Intertility in Men

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The inability to impregnate a female after one year of sexual activity without contraceptives being involved. Fertility depends on the production of normal quantities of healthy sperm, ability to achieve an erection and to ejaculate sperm into the vagina during sexual intercourse. The body parts involved are Genitals, endocrine system, and nervous control. 

Causes

1. Infertility is caused by an absence of sperm, defective sperm or insufficient sperm in ejaculation. Reasons include: Anatomical abnormalities of the penis or testicles, including undescended testicles. 

2. Urinary Tract infection. 

3. Excessive alcohol intake. 

4. Sexually Transmitted Disease, genital injury, ejaculatory dysfunction.varicose vien in the testicles. 

5. Smoking (Men who smoke more produce less healthy sperms). 

6. Family history of Klinefelter's syndrome. 

7. Risk increases with Diabetes mellitus. 

8. Overheating of the testicles caused by vigorous, repetitive exercise or underwear that is too tight and holds the testicles too close to the body. 

9. Hormone disturbance. Mumps. Use of some drugs, such as antihypertensives, cytotoxic drugs, male hormones and MAO inhibitors. 

10. Bathing in Hot Tub.

 

Preventive Steps 

1. A variety of treatments are available such as devices that lower scrotal temperatures, intrauterine insemination of concentrated washed sperm and in-vitro fertilization. 

2. Psychotherapy or counseling for sexual therapy techniques, marital problems or alcoholism. 

3. Surgery to correct anatomical abnormalities of the reproductive system. 

Possible Complications - Psychological distress caused by feelings of guilt, inadequacy and loss of self-esteem. 

Probable Outcome - Many fertility problems are minor and reversible. Approach treatment with optimism 

Other Measures 

1. Heat may decrease sperm production in the testicles. To prevent this: Don't wear tight underwear or athletic supporters that hold the testicles too close to the body, don't take hot baths or extended hot showers, avoid long bicycle rides. 

2. Intercourse should occur every 36 hours during the fertile period. 

3. Don't smoke, avoid alcohol or use in moderation. 

Work and exercise moderately and eat balanced diet for healthy sex life.

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