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An urologist can identify male fertility issues.Certain treatment options are recommended which can help couples to make their decisions.If the problem is due to a genetic cause,then you might have to see a genetic counseller also.
Change in Lifestyle
Unexplained fertility problems
You need to make some serious health changes that can improve your fertility. The risk factors for infertility includes
Certain medications also affects semen parameters.
Various other treatments (cancer/depression)
Mal nutrition (Obesity/under weight)
Exposure to toxins, such as pesticides or lead.
Antibodies can kill your own sperm, these antibodies can be developed by your own body after you have done a vasectomy ,testicular torsion (where the testicle twists inside the scrotum),trauma or infection
Some men,a mere percentage,face the problem of infertility because they have a blockage in their ejaculatory duct that does not allow the sperm to get into the ejaculated fluid.
A small percentage of men have a blockage in their ejaculatory duct that prevents sperm from getting into ejaculated fluid. If your vas deferens or epididymis tubes are blocked or damaged, they can prevent your sperm from getting to your partner's egg. Infection, injury, congenital defects, or a vasectomy could cause this blockage.
Symptoms : none
Solutions : Vasectomy reversal, repair the obstruction,or collecting sperm from the testes for IVF.
Varicose veins in the scrotum which are enlarged can raise the temperature in the testes, which inturn affects the sperm production.
Symptoms : Some men have pain in the scrotum.
An ultrasound doppler could detect the problem.
Solutions : Repair the varicocele through surgery, artificial insemination, or IVF.
Men who have abnormally shaped sperm, poor sperm quality or quantity , sperm motility (ability to move) could affect the sperm and may not be able to fertilize the egg.
Men with No Symptoms
Solutions: ART, IVF with donor sperm (or with your own if your count, shape, and motility are not too abnormal), or intracytoplasmic sperm injection (ICSI)