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Male Infertility

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Male Infertility
YouTube VIDEO ABOUT MALE INFERTILITY

Approximately 15% of married couples suffer from infertility, while in half of the cases the man is “to blame”.

Many factors lead to male infertility. In most cases, the cause of the disease remains unknown (idiopathic infertility). The most common known factors include: varicocele, infectious lesions of the genital organs, hormonal disorders, genetic abnormalities, etc.

The most severe but rare manifestation of male infertility is azoospermia (absence of spermatozoa in semen). At the same time, non-obstructive azoospermia associated with impaired sperm production in the testicles is detected more often (80-85%). There is also obstructive azoospermia (15-20%) due to obstruction of the seminal ducts, most often in the epididymis.

Mandatory research method for suspected male infertility is the study of sperm (spermogram) after 3 days of sexual abstinence. With a normal result of 1 analysis, the diagnosis of infertility is refuted. If there are deviations in the semen analysis, another examination of the semen is necessary.

Hormonal, genetic tests and investigations to detect infections in the organs of the reproductive system are used in the presence of appropriate deviations in the spermogram (decrease in the number and mobility of spermatozoa as well as deterioration of their structure, increase in the count of leukocytes in semen, etc.).

In recent years, research on sperm DNA fragmentation has become popular. If this indicator is exceeded, the probability of conception is significantly reduced.

Treatment of male infertility when a causative factor is identified is to eliminate it (treatment of varicocele, hormonal disorders, infectious processes, etc.).

In cases of unidentified male infertility, the optimal result is achieved by treatment with antioxidants.

In case of non-obstructive azoospermia, microsurgical methods of spermatozoa extraction (MicroTESE) are used for their application in different variants of artificial insemination.

In obstructive azoospermia, microsurgical repair of patency of seminal ducts can be performed (vasovasostomy or vasoepididymostomy). It is also possible to perform extraction of sermatozoa from the epididymis through the skin (PESA) or the preferred microsurgical method (MESA).

TEST FOR THE EVALUATION OF ERECTION (SHIM)

The test evaluates your erection over the last 6 months

  1. How would you rate your level of confidence that you can achieve and maintain an erection?
  2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)?
  3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?
  4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
  5. When you attempted sexual intercourse, how often was it satisfactory for you?
Man

Result

Warning

Conclusion:

Answer all test questions

Result

Warning Checked

Conclusion:

Severe erectile dysfunction was identified

Erectile dysfunction of mild to moderate severity was identified

Mild erectile dysfunction was identified

Mild erectile dysfunction was identified

No erectile dysfunction was found

TEST FOR THE IDENTIFICATION OF PREMATURE EJACULATION (CriPE)

The following questions describe your sexual function over the past 4 weeks. The terms "ejaculation" and "discharge of semen" mean the release of seminal fluid (sperm) from the external opening of the urethra, accompanied by pleasant sensations (orgasm).

  1. Does your ejaculation occur intermittently or continuously before insertion of the penis into the vagina or in less than 2 minutes after the onset of intercourse?
  2. Do you notice a constant or periodic lack of control over ejaculation?
  3. Do you experience anxiety about the state of ejaculation?
  4. Do you note a constant or periodic inability to deliver sexual satisfaction to your sexual partner?
  5. Was the state of your sexual function the cause of conflict situations with your sexual partner?
Man

Result

Warning

Conclusion:

Answer all test questions

Result

Warning Checked

Conclusion:

Premature ejaculation not identified

Identified premature ejaculation

TESTOSTERONE INSUFFICIENCY TEST (AMS)

Which of the symptoms are you currently experiencing? Please tick the appropriate answers for each symptom. Note any missing symptoms in the “None” box.

  1. Decline in your feeling of general well-being (general state of health, subjective feeling)
  2. Joint pain and muscular ache (lower back pain, joint pain, pain in a limb, general back ache)
  3. Excessive sweating (unexpected/sudden episodes of sweating, hot flushes independent of strain)
  4. Sleep problems (difficulty in falling asleep, difficulty in sleeping through, waking up early and feeling tired, poor sleep, sleeplessness)
  5. Increased need for sleep, often feeling tired
  6. Irritability (feeling aggressive, easily upset about little things, moody)
  7. Nervousness (inner tension, restlessness, feeling fidgety)
  8. Anxiety (feeling panicky)
  9. Physical exhaustion / lacking vitality (general decrease in performance, reduced activity, lacking interest in leisure activities, feeling of getting less done, of achieving less, of having to force oneself to undertake activities)
  10. Decrease in muscular strength (feeling of weakness)
  11. Depressive mood (feeling down, sad, on the verge of tears, lack of drive, mood swings, feeling nothing is of any use)
  12. Feeling that you have passed your peak
  13. Feeling burnt out, having hit rock-bottom
  14. Decrease in beard growth
  15. Decrease in ability/frequency to perform sexually
  16. Decrease in the number of morning erections
  17. Decrease in sexual desire/libido (lacking pleasure in sex, lacking desire for sexual intercourse)
Man

Result

Warning

Conclusion:

Answer all test questions

Result

Warning Checked

Conclusion:

There were no signs of testosterone deficiency

There were identified signs of a slight deficiency of testosterone

here were identified signs of a mild deficiency of testosterone

There were identified signs of a significant deficiency of testosterone