General characteristics of the disease
Male infertility - this is not a man's ability to fertilize the female egg naturally. Infertility becomes a medical problem when the pair for a year or more of regular sexual intercourse is not possible to conceive a child.
In 30% of cases the cause is male factor infertility. 35% are problems with the reproductive health of a woman. In 15% of cases diagnosed in the combined male and female infertility. And the remaining 20% are so-called idiopathic infertility, ie of unknown etiology.
Causes of male infertility
The causes of male infertility include the pathology of spermatogenesis (sperm production), as well as erectile dysfunction and ejaculation. The first group of factors, the most common male infertility.
According to WHO causes of male infertility can be psychosexual, infectious, immunological or endocrine nature. Male infertility often lead trauma testicular varicocele (varicose veins in the spermatic cord) and pathology of spermatogenesis following:
- azoospermia (absence of sperm in the living motile sperm)
- astenospremiya (low sperm motility)
- nekrospermiya (presence in the semen of a large number of non-viable sperm)
- teratospermia (violations of the structure of sperm)
- Parvisemia (deficit ejaculate)
- polyspermy (excessive amount of seminal fluid) etc.
Among the causes of male infertility caused by sperm disorders, also called hydrocele or hydrocele, cryptorchidism (undescended testicle into the scrotum), benign and malignant tumors of the testes.
The factors of male infertility include the mumps virus, called colloquially pig. Other infectious diseases, cause of male infertility, rank as syphilis, chlamydia, gonorrhea and trichomoniasis. These diseases are transmitted sexually, not only affect the quality of sperm, but they can also cause problems with erection and ejaculation, as well as the pathology of the urethra.
The factors of male infertility include a course of radiation or chemical therapy, long reception of antibiotics or steroids anaboliticheskih.
Male infertility immunological nature provoke alcohol and drug abuse, stress, vitamin deficiency, systematic overheating, a sedentary lifestyle and excessive exercise regularly.
Diagnosis of male infertility
Male infertility is diagnosed after examination and consultation with a physician, urologist, endocrinologist, genetics and pathology. For the diagnosis of male need to pass general and urogenital examination, pass semen analysis, to verify the cytological composition of the seminal vesicles and prostate gland secretion.
In the diagnosis of male infertility is obligatory check for genital infections: chlamydia, mycoplasmosis, ureaplasmosis, herpes virus, cytomegalovirus. A patient with a preliminary diagnosis of "male infertility", shall be required hormonal screening. The man is also sent to the pelvic ultrasound and thyroid.
In severe cases, diagnostic cause of male infertility is recommended that renal venography, MRI or X-ray of the skull, and a biopsy of the testicles.
Treatment of male infertility
The conservative treatment of male infertility hormonal etiology used drugs gonadotropin, estrogen antagonists, glucocorticoids or testosterone. Selecting the drug depends on the type of hormonal pathologies.
Retrograde ejaculation is one of the factors of male infertility psychosexual nature, treated courses of antidepressants. Patients with impaired release of sperm, in whose history has operations in the area of the bladder neck, require a different approach to her. In the treatment of male infertility this type are used collagen injections directly into the neck of the bladder
Surgical treatment of male infertility is used for varicocele. The operation is performed endoscopically or open pit transperitoneal access. If the cause of male infertility - impaired patency of the vas deferens, the patient is shown holding vazoepididimoanastomoza or vazoorhoanastomoza.
In the pathology of erection or ejaculation in the background undisturbed spermatogenesis possible medical fence sperm for future fertilization. Withdrawal of sperm in male infertility occurs by puncture of the testicle or microsurgical way.
Thanks to assisted reproductive technologies modern couples manage to conceive a child, even in cases of severe male infertility. Zhelannaya pregnancy is due to intrauterine insemination or in vitro fertilization the egg.
People's treatment of male infertility
In the treatment of male infertility folk medicine is widely used herbal medicine. For herbs, reviving virility, include Platanthera bifolia, Orchis male, mugwort, Rhaponticum carthamoides, yellow egg capsules, wild ginger, etc. The roots and leaves of these plants are used for making medicinal teas.
Very often in the national treatment of male infertility are used seeds and nuts: fenugreek, asparagus, plantain, nettle, pine, cedar.
It is impossible to overestimate the role of nutrition in the treatment of male infertility folk remedies. To normalize hormonal men recommended to eat plant hormones. They are found in nuts, quince and pomegranate juice, sorrel, sage.
As aromatherapy in the national treatment of male infertility used oil rose, sandalwood, geranium, jasmine, clary sage. It is recommended to use with a massage or add a few drops in the bath. More effective massage bath with thermal treatments - improves the function of sebaceous and sweat glands, accelerated blood flow, the skin becomes elastic and ellastichnogo.