Male Infertility

Male Infertility

One of the instinctive characteristics of humans is to reproduce. There may be individuals who lack this characteristic that men and women can achieve together. The rate of couples who cannot have children is 15%. Again, the rates of problems among couples are almost equal. The rate of a couple having a child in the first month is 25%, and in the first year it is 85%. In light of this information, the World Health Organization stated that it is more accurate to question male and female infertility after the first year of the relationship.

A man’s sperm begins to be produced almost from the day he is born, and this production continues, although it decreases, until his death. However, sperm maturation is completed approximately 13-15 years after birth. The sperm production organ is the testicle. A mature sperm formed in the testicle comes out only after 90 days. Production is slow, transfer is also slow. In a normal spermogram (sperm count), there should be at least 20 million sperm in a cubic centimeter, at least more than half of them should be alive and at least 20% should not have any structural defects.
The history of a man who is likely to be infertile should first be questioned. After the examination, the sperm count of the man who has been abstinent for 3-4 days is performed. The health of the testicles, prostate and other organs that may cause the problem is evaluated through blood tests, hormone analysis and reflection. Heart, kidney, liver, thyroid etc. Organ diseases such as can be investigated. Further investigations include genetic testing and testicular biopsy.
As it turns out, the goal is to look for and find a disease, a problem. The problem found can be corrected with today’s modern medical tools, both with medication and surgery.

Now, let’s briefly examine the frequently encountered problems and treatment methods, step by step:

Not having sufficient information and opinion:
Be sure to wait the required one-year period. Do not forget that the probability of pregnancy reaches 85% at the end of this period. The probability of a woman with regular menstrual cycles to become pregnant within a month is only three days old. Because the egg produced by a woman lives in her body for only three days, and if there is no fertilization with sperm, it will disappear at the end of this period. If a woman knows or feels these three critical days, she should invite her husband to have intercourse. These three days coincide with the middle of two menstrual periods, and the woman may have signs such as edema in her body, pain in her groin and a 1-2 degree increase in body temperature. Take advantage of these three days.

Cleanliness, lubrication, etc. before and after intercourse. Do not use chemicals for

It is recommended that a woman should not stand up immediately after intercourse and should lie down for an hour with a pillow under her waist.

Please be careful when using herbal medicines and food supplements and be sure to consult your doctor.

Varicocele disease: It is a vascular disease of the testicle and is detected in more than 20% of men. It negatively affects the testicle’s ability to produce sperm due to reversed blood flow (reflux) and increased temperature. It is diagnosed by examination and Doppler ultrasound. Its treatment is only surgery, and the probability of correcting infertility is more than 50%. Much better results can be obtained with the microsurgery technique that has developed in recent years. If a young man who wants to become a father has varicocele, surgery is recommended at an early age as a precaution.

Methods assisting pregnancy:
IUI:It is a recommended method if the man’s semen fluidity (viscosity) is not good. Apart from this, it should be applied in normal cases of men and problematic cases of women.

In vitro fertilization: Different techniques are applied. The technique should be determined according to the situation of the couple. The important point is that couples must undergo a thorough evaluation before applying for in vitro fertilization, undergo treatment if any, and then choose the in vitro fertilization method.