Problems

Modern Alopathy is helpful in diagnosing the problem. Unfortunately there is no solution to male fertility except ART.
आधुनिक विज्ञान में दोषो का ढूँढना आसान है लेकिन कोई सफलतम इलाज उपलब्ध नहीं है |
शुक्राणुओं सम्बंधित समस्त दोषों को दूर करने के लिए संपर्क करें |

 

EYE OPENER TO ANALYSE THE QUANTUM OF MALE INFERTILITY PROBLEM

As the male infertility is increasing so much that it seems to attain an epidemic proportion among males. More over all the treatment procedures of ART for male infertility has shown statistically lowest rate of success as shown below –

Table showing the rate of pregnancies by indications

table

As compared to the low success rate of ART my drug regime and research work can help a male to become fertile for fathering a baby.

Male problems are of two different kinds –

  1. Sexual disorders  accounting for coital incompetency/ नपुंसकता
  2. Sperm disorders accounting for infertility problems/ बाँझपन                                                                                                                                           

Infertility affects 15% couples; more or less it is found in both the sexes in an equal ratio. The difficulty doubles up if   both the partners are having reproductive disorders and accounts for approximately 1/5 of the total infertile couples.

Causes of sperm problem:

I.  Pretesticular-

A- Endocrinal abnormalities leading to testicular failure, various hypogonadotropic hypogonadism. E.g. Kallmann’s syndrome.

B- Genetical disorders contribute to male infertility by influencing a variety of physiological processes including hormonal homeostasis, spermatogenesis and sperm quality. The most common example Klinfelters syndrome

II. Testicular-

Very small testes or Cryptorchidism (undescended Testes) and histological examination revealing disorders of spermatogenesis at various levels.

III. Post Testicular:

Epididymis: epididymitis, epididymal  cysts

Vas:  Agenesis of vas on one side or both sides.

Seminal vesicles: Inflammation of seminal vesicles or prostate.

Ejaculatory duct: Obstruction of ejaculatory duct i.e. sperm path. It may be at the level of epididymis, vas or ejaculatory duct which again may be uni or bilateral.

IV. Others:

If a female do not conceive in spite of frequent intercourse the various other causes apart from described above, fall under the heading of unexplained infertility.  But prior to this one should see carefully for the cause of sperm-cervical mucus mismatch like, sperms with cervical mucus of female partner causing agglutination of sperms after intercourse, or acidic pH of the cervical mucus pointing towards the presence of antibodies in the seminal plasma of the male.

The factors that affect the sperm health are: Personal habits- liquor, tobacco and tamarind or dry mango powder ingestion inhibit sperm production. A tight fitting underwear can inhibit spermatogenesis. Past history- of any injury to testicles, mumps, hydrocoele, orchitis etc.

 

Types of sperm problems :

Azoospermia – sperm count nil.

Oligospermia – it is of two types

1.            Severe oligospermia where count is very low <1million/ml.

2.            where the count is >5 million / ml but <20 million/ml

Asthenospermia– where sperm motility is less or non motile.

Oligoasthenospermia– where sperm count is low and motility is poor or absent.

Teratospermia – where sperm morphology  is abnormal.

Infertility problem among the couples

Male causes

Oligospermia Sperms are less My results is 99%
Oligoasthenia Sperms are dead My results is 99%
Teratospermia Sperms are abnormal My results is >90%
Azoospermia Where no sperm is seen in the semen My results is >60%

 

Female causes

Tuboperitoneal infertility IVF is advantageous  there is no other option
Endometriosis, PCOS If no success with medical treatment / IVF is tried.

table

These figures of bulk losses to a woman isn’t a” bad luck” rather it is “nature’s way to eliminate  anomalous fetuses.Frequency of chromosomal anomalies in abortuses up to 6 weeks is very high nearly 70%.Over 99% of chromosomally anomalous fetuses are eliminated during the course of pregnancy.   .