Male Fertility and Infertility

Male Infertility

Male Infertility is a condition where the male in the relationship affects the ability of the woman to become pregnant. Male infertility is a common reproductive problem affecting men. About 1 out of 3 infertility cases are linked directly to issues with the male partner. When couples are not able to conceive even after having unprotected sex after a prolonged period of time, it is important for both partners to be checked by a specialist.

With the advancements in medical technology, it is now possible to treat the condition of male infertility.

Causes of male infertility:

Male fertility may be impaired by a number of factors. These include:

• Sperm production problems: The quality and quantity of sperm are the key factors to male fertility. Any defect such as immature sperm or low sperm count (oligospermia) can lead to infertility
• Varicoceles: This is a condition characterized by swelling of the veins that drain the testicle
• Retrograde (backward) ejaculation of the sperm
• Blockage of the sperm carrying ducts
• Development of sperm antibodies (auto-immune disorder)
• Hormonal/stress problems
• Infections/tumours of the male reproductive system
• Genetics (chromosomal disorders)
• Sexual problems
• Use of certain medications such as steroids
• Chemotherapy radiation exposure affects the sperm production
• Smoking and alcohol abuse

Diagnosis:

• A thorough history and medical examination can often reveal the cause of the infertility
• Other tests such as semen analyses, hormonal tests, genetic screeing and ultrasounds can help confirm the diagnosis

Male Fertility Check-up and Advice

We always hear about women being told to “get checked out” prior to trying to fall pregnant. Well it takes “2 to tango” and male factor infertility can be a reason why in up to 50% of couples they are unable to conceive.

At MHM we believe that men should also have a “fertility check-up” prior to trying to conceive with their partners. This check-up will involve a comprehensive history, examination and specialised testing of male fertility hormones and a semen test at a specialised laboratory.

The consultation will also involve detailed advice about how to optimise male fertility including which (if any) supplements that may be worthwhile.

To book your Male Fertility Checkup call 1800 DR 4 MEN (1800 374 636) and ask for a Male Fertility Check-up appointment. The total out of pocket cost of the appointment will be $150 and includes all assessments, tests and advice.

Treatment:

• Lifestyle modification: These include changing habits such as not smoking, limiting alcohol intake, and using stress reduction techniques
• Medications: Certain medications may help improve the sperm count and correct hormonal imbalances in some conditions
• Surgery:
  • Surgery may be indicated in varicoceles and obstruction of the sperm duct. These surgeries may help an infertile couple conceive naturally
  • If a sperm production problem has been diagnosed (such as having a very low sperm count or even a zero sperm count), then performing micro-surgery on the testis (Micro-TESE) to find sperm may be possible