According to the World Health Organization, currently the incidence of infertility in a marriage is about 15%. Moreover, this indicator for Russia is an order of magnitude higher than in countries abroad - 17.4%.
Infertility - the reason for many socio-psychologicalproblems in the family. And if in time not to do an infertility analysis and begin treatment, then family problems will soon develop into conflicts, anxious states, depression. Often, such marriages end in divorce.
If within more than 12 months of regularsexual relations in a married couple did not come a planned pregnancy, then most likely one of the spouses (less often both) has insufficient fertility. As the data of medical statistics show, in 50% of cases, the perpetrators of infertility are men. In such conditions, the best way is to check for the causes of reproductive harm.
Modern medicine has enough resources to treat infertility. Therefore, if a problem arises, the best solution is to andrologist.
At the survey stage, the necessarytests for infertility. First of all, the sperm is examined, its activity, ability to fertilize and other parameters are evaluated. Further microbiological, genetic, hormonal, immunological studies, X-ray and ultrasound diagnostics are carried out. If necessary, a testicular biopsy is performed.
Analysis of infertility and other examinations of the patient will help the doctor to identify the following, the most frequently encountered, causes of male infertility:
The first stage of the survey is aimed atconfirmation of infertility caused by the male factor. To do this, the sperm is analyzed, according to which the quality and quantity of spermatozoa are evaluated, the fertilizing capacity of the sperm and other parameters.
The results of spermogram analysis may include the following items:
1) The norm. That is, all the parameters are within the permissible and the sperm of a man is quite fruitful.
2) Azoospermia. In the ejaculate there are no spermatozoa.
3) Changes in one of the parameters (quantity, quality, mobility, morphology and others).
4) Violation of several qualitative parameters of the spermogram simultaneously.
When collecting for a study, it is required to collect allseminal fluid released during ejaculation in a sterile plastic cup with a wide neck, and for 20 minutes to deliver to the laboratory. On the container with sperm, you should specify the exact time of ejaculation. During transportation, the container is best kept in the jacket pocket, where the temperature is close to the body.
The infertility test will be less reliable ifto receive sperm by interrupted sexual intercourse, oral caresses, using a condom. The foreign substances that enter the sperm can adversely affect the results of the studies.
Before taking the test for infertility, a manshould refrain from ejaculation within a few days. For the reliability of studies, the sperm delivery procedure should be repeated four times with interruptions of 2-3 weeks. When identifying abnormalities, the procedure should be performed twice more.
If the examination of spermogram revealed any deviations, the doctor may prescribe additional tests. With infertility in men, the survey is conducted in the following areas:
It should be noted that in a modernmedicine, virtually all forms of infertility in men are curable. In extreme cases, there is the possibility to resort to artificial insemination. However, do not forget about prevention male infertility:
