There are many problems that can cause infertility
in humans basically can be affected four factors different, namely:
pretesticular factor or endocrine, testicular factor , post - testicular factor
and finally spermatic factor , which is the one that refers to the quality of
sperm.
We have divided this in several different points.
Then you have an index: you can read the full
information as it is analyzed below :
Index
Treatments
for male infertility
1.
Indications for treatment
1.1.
artificial insemination (AI)
1.2.
in vitro fertilization (IVF)
1.3.
ICSI
1.4.
IMSI
1.5.
MACS
1.6.
PICSI
Indications
for treatment
You need to perform a semen analysis to check the
degree of male infertility, depending on the result of this test the degree of
impairment is determined on fertility and treatment is most appropriate.
It should also take into account the time of
infertility, and in what state the couple is. But focusing on the man are:
artificial
insemination (AI)
It indicated in mild condition, ie with:
Total motile sperm in the ejaculate 30-50 million.
Oligozoospermia mild , with REM (motile sperm count)
after training > 3 million.
Sperm morphology judiciously Kruger> 4% normal.
in
vitro fertilization (IVF)
It is indicated in cases of severe pathology, either
to problems sperm count, morphology or sperm motility .
Severe oligozoospermia , less than 3 million sperm
per ml
Teratozoospermia mild , with at least 4% of sperm
with normal
ICSI
It is recommended as a treatment to severe cases of
male infertility .
Oligoteratozoospermia : with 3 million motile sperm
per ml and a normal morphology between 1-4%.
Oligozoospermia very severe , with less than 3
million sperm per ml.
Testicular biopsy .
Epididymal sperm aspiration.
Asthenozoospermia : severe alterations of sperm
motility.
IMSI
It is similar to the procedure ICSI but with a
microscopic magnification, so you can choose the best sperm. It is indicated to
severe Teratozoospermia, and earlier ICSI failures.
MACS
Also called columns of annexin V, is indicated to
strong male fertility problems, it allows better filter semen, so that sample
sperm smoothly ICSI is performed. This indicated to men with a high degree of
spermatic fragmentation or repeated failure to ICSI.
PICSI
It is
also known as physiological ICSI, the same procedure as in ICSI, the difference
is that prior to microinjection, a selection of special sperm PERFORM. the
sperm sample in a special plate containing zones with a high content of
hyaluronic acid is placed. The sperm that bind to these areas are used for the
microinjection. With this technique, it is ensured that these sperm are able to
recognize the molecule that covers the oocyte and join it.
Fertility
problems of couples are increasing and the rate is currently estimated between
16 and 18% of the world population, ie infertility affects more than 800,000
couples .
Therefore we can not consider a trivial problem,
especially considering that the 3% of total births in Wolrd are obtained by
infertility drugs and assisted reproductive techniques.
L to male infertility is the great unknown for their
Causes and treatment, related to women, but instead accounts for 50% of the
causes of infertility in the couple and half the 44% in world population.
This would be investigated in lifestyle and
environmental, as the consumption of snuff, overweight and environmental
pollution.
The first thing a man has to do, if you see that you
have offspring, is a complete medical history and then continue with an
analysis of blood and other semen ( semen ) to check their fertility by the
number, mobility and shape of your sperm .
They are considered low fertility levels if these
figures are not met his espermiograma:
oligozoospermia : less than 15 million sperm / ml,
astenozoospermia : <32% motile sperm,
Teratozoospermia : <4% normal forms.
The medication that a man must follow is based on
the causes that influence the above parameters and reduce the Probability of
fertilization, which is determined by the quantity and quality of semen.
Based on the results of clinical trials, it has been
observed that the follicle stimulating hormone and anti-estrogen in combination
with testosterone treatments can be beneficial depending on the different
causes of the fertility problem.
We will report the drugs currently available in
pharmacies to improve male fertility, once a docttor has determined the cause
of each patient and specific treatment indicated.
If the problenma is in a decreased secretion of
pituitary hormones gonodotrofinas ( FSH ), the drugs are recommended:
Gonal-F
Fostismon
HP Metronide
Puregon
If the cause is low levels of testosterone in the
blood, drugs are:
Testopach (patches)
Testex Prolongatum inj
Andriol inj
Nebido inj
Bayer
Readron inj
Anti-estrogens ( tamoxifen ) to recombine with
testosterone are:
Taxus
Nolvadex
Tamoplex
Following the results has established a standardized
guidelines for the various treatments, as appropriate:
Human FSH in high doses (300 IU every other day for
4 months), increases the concentration of sperm and increases sperm motility
Tamoxifen citrate, 20 mg / day, and testosterone
undecanoate, 120 mg / day for at least 6 months improves sperm variables
(concentration, motility and normal morphology)
There is another very rare cause of male
infertility, which can also be treated with medication, is retrograde
ejaculation (occurs when much of the semen into the bladder empty at the time
of ejaculation) is corrected with Tofranil .
But perhaps the most important thing to know is that
neither you nor your partner should blame for fertility problems they may have.
The American Society for Reproductive Medicine ( American Society of
Reproductive Medicine, ASRM ) estimates that about one third of infertility
cases are attributed to male factors, and another third to female factors,
therefore we must work together and there is always a solution if you want a
child .
Post a Comment