such forms of infertility should primarily to exclude other factors that may lead to disturbances in the reproductive sphere: urogenital infections, varicocele, impaired vas patency etc. If after treatment sterility is maintained, resort to the following therapies:

• drug treatment - can be shown hormonal treatment according to the identified at laboratory examination disorders both partners. Systemic enzyme therapy, the use of immunocorrecting drugs make it possible to normalize the activity of the body's immune system;
• sperm capa - is a preparatory stage when using assisted reproductive technologies. Capacitation is a special treatment of sperm, which allows to prepare spermatozoa for the process of fertilization of the egg.

Assisted reproductive technology

to assisted reproductive technologies, allowing to overcome male infertility include the following procedures:

• intrauterine insemination with husband's sperm - with immunologic infertility, ejaculatory dysfunction, oligoasthenozoospermia introduction of sperm directly into the uterus makes it possible to significantly improve the chances of conception. In this case, the egg reaches even those spermatozoa that would normally die in the cervical canal;
• in vitro fertilization( IVF) is performed in several stages. On the first of them, hormonal therapy stimulates superovulation in the partner. Then, during the surgical manipulation, several eggs are produced, later fertilized in the laboratory by the husband's spermatozoa. Obtained embryos are implanted into the uterus, where they get a chance for normal growth and development;
• in vitro fertilization using the ICSI method - thanks to the ICSI technique, even men with severe azoospermia received a chance for paternity. This procedure is performed during IVF and consists in the introduction of sperm into the egg with the help of special microsurgical techniques. To achieve a successful result, only one sperm obtained naturally or during surgical manipulation is sufficient;
• use of donor sperm - the use of donor material during IVF is considered as an option to achieve conception with severe impairment of spermatogenic function in men or the presence of dangerous hereditary diseases.

Proper treatment of male infertility, based on a productive interaction Urology, andrology, Gynecology and Reproduction, allowing most couples become happy parents.

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