Male infertility: the main causes, diagnostic methods

The last time a serious problem, both medical and social change, the infertility, the men and the diagnosis of the various causes of inability to conceive offspring.

Male infertility violation of male reproductive function. This is a consequence of the changes in the quality and quantity of sperm resulting from inflammatory processes in the genital organs, infectious diseases, and chronic diseases.

Date, infertility in men is relevant to a par with female infertility. According to the statistics, the percentage of childless couples through the fault of men 45%. If during the year of the regular sexual intercourse the woman is not pregnant, the sexual partner is considered infertile.

Male infertility

The male infertility causes

There are many different reasons that ultimately do not allow a man to be a father. Only a properly performed diagnostic can be established the final diagnosis of the disease. The main causes of infertility in men are the following:

  1. Venous one of the reasons that minority. On the basis of pathology lies varicose vascular dilation in the spermatic cord, z, as the output channel of the sperm. Because of the disease the temperature rises, the scrotum, which eventually affect the condition of the sperm. Determine the existence of a vein just a doctor.
  2. Genital injuries or abnormalities of the development – a significant reason why the man is not capable of fertilization. The main errors: the presence of only one testicle, popushina them in the scrotum, the error in the development of the penis, which the urethra opens under the top of the head.
  3. Genetic errors are because you are not only male infertility, but the birth of babies with genetic abnormalities later inherited. The presence of errors at the genetic level is sometimes not possible to apply the method, and ECO, because it is likely that an infant with severe diseases, and the result is an expensive procedure may be ineffective.
  4. Infections that are sexually transmitted (trichomoniasis, syphilis, etc.).
  5. Infection leading to cell damage, the function of which is the production of spermatozoa: brucellosis, mumps, and the others.
  6. Inflammatory processes in the prostate, the ureter.
  7. Ok, it's a sexy character – lack of erection or complete lack thereof, premature ejaculation. To solve such problems not andrologist, sexologist.
  8. The tumor of the testis – benign or malignant is the main cause of erectile dysfunction in male infertility.
  9. The decline, the weakness of the immune system.
  10. Regular medicines, antibiotics for a long time.

The types of male infertility

Inability to conceive is determined by two characteristics: anatomical, functional.

Infertility secretory – develops on the basis of violations of formation and the maturation of sperm. Both can be temporary or permanent.

Temporary disturbances related to adverse factors: increased body temperature, environment, harmful, toxic gases. Eliminates the effect of these factors restores the natural process of formation and maturation of sperm.

Permanent infertility – the reason for this is genetic disorder, or congenital diseases, the development of the ducts of the epididymis. Defeat cell canalicular system can be observed, when the disease, epidemic parotitis, and autoimmune disease. Atrophy of the cells in the seminiferous tubules, with the defeat of the epididymis – the phenomenon is irreversible.

Excretory infertility is caused by the difficulty caused by the passage of the semen the excretory channels. This stop can cause adhesions in the tubules of the epididymis, one of the testicles. The sperm cannot get into the semen. Usually adhesions are formed due to inflammatory processes, benign or malignant tumors in the tissues of the testicles because of injuries.

Autoimmune infertility the result of the gap in the barrier between the ships in the channel, to the seed. Blood begins to develop the immune response – their own sperm the body of an alien invasion. A result of antisperm antibodies begin to decrease in sperm motility and in the end, the last dying.

Combined infertility – the reason for this is that the violation of the maturation of sperm, the presence of additional barriers to ejaculation.

Infertility is relative , and determine when the visible reasons are not available: semen analysis normal, your sex life, there is no obstacle, but the long-awaited conception will not occur. The reason for this type of infertility violation of hygiene during sexual intercourse.

Diagnosis of infertility in men

After a medical examination, the man provided for the analysis of sperm, which is repeated two-three times. We recommend that you refrain from sexual acts, Masturbation two to three days.

The ratio of the volume early in the three-to five-ml, but if the number is less, the standing rules – this suggests insufficiency of the testes. If the sperm volume is less than two ml, even despite the fact that the positive sperm to get pregnant is not likely since the sperm volume is small. A milliliter of semen should contain not less than twenty million sperm, low number of them talking oligozoospermia, which develops on the background of insufficiency of the testes or unilateral obstruction of the road. This leads to infertility in men.

The bilateral obstacle in the absence of sperm in the semen are talking about azoospermia. To fertilize the egg, only one sperm, but reduced the number to a million conception impossible. At the time of the ejaculation of the cervix two hundred million sperm, more than half, which defeats the mucous plug in the neck tube, but only a small part of the semen reaches the mouth of the tube to the uterus. Due to the fact that the eggs found, only one of the fallopian tubes, cover only half the sperm. So, the less the ejaculate, the less conception chances. When a critical reduction in the number of sperm, the diagnosis of male infertility.

The main sperm count of a straight-line movements or chaotic. Reduced number of motile sperm is called asthenozoospermia, the absence of them – necrozoospermia.


The frequency of sexual contact depends on both the mobility amount of sperm I could leave early. Thus, the patient with the diagnosis of infertility is recommended to abstain from sex to obtain reliable results semen. Straight to the sexual intercourse, the sperm loses fertility, the contraception is not necessary.

If couples do not refrain from sex before conception, may be infertile because of the frequent associated with the sperm increases the number of immature sperm with low viability, mobility. The largest number of Mature, viable sperm appears in the semen after only a few days of abstinence.

Morphological analysis estimates the proportion of normal sperm. If the majority of them full structure – it is the norm, the reduced quantity is called teratozoospermia. Many men have a successful test, sometimes agglutination of the sperm, which is contrary to the normal levels. The sperm may not be present plots of clusters of the sperm, as the sperm is heterogeneous, and areas that have a high density, intense color, and slows down the speed of the sperm. The sperm that infertility is the result of pelvic inflammatory disease, hormonal disorders in the body.

A large number of white blood cells warns inflammatory processes of the urogenital tract.

Well, as the investigation requires consultation with a urologist to identify the following diseases: vesiculitis, prostatitis, epididymitis.

The functioning of the reproductive system in men

The sperm the male sex cell, which is the father's genes. Information on the genes is concentrated in the sperm head due to the tail of the sperm moves from reaching the egg. First move the channels along which pass straight tubes and the epididymis.

The length of the tubules is approximately five hundred meters. Slowly channels, the sperm has time to Mature and can fertilize an egg. The epididymis is the final stage of the growth, and further flows through the seed excretory canal of the seminal vesicle. Here the sperm accumulates, and is then mixed with epithelial secret which contains nutrients suitable for the sperm. Further, the seminal vesicle-seminal fluid begins to evacuate the period of the ejaculation, is mixed with a secret of the prostate gland. This resulting liquid is called semen.

The main cause of infertility in men: obstruction of the channel, when the sperm is not forced out of the urethra due to the obstacles, the violation of the excretory function.

Treatment of infertility in men

There are many methods to treat this man's disease:

  1. Surgery – venous and can heal a surgical procedure, but obstruction of the duct can only be eliminated. Obviously, reality is restored after the procedure, the vasectomy. If the semen is not sperm, it is possible to obtain the testis or the appendix (epididymis) , you need to use the insemination by artificial means.
  2. The treatment of this disease in the background of the infection – antibiotics fight infectious diseases through sexual activity, but sometimes antibiotic therapy to restore the fertility problems.
  3. Treatment of sexual problems of medicinal drugs, consult a professional technician will help you solve such pathology, as erectile dysfunction, premature ejaculation.
  4. Therapy hormonal – this is the treatment given in the event that the deviation in the concentration of certain hormones in the blood.
  5. Artificial insemination is a normal sperm (the donor after extraction), enter them in the female genital tract and fertilization, bypassing the female body (intracytoplasmic injection). Rarely is male fertility is not restored, but the couple still have a chance to donor sperm.
Prostate inflammation

Risk factors

The factors causing this is that you can't imagine the following:

  • Use of illegal drugs,
  • The excessive consumption of alcohol,
  • Overweight
  • Smoking,
  • Infectious diseases
  • Trauma to the testicles
  • Toxic substances, gases,
  • Violation of the temperature of the testes
  • The surgery is abdominal, pelvic, vasectomy,
  • Congenital abnormalities in the fertility of men or family,
  • Pathology – varieties of tumors, chronic diseases,
  • Surgical intervention
  • Certain therapy – laser therapy.

Infertility prevention

The news of the infertility in the men a tragic surprise. The women also experienced a shock when she found out the futility of the partner, but it fades the pain, which passes through the man in the news, because the subconscious is most men identificeret the manhood of the function of the genital organs. The news about the inability to have children causes a painful blow to the ego. Sometimes people leave the family, I think you shall not be entitled to create a serious relationship. Often this situation ends with alcoholism, relations between the spouses is changing, not for the better.

Many men abandon surveys because they're afraid to hear about the infertility. But if in the family there is a problem with conception, it is necessary to adhere to the recommendations of the experts on how to build up the sexual life. In this situation, the partners sometimes neglect the game of love, foreplay, and just do your doctor for advice. This has a negative impact on relationships between partners.

The incompatibility between the spouses

Each pair is a factor of the immune system infertility, which is the body of the men and women producing specific proteins. This adverse effect on sperm cells and do not allow it to affect the egg. It is for this reason that the incompatibility of the partners. In such cases, the study of man's blood, semen antibodies.

The male infertility treatment


The diet require the presence of the following products: nuts, honey, fish, cheese, sea foods. Garlic, vegetable oil, fruits, vegetables, herbs.


May adversely affect the functioning of the male reproductive system, the following factors: fatigue, stress, the sauna, the Smoking, poor working conditions, alcohol, drugs. Rare sexual relations leading to stagnation in the reproductive system. Even the sedentary lifestyle has a negative effect on fertility. If you properly organize your way of life, you might manage without using drug therapy.

Normal sleep is controlled by physical activity, appropriate weight, the correction of the sexual life, the proper nutrition, lift up the tone of the reproductive system.

The latest measurements, statistics, one in four people is able to imagine how a child after a long, but productive treatment. Effective in the treatment of male infertility is 15% more than success in the treatment of female infertility.