Treatments For Infertility

MALE INFERTILITY

We provide comprehensive management and treatment for Azoospermia, Oligospermia, Impotency, Erectile dysfunction and premature ejaculation.

Treatment of Male Factor

Obstructive causes

Surgical Procedures such as Vaso-epidydimo-anastamosis might improve the sperm count in 40% of cases. If sperm count in low then IVF-ICSI is the only solution if the couple is keen on their own genetic child. Another options is donor insemination.

Non Obstructive causes

• In case of genetic defects like KLINE FELTERS syndrome, Micro deletion in Y chromosome etc. donor insemination is the option. Adoption another alternative in case the couple is averse to treatment.
• If the testes are atrophic due to infections again donor insemination is the option.
• Varicocelectomy (Ligation of veins or embolisation) might improve sperm count.
• Erectile dysfunction: medications like Sidnaphyll and counseling can help. If the sperm count is good then IUI is an option. In case of very low sperm count IVF-ICSI is the option. For impotency, penile prosthesis are available which can couples have normal sex.
• Azospermia can be managed through the following procedures.

Sperm Aspiration

This is a procedure to obtain viable sperms from the male reproductive tract. The following methods are used to extract the sperms for use in ICSI.

• Microsurgical Epidydimal Sperm Aspiration (MESA): To obtain sperms from the epididymus using an operating microscope.
• Percutaneous Epididymal Sperm Aspiration (MESA): To retrieve sperms, epididymus is punctured with a needle & sperms are aspirated with a syringe. This is a simpler technique.
• Testicular Sperm Aspiration (TESA): This involves sucking out the testicular tissue &sperms are isolated from it.
• Testicular Sperm Extraction (TESE): It is an open procedure where a small portion of testicular tissue is removed through an incision. This tissue is placed in culture media &sperms are extracted from it.

Some Common Terminology

Hypospermia : low semen volume

Normozoospermia : Normal ejaculate (WHO Criteria)

Oligozoospermia : Sperm concentration fewer than 15 x 106/ml

Asthenozoospermia : Fewer than 50% of motile sperm

Teratozoospermia : Fewer than 4% with normal morphology

Oligoasthenoteratozoospermia : Signifies disturbance of all three variables

Azoospermia : No spermatozoa in the ejaculate

Aspermia : No ejaculate (absence of semen)

Necrozoospermia  : All spermatozoa are dead as defined by vital staining