SOLUTION TO MEN INFERTILITY (IMPOTENCE AND LOW SPERM COUNT) : Infertility can be defined as the failure to achieve pregnancy after regular unprotected sex (without the use of any contraception) for at least a year.
Infertile Person has never had a child.
Infertile person has had one or more children in the past.
To understand infertility, it is important to know normal male reproductive system. Therefore we should first try to understand the male reproductive system in very simple way –
Women have the chance to get pregnant only once a month (when they ovulate), men seem to have the ability to fertilize an egg at any time. However, the production of sperm is not a simple one. In fact, it takes about 74 days for sperm to be produced and readied for ejaculation.
At birth, males have simple round cells contained within their seminiferous tubules. This is the most primitive form of sperm. During puberty, stimulation by testosterone and other hormones cause the cells to divide, thereby beginning the maturation process of sperm.
The sperm cells will divide and mature until they begin to resemble tadpoles, These mature sperm are highly specialised cells and are made up of three parts: a head, neck and tail.
Head is a structure called the nucleus, which Contains all the genetic information that a man contributes to his child. The head is designed to stick to and then enter (penetrate) the egg.
The neck joins the head to the tail.
The part of the tail nearest the neck contains the mitochondria, which provides the energy for the sperm to move. The tail moves in a whipping motion to push the sperm towards the egg.
Once the sperm has developed its head and tail, it is shuttled along to the epididymis. Here it will enjoy a three-week stay by the end of which it will have gained the ability to move. Next, the sperm move through the vas deferens to the seminal vesicles where they stay until they are ejaculated. All along this trip, the sperm will be provided with fructose, a type of sugar, to give it energy as it travels along.
During ejaculation, fluid from the prostate, seminal vesicles, and Cowper’s gland combine with the sperm to make semen. This will be expelled from the body during orgasm. For fertilization of the female egg to occur, it is necessary to ejaculate inside the vagina.
Anywhere from 250 million to 1 billion sperm are produced and ejaculated at one time in a healthy male. However, only about 200 of these will actually make it up through the vagina, cervix and uterus and into the correct fallopian tube. From this drastically reduced group, only one sperm will actually be able to fuse together with the egg to create a child. In total, it takes a few days for sperm to make the trip through the female reproductive system to the egg.
Causes of infertility
Healthy men in their 70s and beyond can still father children however the time taken to cause a pregnancy is longer from middle-age onward. The potential reasons for this include a decrease in sexual activity, semen volume, sperm motility (movement), the total number of motile sperm and possibly sperm
function and DNA quality.
Blockage in a sperm-carrying tubes due to –
– Groin surgery (including hernia repair and fixation of undescended testicles).
– Trauma to the scrotum sack covering the testicles (even fairly minor sporting injuries).
– Infection (particularly chlamydia, gonorrhoea and tuberculosis).
– Previous vasectomy (a form of contraception that involves tying the sperm-carrying tubes).
– Absence of the vas deferens on one or both sides. (The vas deferens is the tube that conducts the testicular component of semen to the urethra, which then carries semen through the penis to the outside world.)
– Absence of seminal vesicles (where other semen components are made)
Other obstructive cause
– Berry-Perkins-Young syndrome, in which sufferers have a chronic chest disease (bronchiectasis), chronic sinusitis and obstructive infertility.
Testicular injury and disease
– A blow to the testicles, which may occur in sport or during a fight, can cause swelling of the testicles, or bleeding in or around them. This probably causes the blood supply to the testicles to fail, resulting in permanent damage to the sperm production mechanism.
– Torsion of the testicles (twisting of a testicle on its cord) can have a similar effect if it is not treated very quickly with surgery.
– Viral infections can cause inflammation of the testicles (orchitis, which usually appears as painful swelling of the testicles) and failure of sperm production.
– Mumps affect fertility if it causes orchitis.
– Undescended testicles (cryptorchidism) may lead to failure of sperm production.
Varicocele is dilation of the testicular veins in the spermatic cord that leads from the testicles to the abdomen. Varicocele may be either one sided or occurs both sides, but more common on the left.
Varicocele either heats up the testicles or impairs their blood supply thus affecting fertility. The co-existence of other risk factors, such as smoking, with varicocele seems to have a greater effect on the risk of infertility.
Absence of sperms, In case of azoospermia homoeopathic treatment is highly hopeful.
Meager number of sperms.
– Astheno sperm
Sperms with feeble mobility. This may be sometimes due to the dilated and tortuous condition of the veins of the testis- varicocele. This can be managed very well with homoeopathic medicines by evading surgery.
Structural malformations of the sperms.
– Chromosome disorders
Can affect their fertility in various ways:
– affect the development of the testicles.
– Klinefelter’s syndrome
In this disorder, instead of having 46 chromosomes, including one X and one Y chromosome (46XY), the man has an additional X chromosome (47XXY).
– can disrupt cell division and sperm production.
Problems with erection and ejaculation
– Erectile dysfunction (inability to attain or maintain an erection adequate for intercourse)
– Premature ejaculation
– Failure to ejaculate
– Inability to achieve vaginal penetration
– Testosterone deficiency
It can reduce fertility and may be caused by problems with testicular testosterone production, or problems with the pituitary gland or hypothalamus in the brain, which control testosterone production.
– Overproduction of prolactin (hyperprolactinaemia),
A hormone produced by the pituitary gland, may also reduce fertility.
General medical disorders that reduce fertility
There are several conditions that may reduce fertility:
Influenza (flu), pneumonia, or even a severe cold can cause a high fever, which will adversely affect sperm production and quality. These changes usually recover over a few weeks.
It can cause problems with erection and ejaculation through causing damage to the function of the ‘automatic nervous system’.
– High blood pressure
Hypertension (high blood pressure) can cause problems with erection, either directly or as a side effect of medication.
– Coronary artery disease
Coronary artery disease can cause problems with erection. This could be due to generalized hardening of the arteries, in the penis as well as the heart, or to drugs used in the treatment of heart problems.
– Neurological disorders
Multiple sclerosis, stroke, and spinal cord injury and disease can all cause problems with erection and ejaculation.
– Kidney disease
Chronic renal failure, which results in a build up of waste products in the body, can adversely affect sperm quality and fertility. It can also cause erection problems.
Cancers that affect the genital tract or endocrine (hormone-producing) systems may directly reduce fertility. Otherwise, drugs and radiation used to treat cancer may severely reduce sperm production or even stop it altogether. Stress (see below) may also have an effect.
Alcohol is toxic to sperm and overuse of alcohol can reduce sperm quality and fertility.
Stress causes several hormonal changes in the body that can affect fertility. Stress can have many causes, including anxiety over fertility problems.
– Bad habits
Alcohol – Reduces sperm count and quality
Tobacco – May reduce sperm motility
Marijuana – affects hormone production
Opiates (heroin, morphine) – Affects hormone production
Anabolic steroids – Affect hormone production
Amiodarone – Inflammation of the testicles and epididymis (epididymo-orchitis) leading to problems with sperm production
Cancer chemotherapies – May severely reduce sperm count, quality and motility. Effects may be permanent
Colchicines – May severely reduce sperm count
Digoxin – Affects hormone production Heart failure
Erythromycin – May reduce sperm count
Gentamicin – Reduces sperm count
Hormonal therapies – May disrupt other hormone production
Ketoconazole – Reduces sperm count
Methotrexate – Reduces sperm count
Nitrofurantoin – Reduces sperm count
Phenytoin – Reduces sperm quality and motility
Spironolactone – Affects hormone production
Sulphasalazine – Reduces sperm count and quality
– Environmental toxins and radiation
Environmental toxins that may affect fertility
Alkylphenols, Dioxins, Organochlorine pesticides (Lindane, DDT) etc.
Signs or symptoms of male infertility
In most cases, there are no obvious signs of an infertility problem.
Intercourse, erections and ejaculation will usually happen without difficulty. The quantity and appearance of the ejaculated semen generally appears normal to the naked eye.
Diagnosis can involve a medical history from the man to find out whether there are any obvious health issues that could affect fertility. A physical examination is performed, along with a semen analysis to check the number, movement and shape of the sperm in the ejaculate. Blood tests may also be done to check the hormone levels that control sperm production. Genetic investigations and
testicular biopsies are sometimes done.
There are a number of things that men can do to help preserve and promote their fertility.
– Eat a healthy, balanced diet.
– Take regular exercise.
– Try to maintain their weight in the ideal range.
– Don’t smoke.
– Keep alcohol consumption within recommended limits.
– Don’t use recreational drugs.
– Try to reduce stress.
– Avoid tight underwear or wear boxer shorts – the evidence for benefit from this is very poor. One study from the Netherlands showed that tight leather trousers and tight plastic underpants affected sperm quality when worn together, but not alone! Y-fronts probably do not make much difference.
– Cold showers or scrotal soaks – while these might take the mind off fertility concerns for a few moments, there is no evidence of their effectiveness.
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