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Overview

Male Infertility or Impotency: Treatment, Procedure, Cost And Side Effects

What is Male Infertility or Impotency?

Impotence and male infertility are problems that affects sexual health of a man. Male infertility is an inability to release or produce sperm, while impotence is also known as erectile dysfunction refers to a condition in which sustaining and getting an erection. It makes sex difficult or impossible also.

Male infertility could be caused by diabetes, use of steroids, genes, varicocele, sexually transmitted disease, injury or surgery of reproductive system etc. while impotency could be caused by depression, stress, obesity, alcohol use, high blood pressure, nerve damage, high cholesterol, heart disease, and some medications could also lead to this problem.

What are the signs of infertility in males?

There are many signs that causes infertility in males are following -

  1. Firm or small testicles - it indicates potential issues that should be treated by doctor.
  2. Problems in maintaining erection - it could be linked with hormone levels, which may result into trouble.
  3. Ejaculation issues - early or inability should be treated by doctor.
  4. Swelling or pain in testicles - reason could be different but it could contribute to the infertility in males.
  5. Change in sexual desire - change in libido is link with hormone and could indicate issues with fertility in man.

How can a man tell if his sperm is fertile?

There are many ways for a man to know whether his sperm is fertile or not. He can visit a doctor who will evaluate him on lifestyle and medical history such as -

  1. Medical examination - in it doctor will ask you about past medical history, exercise habits, medications you take and most important your lifestyle. In a discussion, the doctor might ask you about your sex history as well.
  2. Semen analysis - an expert will check the shape, movement, and other characteristics include sperm count as well.
  3. Physical examination - in case if a doctor found varicoceles, which is an abnormal formation of veins above the testicles. It could be corrected with surgery.
  4. Genetic testing - it could help doctors to know the problem.
  5. Not to have vas deferens - it is also known as the main sperm pipeline and it’s a genetic problem. Some man born without it.

Can erectile dysfunction make you infertile?

Erectile dysfunction is a condition in which a person can produce sperm, but he has trouble in keeping an erection. While infertility is a condition in which a person doesn’t have an adequate sperm count, which is necessary to have kids. Erectile dysfunction also indicates that you may have cardiovascular or nerve problem. In some cases, it is also seen that due to certain medications this problem took place. When it comes to infertility, it is something where a person is not been able to deliver good semen, which is necessary for conceiving a baby in the belly.

Can male infertility be cured?

In the case of infertility, female partners are also advised to checked by doctors. Before starting the procedure doctor will do a general physical examination and medical history, semen analysis, hormone testing, genetics test, testicular biopsy, sperm function test etc. Treatment for male infertility include - surgery, treating infections, sexual intercourse problems, hormone treatments, and medications etc. in case if this wouldn’t work then you can adapt few lifestyle and home remedies such as avoid using lubricants, having sex at the time of ovulation in which chances of getting pregnant is maximum, having sex frequently etc are few things which can cure infertility in men.

Can a man go from infertile to fertile?

In the case of infertility in men, affected people can opt out for the treatment which includes -

  1. Treating infections - treating an infection of the reproductive tract, doesn’t restore fertility in all cases. Antibiotic treatment cures infection easily.
  2. Counseling - in a case of sexual intercourse, problems like premature ejaculation and erectile dysfunction could be treated by medications and counseling.
  3. The help of supplements - in a case of deficiency, patients can take help of supplements include - folic acid, zinc, black seed etc. make sure you are taking them after doctors consultation only.
  4. Can adapt few home and lifestyle remedies such as -
  5. Having sex at the time of ovulation - it is the middle time of the menstrual cycle when chances of getting pregnant are high.
  6. Have sex frequently - having sex daily, at least four days before ovulation. This might increase the chances of pregnancy in your female partner.

Popular Health Tips

Causes and Treatment of Infertility in Men and Women

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Causes and Treatment of Infertility in Men and Women

If you are having problems conceiving, you are not alone; around one in seven couples has difficulty.

Infertility is often thought of as a female concern, but in fact in a third of the cases, it is because of male problems, such as a low sperm count.

Male infertility is a condition wherein a man is unable to cause a successful pregnancy in a perfectly fertile woman. Male infertility usually stems from deficiencies in the semen (relating to poor sperm count or low sperm motility).

On the other hand, female infertility is as a condition wherein a woman is unable to carry a pregnancy to full term or conceive after an entire year of having unprotected sexual intercourse.

What causes infertility?

Causes of Male Infertility:

  1. Blockage or obstruction either in the production of sperm or its motility leads to infertility. This problem is caused by various factors such as prostate infections or vasectomy (a surgical procedure used for birth control in men).

  2. Difficulty in the production of sperm, either due to genetic or chromosomal causes, can lead to this condition. Damage to the testes or the condition of undescended testes can also result in this disorder.

  3. Hormonal problems caused due to anabolic steroid (a synthetic steroidal hormone with effects similar to those of testosterone) abuse or pituitary tumors (tumors of the endocrine gland) are other factors responsible for male infertility.

Other factors that may play a part in infertility include:

  1. having had inflamed testes (orchitis)

  2. a past bacterial infection that caused scarring and blocked tubes within the epididymis as it joins the vas

  3. having received medical treatment such as drug treatment, radiotherapy or surgery – for example to correct a hernia, undescended testes or twisted testicles

  4. genetic problems

  5. diabetes

  6. lifestyle factors such as being overweight or having a job that involves contact with chemicals or radiation.

  7. Male fertility is also thought to decline with age, although to what extent is unclear.

Causes of Female Infertility:

  1. Ovulation disorders: Ovulation disorders account for about 25% cases of female infertility. This happens either because of under-secretion or other problems in the secretion of the reproductive hormone by the pituitary gland.

  2. Tubal infertility: The fallopian tubes allow the eggs to travel from ovaries to the uterus. Any blockage or obstruction of these tubes results in infertility, owing do the fact that the eggs or the ova do not reach the uterus. Certain factors such as pelvic inflammation (infections of the uterus) can result in the blockage of the fallopian tubes.

Other factors that may play a part include:

  1. age – female fertility declines sharply after the age of 35

  2. Polycystic Ovary Syndrome (PCOS)

  3. gynaecological problems such as previous ectopic pregnancy or having had more than one miscarriage

  4. medical conditions such as diabetes, epilepsy, and thyroid and bowel diseases

  5. lifestyle factors such as stress, being overweight or underweight, and smoking.

Treatment Methods for Males:

  1. Surgery can correct blockage or obstruction in the testes.

  2. Gonadotropin treatment is a treatment method to develop sperm production. This includes injectable medicines which comprise of both the hormones, Follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This mode of treatment has been found to improve sperm motility, morphology and count.

  3. Varicocele treatment method is the enlargement of a varicose vein (swollen or twisted vein) in the scrotum (testicles). The objective of this treatment is to correct abnormal sperm shape.

Treatment Methods for Females:

  1. Fertility stimulating drugs: Fertility restoring drugs are known to induce ovulation in women who have ovulation disorders. They tend to work like hormone stimulators such as the luteinizing hormone and follicle stimulating hormone (FSH) which trigger ovulation.

  2. Surgical process: There are surgical treatment methods available to boost female fertility. Laparoscopic surgery is a minimally invasive surgery that reduces or corrects abnormalities related to pregnancy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2752 people found this helpful

Artificial Insemination - Understanding its Side Effects

MICOG, MS, MBBS
Gynaecologist, Delhi
Artificial Insemination - Understanding its Side Effects

Artificial insemination is a form of artificial fertility procedure. This procedure enables a couple to conceive a child. This procedure is mainly used in cases when the male partner has a low sperm count or is impotent. Single women who do not have a partner too can undergo this procedure to have a child. The process of artificial insemination involves the placing of sperm into the uterus of a woman, during the ovulation period.
Although artificial insemination is an effective procedure for conceiving a child, it also causes several side effects on the body and health.

Here are the several risks and side effects of artificial insemination:

  1. Infections are likely after having an artificial insemination done and infections are likely in a large percentage of women who undergo this procedure.
  2. Allergies can also possibly develop to any component of the seminal lavage, although they are not very common.
  3. Immune reactions can also occur, which involve the creation of antisperm antibodies among women who undergo this fertility procedure.
  4. Pain is felt by some women during the process of artificial insemination, and discomfort is also experienced when the catheter gets inserted in the cervix for transportation of sperm.

Risks regarding ovarian stimulation

  1. Ovarian hyperstimulation syndrome or OHSS may occur as a side effect of artificial insemination. This disorder makes the ovaries feel pain as they become swollen.
  2. Multiple births is another severe side effect of this procedure. It usually occurs in 12 to 30% of women undergoing artificial insemination. It is more likely in young women having more than five ovarian follicles, which are quite large. This occurs when the woman is inseminated with more than thirty million sperms.

Pregnancy complications
Artificial insemination has several side effects, which may cause complications in pregnancy. They are as follows:

  1. Miscarriage can occur in women who undergo artificial insemination and occurs in 20% of all artificial insemination cases. The miscarriage is usually caused during the early phase of the pregnancy.
  2. Ectopic pregnancy is another side effect of artificial insemination involving pregnancy complications. Around 4/100 of women who undergo artificial insemination suffer from ectopic pregnancy. The rate of ectopic pregnancy in natural insemination is much lesser.

Artificial insemination is a successful process of conceiving a child. This procedure is utilized by single women and women whose partners are not capable of producing sufficient sperms. However, the process is associated with several side effects and risks. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2720 people found this helpful

Causes and Symptoms of Hypopituitarism

MBBS, MD - General Medicine, DM
Endocrinologist, Hyderabad
Causes and Symptoms of Hypopituitarism

The pituitary gland is a small, pea-sized attached to the base of the brain. It controls growth, functioning and development of other hormonal glands. Deficit of one or more pituitary hormones is a state of Hypopituitarism. This clinical term is used by endocrinologists to mean that one or more pituitary glands are deficient. In hypopituitarism, the pituitary gland does not produce the normal amounts of hormones.

Causes-

Hypopituitarism has the following causes—

  1. Brain tumours

  2. Sarcoidosis (A lung disorder)

  3. Tumours in the pituitary gland

  4. Hemochromatosis (Too much iron in the body)

  5. Tumours in hypothalamus (Controls the production of hormones)

  6. Histiocytosis X (A rare autoimmune disease where the immune cells damage the organs)

  7. Tuberculosis

  8. Stroke

  9. Sheehan syndrome (Excessive blood loss during childbirth)

  10. Lymphocytic hypophysitis (An inflammation in the pituitary gland)

  11. Radiation treatments like chemotherapy

Symptoms-

Symptoms depend on which hormones is not being produced.

  • Adrenocorticotropic Hormone (ACH): Lack of ACH affects the adrenal glands (endocrine glands producing hormones) and cortisol (steroid hormone). Symptoms include—

    • Fatigue

    • Low sodium levels

    • Loss of weight

    • Pale skin

  • Thyroid-stimulating Hormone (TSH): Deficient TSH mostly affects the thyroid (produces growth-regulating hormones) gland. The symptoms are—

    • Fatigue

    • Weight gain

    • Skin dryness

    • Sensitivity to cold

    • Constipation

  • Luteinizing hormone (LH): Low luteinizing hormone in women affects their ovaries and ovulation. Symptoms include-

In men, lack of LH affects their testes and sperm production. Symptoms include-

  • Follicle-stimulating hormone (FSH): This hormone affects men and women the same way the luteinizing hormone does. Thus the symptoms are the same.

  • Growth Hormone: In children, the growth hormone affects their bone, fat and muscle. They have the following symptoms—

    • Lack of height

    • Increase in body fat

    • Abnormal peak bone mass (bone tissue present after the skeleton matures)

In adults, the whole body is affected. Body fat increases while muscle and bone mass decreases.

  • Prolactin: Prolactin deficiency only affects women. The prolactin hormone gets the production of milk started after childbirth. Lack of prolactin thus affects breastfeeding.

  • Antidiuretic Hormone (ADH): The kidneys are affected by lack of ADH. Symptoms include—

  • Oxytocin: Lactation and childbirth are affected by lack of oxytocin. If you wish to discuss about any specific problem, you can consult an endocrinologist.

3064 people found this helpful

What is Hereditary Hemochromatosis?

MD- Paediatrics & Neonatology, MBBS
Pediatrician, Gurgaon
What is Hereditary Hemochromatosis?

Anything in excess is bad for the body. The same goes with iron, which is believed to be essential for various functions.

Hereditary hemochromatosis (HHC) is a hereditary condition where the way the body absorbs and stores iron are affected, leading to excessive iron deposits in various internal organs and leading to multiple complications. Read on to know more about this condition.

Causes: HHC is caused by the mutation (alteration) of a gene that controls the amount of iron absorbed into the body. A hormone called hepcidin is secreted by the liver and controls iron absorption and storage. In HHC, the role of hepcidin is altered, leading to excess amounts of iron absorption and storage in various major organs, especially the liver. Over time, this excess iron can cause conditions like diabetes, cirrhosis, and heart failure.

Risk Factors: The condition runs in families, and if you have a family member with known HHC, the chances of having HHC are quite high. Though the disease develops right at birth, symptoms manifest only later in life, at about 50-plus years of age. Men who carry two copies of the mutated gene and hail from Northern Europeans are more prone to develop HHC.

Symptoms: There are no specific symptoms pointing to HHC in the early stages, and these include joint pains, abdominal pain, fatigue, and weakness. Over a period of time, these can lead to associated symptoms of conditions like cirrhosis, heart failure, impotence, diabetes, etc.

Diagnosis: Blood tests are done to diagnose the amount of iron in the system. Fasting transferrin saturation and serum ferritin are two important tests, and increased transferrin saturation is very indicative of HHC. In addition, liver function tests are done to check the extent of liver damage. MRI examination also will help identify the areas of iron overload and extent of liver damage (if any). Liver biopsy can help identify iron overload and liver damage. Gene mutation tests are also useful in confirming the condition.

Treatment-

  1. Depending on the excessive amount of iron deposited, phlebotomy which requires removal of iron is advised. About 400 to 500 mL of blood can be removed once a week or in two weeks.

  2. From a prevention point of view, hepatitis A and B vaccines should be given.

  3. In very severe cases, liver transplantation could be considered.

  4. Monitor for other symptoms like diabetes, cirrhosis and liver failure.

In addition, once the diagnosis is confirmed and phlebotomy initiated, iron levels should be monitored periodically to ensure it is not exceeding the desired levels. This can help in the prevention of complications, which are more causes for concern than the actual HHC condition per se. If you wish to discuss about any specific problem, you can consult a pediatrician.

2570 people found this helpful

Impotence And Homeopathy!

BHMS
Homeopath, Kolkata
Impotence And Homeopathy!

If you cannot get an erection or if your erection isn't firm enough for sex, then you are suffering from Erectile Dysfunction(ED). If the troubles are persistent, then, it is a serious cause for concern.
You can take a look at the symptoms of ED listed here:

1. Symptoms

a. You find it a real trouble getting an erection or keeping one firm enough for sex.
b. Your sexual desire is reduced and along with it, you experience other sexual problems which might include ejaculatory dysfunction.

2. Causes
a. There can be physical causes, like:
 i. Involving medical conditions like Parkinson's Disease, Heart problems, high blood pressure, diabetes.
 ii. Involving medical treatments like treatment of prostate cancer or surgery in the pelvic region.
b. If you are a heavy drinker, then you have cause for concern.
c. There can also be psychological causes, like:
 i. If you are suffering from depression or anxiety, then that is a probable cause for the disorder.
 ii. Relationship problems might also lead to problems which extend into the ED.

3. Treatment
a. An efficient way of treating ED is homeopathy. This includes mainly two ways in which homeopathy can be used to address the disorder:
 i. By using Agnus Castus: Agnus Castus is a top remedy for erectile dysfunction and is essential especially when the patient lacks sexual desire, or physical power required for sex.
 ii. By using Lycopodim: It is especially beneficial for people with an enlarged prostate and for old and young irrespectively.
 iii. By using Caladium: Caladium is the required deep-acting agent required when the condition is acute. In these cases, when erection is either not possible or not firm enough for sex, it is imperative that caladium is used as it tackles the problem at a much deeper level. 

3 people found this helpful

Popular Questions & Answers

I am 31 year and went through a TVS. My results were normal. My husband is 32yo. He was diagnosed with severe oligospermia w/ mild asthenoteratozoospermia. He is currently taking Himalaya Speman DS and Himalaya Confido for 33 days now. My husband smokes 3-5sticks daily, and drinks 1-2x a month without getting drunk. We are already drinking alkaline water. Will we conceive naturally? Thank you.

Diploma In Psychology Counselling Skills, Diploma in ayurveda, B.S IT
Psychologist, Bangalore
Hello Friend, Good that you are seeking a help here. Appreciate you for taking the steps to identify the reason and starting the treatment. You need to give some time for the treatments to show results. Sametime, in addition to medicine he is taking, you need to adopt few non medicinal treatment plan to get better results. Firstly he need to still reduce smoke and drink for some time till conceiving to help the treatment. Detoxification is important at this stage. Secondly, both of you need to follow certain homes remedies, dietary changes, few excersise or self therapies and follow certain daily routines. Feel free to reach out to me online or through private chat for further assistance to clarify and to understand the natural method for improving the treatment and relationships building. Be positive. Both of you will be alright soon.
10 people found this helpful

I am 31year and went through a TVS. My results were normal. My husband is 32 year. He was diagnosed with severe oligospermia and mild asthenoteratozoospermia. He is currently taking Himalaya Speman DS and Himalaya Confido for 33 days now. Will we conceive naturally? My husband smokes 3-5sticks daily, and drinks 1-2x a month without getting drunk.

MD - Psychiatry
Psychiatrist, Chennai
The chances of conceiving from your hubby s sperms naturally seems very remote. Ask him to stop drinking and smoking as it can further worsen the situation. If you consult an infertility specialist they will suggest ways to conceive. All the best.

My sperm count is 80 million and Motility rapidly progressive are 20% Head defect - 15% and body defect 8%..I am taking paternia+,Vigorex-SF and Fertyl-M to increase motility, is this fine?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. These medicine are perfectly fine sir for your issue. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance.

I am 33 year old, 7.5 years for marriage and no baby since then, in 2014 did semen analysis and got to know I have non obstructive azoospermia. Consulted too many doctors but all of them said there is no treatment for my case. I have undergone with testes biopsy in 2016 result showed Primary testicular failure with Incomplete Spermatocytic Arrest.

MBBS
Sexologist, Panchkula
You have non obstructive azoospermia. You need to take 2 months by herbal medicines to increase synthesis of sperms in your testis. You have to follow certain instructions for permanent solution to your problem. If interested, I advise you to tell me your eating habits and any addiction to alcohol or cigarette, for better guidance and natural, safe and permanent treatment, by calling through Lybrate.
4 people found this helpful

Table of Content

What is Male Infertility or Impotency?

What are the signs of infertility in males?

How can a man tell if his sperm is fertile?

Can erectile dysfunction make you infertile?

Can male infertility be cured?

Can a man go from infertile to fertile?