Male infertility is taboo and needs to be investigated, says doctor

Among the main causes of male infertility are varicocele and the use of anabolic steroids, but it can also occur due to the habit of giving up the notebook in the lap or by exaggerating alcoholic beverages.

By writing, with Apr – from Sao Paulo

Worldwide, it is estimated that between 10% and 15% of couples of reproductive age face some difficulty in getting pregnant, which is defined as when a pregnancy does not occur after a year of trying. This time is reduced by six months for couples when the woman is over 35 years old. In one third of these cases, infertility is caused by factors exclusively related to men.ebc.gif?id=1434405&o=node

Among the causes of infertility are varicocele and anabolic steroids

Despite this, male infertility is still taboo, said Dr. Guilherme Wood, a specialist in assisted reproduction at Huntington Reproductive Medicine, in an interview with Brazil Agency. “When comparing the exams that a woman have to do with a man’s to begin the investigation of infertility, a man’s exam is much simpler, which is basically a spermogram. Even so, it is not uncommon for the couple to arrive at the reproduction clinic after focusing a long time on the woman’s health, investigation and tests that are more difficult and often more expensive and more boring to be done and even painful. The woman arrives at the clinic having already completed the investigation and the man takes a long time to do this because he thought he had no problem”, he explained.

Among the main causes of male infertility are varicocele and the use of anabolic steroids, but it can also occur due to the habit of giving up the notebook in the lap or by exaggerating alcoholic beverages. “Among the most serious causes are genetic, which can cause azoospermia, when there is no sperm in the ejaculated fluid; and the use of some medications, mainly anabolics, which reduce or even reduce sperm production. There are also hormonal diseases and varicocele, which is one of the main causes and which is basically varicose veins in the testicles”, he said.

Even the use of plastics can have implications for sperm production. “What we always recommend is to avoid the consumption of food in hot plastics because it can release a substance that has a harmful effect, especially on hormonal balance, which can impair sperm production.”

One of the tests that can help in the diagnosis of infertility is the sperm count. “The spermogram is a reflection of man’s health. Anything you do that is unhealthy will make sperm production worse. Obese patients, smokers, sedentary people, all of these can harm men’s health and consequently reduce sperm production,” explained Wood.

The sperm count is a simple test and the most common to be done in this situation. “It’s a test that is done with semen collection through masturbation. It is done in clinics or laboratories. It will give you the quantity and quality of semen. It is a base exam, the first to be taken and that can guide you or deepen the investigation. [sobre a fertilidade],” Wood explained. “Spermogram is a simple test. It might be a little embarrassing because the man will have to ejaculate in the lab, but it’s a quick test. And it’s very important for the investigation.”

degree of infertility

Once the cause and degree of infertility has been identified, the doctor can then evaluate the possibilities of treatment for the man. But if this treatment is not effective, assisted reproduction methods such as artificial insemination and fertilization in vitro, may apply.

– If there is a genetic cause, it is usually not reversible. But even for genetic causes, you can have an assisted reproduction treatment. But for other causes, such as hormonal and the use of anabolic steroids, you can reverse this use and go back to stimulating sperm production. And, in the case of varicocele, you can operate and wait for the spontaneous improvement in the sperm count too – he said.

The ideal, according to the doctor, is that the causes related to infertility are diagnosed as soon as possible. “Early diagnosis helps a lot. Not taking too long to look for a specialist makes a lot of difference (in these cases)”, he observed.

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