Male infertility

Male infertility
The absence of pregnancy within 1 year is considered infertile in a couple living a regular sexual life. According to statistics, 8-15% of married couples are infertile. 20-30 years ago A year ago it was believed that the factor of male infertility was 40%, now it is 50%. That is, men's health is deteriorating and, accordingly, male infertility is increasing:


Varicocele
In most cases, it is left-sided testicular varicose veins, in rare cases, bilateral.
Hormonal (hypogonadism)
Congenital malformation of the testicles, low levels of the main male sex hormone testosterone.
infections
Sexually transmitted infections reduce the number of morphologically normal spermatozoa and reduce their movement. Sexually transmitted infections reduce the number of morphologically healthy spermatozoa and impair their motility.

cryptorchidism
The testicles do not descend into the womb, they get stuck in the groin or abdomen. Unilateral cryptorchidism can lead to infertility in 50% of cases, and bilateral cryptorchidism up to 100%.

Erectile dysfunction (sexual weakness)
Lack of sexual desire or erection.

Systemic diseases
Kidney and liver failure, obesity, diabetes and cystic fibrosis can lead to infertility.

Constriction of the sperm bearing stream
It can be congenital or after a sexually transmitted infection.

Diagnosis begins with a semen analysis, in addition, tests for sexually transmitted infections, ultrasound examination of blood hormones and testicles may be required.

The tactics of treatment is chosen after establishing the cause of infertility. Varicocele, cryptorchidism, and narrowing of the spermatic cords are removed surgically, and in other cases, drug treatment is used.