TREATMENTS FOR MALE INFERTILITY

     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 .