Causes of infertility in men
Gynecology and Obstetrics Specialist Op.Dr. states that today, many married couples experience difficulties in having children. Abdulaziz Akkaya: “Infertility is the inability to have a child without using any contraceptive method for more than a year. "It would be beneficial for couples over the age of 35 to consult a doctor if normal pregnancy cannot be achieved for at most six months." He said.
Op.Dr. points out that pregnancy cannot be achieved in men due to low sperm production, immobility or a defect in the structure of the sperm, due to blockage in the sperm ducts. Abdulaziz Akkaya, “Factors causing male infertility; Damages caused by injuries, chronic diseases, lifestyle and problems caused by unexplained reasons can lead to infertility. However, with the help of advanced technology, infertility problems can now be treated to a large extent.” He said.
"If there is no problem caused by the woman, it may not be possible to have children because of the man." said Op. Dr. Akkaya, If pregnancy cannot be achieved as a result of regular intercourse without using contraception for more than a year, If there is sexual reluctance or sexual dysfunction, If there is pain, swelling and mass in the testicles, If a surgical procedure has been performed on the reproductive area in the past, If the sperm count is low... a doctor should be consulted. said.
What are the causes of male infertility?
Op.Dr. stated that detailed research may be required to find the cause of male infertility. Akkaya stated that all the behaviors, profession, working conditions and daily habits of the man who cannot have children should be examined in detail.
Problems to be researched;
Healthy sperm production. : In order to produce healthy sperm, reproductive organs must grow and form healthily. At least one testicle must function normally to ensure sperm production. The secretion of testosterone and other necessary hormones must be at normal levels.
Sperm must be transported into the semen: After the sperm is produced in the testicles, it must meet with the semen and be transported to the tubes. The sperm must not have any deformities for its movement: If the sperms have movement disorders, they cannot reach the woman's eggs and fertilization cannot be achieved.
Causes of Infertility in Men
Male The causes of infertility in expectant fathers can generally be due to the following reasons.
1 )Hormonal-related
Sperm production is the production of sperm released from the pituitary gland in the brain. Since it is under the control of the hormones known as FSH and LH, infertility may occur by causing the irregular secretion of these hormones.
2 )Undescended testicle (Cryptorchism)
Testicles It usually descends into the ovarian sacs at birth or within a year. Healthy sperm production is the production of sperm at a temperature lower than the body temperature. If the testicles do not descend and the remaining testicles are exposed to high temperatures, problems occur in sperm production and may cause infertility in men.
3 )Testicular tumors
Tumor treatment is performed. Over time, radiotherapy along with the drugs used by the patient affects sperm production seriously negatively.
4 )Structural defects in sperm
Sperms do not come out after being produced in the testicles. Factors such as obstruction and insufficiency that cause backward ejaculation and distorted sperm shape.
5 )Testicular traumas
Cases that occur due to accidents along with various injuries may reveal the cause of infertility.
6 ) Varicocele
It is the abnormal enlargement of the veins around the testicles. Not every man with varicocele is infertile. However, it is among the causes of infertility. As a result of various studies, it has been diagnosed that nearly 20% of men who have previously impregnated their wives have varicocele. In infertile couples where the woman is healthy, the probability of varicocele is around 35% to 40%.
Varicocele is more common in the left region. Nearly 10% of men This situation does not generally cause any complaints. Varicocele is diagnosed as a result of examination of the ovaries and ultrasonographic examination. In men suffering from varicocele, the increase in temperature in the scrotum in direct proportion to the slowdown in blood flow is among the factors that cause infertility. In varicocele surgery, enlarged veins are treated by injecting them with special solutions or by ligating them. Surgical intervention is recommended when another cause of infertility cannot be diagnosed or when varicocele causes pain.
7 )Infection
Microbial infections occurring in the reproductive organs cause infertility. it could be. If we were to give an example of this, tuberculosis, sexually transmitted disease (chlamydia), gonorrhea (gonorrhea) can be given as examples.
8 )Genetic factors
Along with Klinefelter syndrome, genetic diseases such as cystic fibrosis are also among the causes of infertility.
9 )Environmental factors and habits
The man's profession, smoking, alcohol, In addition to the use of substances such as drugs, the drugs used during the treatment period for some diseases can also cause infertility.
10) Unknown cause number, mobility and structural disorders ( idiopathic oligoasthenoteratospermia-idiopathic OATs)
Many treatment options have been applied to date for the treatment of sperm count, motility and structural disorders, the cause of which is not yet known. These treatment options include antiestrogens (clomiphene citrate), androgens (testosterone), antioxidants (vitamins E and C), corticosteroids, and agents that increase mobility (Padutin, Kallikrein).
In addition to irregular nutrition, smoking. It is recommended to use vitamin E in men who smoke. It is absolutely important to reduce or cut down on smoking, not to wear uncomfortably tight underwear, not to remain inactive for long periods of time, and to adopt a healthier lifestyle.
The accepted view today is not that the man should be treated, but the current one. which is sp It is in the form of using the ermine. If there is a sperm analysis that allows spontaneous pregnancy, if the woman is young and the marriage period is short, she can wait a while longer. If the total amount of motile sperm is over 10 million, vaccination can be performed.
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