‘Living with infertility is now a thing of the past; equipped with advanced medical technology and a skilled medical staff, we treat and manage infertility efficiently and with better success rates’ at Omya Infertility Centre is termed as the inability to conceive even after having unprotected sexual intercourse for more than a year. Male infertility is becoming a common problem these days. Because of lack of knowledge and awareness, infertility is looked down upon and patients often miss out on getting comprehensive treatment. Several types of male infertility doctor in Delhi are available and discussed in the subsequent sections. Which doctor to consult for male infertility is often a dilemma among many. Continue reading ahead to find out everything you need to know about male infertility doctorin delhi.
1. When do you Need to See a Doctor for Male Infertility?
Look out for the signs mentioned below. If you experience any of it or all of it, then consult a urologist and get yourself checked by male infertility doctor in Delhi.
- Signs of Male Infertility
If your spouse is clear of infertility, you may want to look for the following signs listed below:
- Pain in the groin
- Decreased facial hair
- Constant respiratory problems
- Loss of smell
- Low sperm count
- Gynecomastia (breast development)
- Reduced sexual drive
- Difficulty in ejaculation
- Difficulty in erections
In most cases, infertile men do not exhibit any of the above symptoms since infertility is caused by a low sperm count, which cannot be seen with the naked eye. Thus, only after completing diagnostic tests a doctor determines if you are infertile or not.
- Causes of Male Infertility
The causes of male infertility are plenty, the primary and most common of which are:
- Hormonal imbalance (low testosterone level)
- Varicocele formation (swelling of the veins in the scrotum)
- Alcohol/drug abuse
- Antibodies that attack sperm
- Genetic defects (chromosomal defects like Klinefelter’s syndrome and Kallmann’s syndrome)
- Side effects of some medicines (prolonged steroid use, chemotherapy, testosterone replacement therapy, etc.)
- Undescended testicles
- Viral infection
- Tubal blockage
- Exposure to heavy metals and radiation
After conducting a series of tests (described below), your urologist, after arriving at a decision, will brief you about the underlying reason for your infertility and recommend an appropriate treatment.
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- How will an Urologist Check Male Infertility?
The urologist extensively runs through the medical history. Then, a non-invasive and painless physical examination is performed to check for any swellings. After this, blood tests are done to examine hormone levels, and in rare cases, a genetic test may also be required.The confirmatory test for infertility is the semen analysis. This is done by collecting the semen (ejaculated by the patient) in a cup and examining it under a microscope. Sperm motility, quantity and quality are the factors that are analysed. In some cases, a doctor may even do a scrotal ultrasound.
2. Surgical Male Infertility Treatment
Once the primary cause of infertility is discovered, the doctor may suggest one of the following surgical methods for male infertility treatment in delhi:
- Sperm retrieval methods
When a male is suffering from azoospermia (Very low sperm production in testis), there are various methods devised to retrieve sperm directly. Of the many ways, PESA, TESA and microTESE are ideal procedures to extract sperm which are used in conjunction with assisted reproductive technology (ART), particularly, IVF and ICSI.
- PESA (percutaneous epididymal sperm aspiration)
- A small needle is injected directly into the epididymis
- Sperm is aspirated in the needle and is used at the time of ICSI
- This procedure does not require incision and has a high success rate.
- TESE (testicular sperm extraction), which is actually a surgical biopsy of the testis; or TESA testicular sperm aspiration)
- a. TESA is performed usually when PESA fails.
- b. In TESA, a needle is injected into the testes
- C. sperm is aspirated in the needle and can be used during egg retrieval or maybe frozen for future use
- MicroTESE (Microsurgical Testicular Sperm Extraction)
- When both PESA and TESA are not working, MicroTESE is carried out.
- A small incision is made in the scrotum
- A small part of the tissue is removed which is viewed under the microscope to find the best quality sperm
- The best quality sperms are extracted and can be used right away to fertilize an egg through IVF or may be stored for future use
All the three procedures mentioned above, PESA,TESA and microTESE, help in infertility by removing the best quality sperm and using it to fertilize an egg during the procedures of ART.
If the embryologist finds sperm during your microTESE, your sperm will be extracted and frozen so they can be used in future reproductive treatments, like in-vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI).
A varicocele is a swollen vein in the scrotum. Varicocelectomy is a surgical method done to remove the varicocele and restore the blood flow towards the scrotum for enhanced sperm production.
- Varicocele Embolisation
Varicocele embolisation is an alternative treatment for the removal of varicoceles.
- Transurethral Ejaculatory Duct Resection
Transurethral ejaculatory duct resection (TURED) is a procedure that corrects ejaculatory duct obstruction (EDO), which is the blockage in the ejaculatory duct. The ejaculatory duct is the tube that carries the sperm-rich semen from the testicles to the urethra. Any blockage in this tube hinders the ability to ejaculate and hence may cause infertility.
- Vasectomy Reversal
A vasectomy reversal is the reconnection of the vas deferens so that sperm can again combine with the semen. There are two types of vasectomy reversal:
Note: All the surgical treatments explained above are done under general anaesthesia and the patient can go home the very same day of the surgery.
3. Non-surgical Male Infertility Treatment
As infertility can be caused by a shift in hormones, plenty of non-surgical male infertility treatments are available. It includes hormonal therapy, antioxidant therapy and herbal therapy.
The role of prolactin in men is not known clearly. However, it is known to keep the testosterone levels normal and plays a role in sex drive. Hyperprolactinemia in men occurs when there is excessive release of prolactin that can lead to erectile dysfunction and reduced libido. Correcting the levels of prolactin in men can improve their fertility and help in conception.
- Congenital Adrenal Hyperplasia
Congenital Adrenal Hyperplasia (CAH) is a type of genetic defect in which the adrenal glands are affected. The adrenal gland releases a hormone called cortisol, which plays an important role in the maturation of testes in males. Infertility treatment for males with corticosteroids is an effective approach to manage CAH associated infertility.
- Clomiphene Citrate
Clomiphene citrate is a drug that stimulates the release of luteinising hormone (LH) and follicle-stimulating hormone (FSH) levels in men. These hormones, which are present in both males and females, are vital for fertility. In males, LH stimulates the release of testosterone. FSH is essential for the initial stage of spermatogenesis or the synthesis of sperm. Increased levels of these hormones in the body will increase testosterone levels and the production of more sperm, thus improving the sperm count.
Thus, clomiphene citrate is one of the effective non-surgical male infertility treatments.
- Gonadotropins (hCG, FSH)
Gonadotropins are a group of hormones that works on the gonads to stimulate the release of sex hormones. Human chorionic gonadotropin (hCG) is a hormone that works like LH and helps in the production of sperm by increasing the levels of testosterone. It is often given with FSH. These hormones are given through injection thrice a week and blood testosterone levels are regularly monitored.
- Antioxidant Therapy
Antioxidants are agents that help in the prevention of cell damage in the body by a natural substance called oxidants. Oxidants are reactive molecules (oxygen radicals, hydrogen peroxide) that are known to damage cells, in the case of men, sperm membranes, and eventually hinder fertility.
Treatment with antioxidants works by protecting the sperm cells from oxidative damage. Supplementing infertile men with vitamin E, vitamin C, folic acid, zinc, glutathione, acetylcysteine, L-carnitine (which are all antioxidants), etc., are known to increase sperm count and prevent cell damage.
- Herbal Therapy
Ancient Chinese herbs are known to improve sperm motility and count. However, studies are going on to get correct data on the same. Hence, herbal therapy can be taken as a complementary therapy with the standard male infertility treatments. Herbs like Zhibai Dihuang pills, Astragalus membranaceus, Hachimi-jio-gan, Gosha-jinki-gan and Hochu-ekki-to are thought to work greatly on infertility issues. However, it is highly advised to seek these herbs only under the guidance of your fertility specialist.
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4. Assisted Reproductive Techniques
With the advancements in medical sciences, assisted reproductive technology (ART) has enabled several infertile couples and individuals to become parents. For male infertility treatments, various methods of ART have been extensively used as it yields higher success rates with minimal side effects. Following are the various ARTs that are often used in male infertility treatment.
- Intrauterine Insemination (IUI)
IUI is employed in cases where the sperm has less motility and at least a count of 10 million is considered optimal.
- Sperms showing the highest motility are concentrated.
- They are then directly injected into the uterus of the female partner.
- A thin plastic tube is used for this procedure.
The sperm is directly inseminated into the uterus beyond the int os.So the sperm can swim upto the fallopian tube easily. As a result, the possibility of fertilisation rises. IUI is performed while the female partner is ovulating, which increases the chance of conception.
- In Vitro Fertilisation (IVF)
IVF is a method in which fertilisation of the egg takes place in a laboratory for the formation of embryos.
- The eggs are retrieved surgically from the ovaries of the female partner after stimulating it with medications.
- The eggs are then combined with the semen sample in a petri dish.
- The sperm in the sample fertilises the egg.
- The resultant embryo is transferred to the uterus of the female partner for implantation.
IVF helps in infertility treatment by increasing the chances of fertilisation as multiple eggs are fertilised simultaneously.
- Intracytoplasmic Sperm Injection (ICSI)
When a sperm fertilises an egg, it penetrates the egg’s outer covering. Sometimes a sperm fails to do it and in such cases, ICSI is used.
- A single sperm is injected into the egg using a micropipette (tiny needle) under a microscope in a petri dish.
- The best quality sperm is selected.
- After injection the fertilized eggs are kept in a incubator
- The embryo is then transferred into the uterus on day 3 or 5.
ICSI is one of the effective male infertility treatments as it helps in conceiving even after vasectomy and in cases where the sperm is of low motility and quality .In cases where fertilisation did not take place with IVF in previous Cycles.
Laparoscopy for infertility has proved beneficial in both diagnosing and treating a wide range of fertility conditions. The basic purpose of laparoscopy is to understand the internal pelvic condition, analyze and treat it with minimum incisions. After a laparoscopy infertility surgery, one can expect a quick healing process, less discomfort, and improved chances of conceiving. Get connected with Omya for all the required details about laparoscopy for infertility and get treated for your fertility concern.
Omya Fertility is the answer to which doctor to consult for male infertility. Male infertility is easily manageable if it is in the right hands. Omya employs cutting-edge technology in state-of-the-art infrastructure with a dedicated, professional medical and non-medical team. It aims to deliver infertility treatments that are tailored to the patient’s preferences and ensure their comfort.Omya provides a wide range of cost-effective comprehensive male infertility treatments, all delivered under one roof by the best infertility treatment doctor in Delhi. One of the many reasons why Omya Fertility stands out is because it avoids recommending patients with unnecessary procedures and takes care of the patient’s mental health, enabling them to embark on their parental journey blissfully.