FAQ´S

What is the masculine infertility and with which frequency happens?

The infertility is a common problem among the mature youths.

Near 15% of all the couples are unable to conceive a baby after one year of having sexual relations without protection.

The infertility is one of the most difficult experiences that a couple faces. The couples can feel defeat or uncertainty. At the same time, however, it is when the couple has the certainty of making the decision.

The frequency of results in infertility is in the couple's members. The doctors now know that the infertility for masculine factor is present in 50% of the couples.

- In 30-40% of these couples, the infertility involves a masculine and feminine factor.

- Near 20% of the infertile couples, the inability of conceiving is due totally to a masculine factor.

- In 30-40% of the infertile couples it is due to a feminine factor.

- Near 10% of the couples, the abnormality is never determined.

The infertility problems belong to a couple.

An evaluation to both should be given in oneself time.

Which are the types more common of masculine infertility?

There are many possible types of masculine infertility.

The most common include:

AZOOSPERMIA

It is the complete absence of sperms in the semen. It happens in 10-15% of men with infertility, due to the absence or severe reduction in the production of sperms. This can be associated to a chromosome or abnormalities in the hormonal levels.
Obstruction of the ejaculatory ducts.

OLIGOSPERMIA

Low count of sperms; it is usually due to the remarkable reduction in the production of sperms. It can be associated with the varicocele, (varicose veins in the scrotum, usually in the left side).

Ejaculation problems (the sperms are produced but the semen doesn't descend).

Erectile problems and other sexual functions.

Problems with the regulation of the time and/or the technique.

What is the Azoospermia and that so common it is?

The azoospermia, or the complete absence of sperms in the semen (also called seminal or ejaculated fluid), is different from the complete absence of semen, which is denominated as apermia. The azoospermia is more common than the aspermia.

The azoospermia is presented by diverse causes. Some of these causes are denominated obstructive. Other azoospermia causes are the non obstructive where there are absence or marked reduction of production of sperms in the testicles.

Still when the specialist has determined which are the causes of the azoospermia, is important to remember that the inability to conceive a child, often is for present problems in both parents.

Nowadays doctors know that the masculine factor for infertility can be involved for half of the total of the infertile couples.

This is the time when decisions should be made in combined form, in order to avoid a future confrontation between them. For what is advisable that the couple, jointly with their doctor choose the best treatment options.

What is a Varicocele and that so common it is?

A varicocele is made up of veins enlarged inside the scrotum. These are similar to the varicose veins that appears in the legs.

The varicocele appears approximately in the normal masculine population's 15% and 40% in men with infertility.

The biggest evidence indicates that the varicocele can impede the production of sperms, that which often comes to infertility.

It is important to remember that the masculine factors can contribute for the infertility, for what is advisable for a couple that both carry out a complete evaluation and together choose the best treatment for successful solution of their problem with the advice of their doctor.

Which purpose of an evaluation is it for masculine infertility?

The masculine infertility can be due to a variety of conditions.

A simple initial study can find some of those conditions.

In some cases, the problems of masculine infertility are recoverable and in other cases not.

Some of those recoverable causes can be treated by means of techniques of attended reproduction (TRA), as it is it the artificial insemination, or the fertilization in Vitro (using obtained sperms of patient with infertility problems).

Some of the incorrigible cases cannot be treated by any road. Then, the alternatives are the adoption or the artificial insemination using frozen donor's sperm.

How should you have an evaluation?

In the couple, the man, should be evaluated by infertility if there has been failure in achieving a pregnancy in one year of having sexual relations without protection.

However, it is advisable that an evaluation is given before one year if none of the following conditions exists:

- Knowledge of masculine factor, due to a non - testicular download.

- Factors of risk for feminine infertility, due to the age (35 years or more).

- The couple suspects that they can have some problem with her fertility.

- A man who doesn't have a defined couple and wants to know if his fertility is normal.

Where do you owe to begin?

An initial evaluation on the part of the husband should be given.

This can include:

A reproductive record.

The doctor will need to know about his medical and sexual history.

The types of questions can be the following ones:

- With what frequency do you and your couple have sexual relations?

- How long do you have been practicing sexual relations without protection?

- How long do you have been trying to achieve a pregnancy?

- Do you suffer some illness (E.g. Diabetes, breathing , etc.)?

- Do you take some medication type?

- Do you have erection problems?

- Are you exposed to some toxic substance that could diminish your fertility?

- What illnesses did he suffer in his childhood?

Two analysis of semen should be carried out.

An analysis of semen is a very simple test and is the most important to evaluate the man.

This test helps us to determine how severe it is the problem.

There are required two analysis of semen, evaluated in different days to confirm the diagnosis.