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MALE INFERTILITY


About Male Infertility

The Urology Department at Vimhans Nayati Super Speciality Hospital is a centre of excellence offering a wide range of advanced procedures for the effective management and treatment of various urologic diseases and ailments including male infertility. Infertility is a problem that affects nearly 15 percent of couples worldwide and can affect females as well as males. Male infertility accounts for almost 40 to 50 per cent of the total cases of infertility and the problem affects around 7 per cent of the male population. Male infertility is defined as the inability of a male to impregnate his partner even after a year of unprotected sex. There can be many reasons behind this, some of which are curable, while others may call for the need for assisted reproduction. Male infertility, just like female infertility, requires proper clinical diagnosis and can only be determined by proper screenings and tests.

Symptoms of male infertility

The major sign of male infertility is the inability to impregnate your partner and this is quite obvious. However, if your infertility is the result of an underlying disease or ailment affecting the organs of the male reproductive tract, you might experience symptoms triggered by the same. These include:

  • Pain and swelling in the testicular region
  • Increased vulnerability to respiratory infections
  • Inability to ejaculate sperm in normal amounts
  • Alleviated sexual desire
  • Erectile dysfunction or the inability to maintain erection
  • Hormonal imbalance leading to reduced facial and body hair

What causes male infertility?

The causes of male infertility are not known in the majority of cases and these remain unidentified. Some of the identified causes of male infertility include the following:.

Environmental causes

  • Excessive heat exposure
  • Taking unnecessary stress
  • Exposure to toxic substances and chemicals including pesticides, heavy metals, paint etc

Medical, lifestyle and other causes

  • Underlying diseases and ailments like cancer, diabetes, malnutrition etc.
  • Deficiency of certain nutrients like zinc and vitamin C
  • Diseases and problems affecting the male genital tract including infections that can lead to scarring which obstructs the passage of the sperm.
  • Varicoceles, which is a condition marked by chronic swelling in the veins of the testicles.
  • Retrograde ejaculation, which is marked by the backward flow of the semen into the bladder.
  • Undergoing certain treatments or surgeries
  • Congenital problems like undescended testicles
  • Being overweight or obese Ø  Use of recreational drugs
  • Taking part in rigorous exercises on a daily basis
  • Overuse of certain medicines
  • Increased alcohol consumption

Genetic causes

  • Abnormal genetic mutations in the Y-chromosome
  • Underlying genetic conditions that cause irregular changes in the genes like Klinefelter’s XXY syndrome.
  • Hormonal imbalance

Factors that might increase the risks of male infertility

Major risk factors that are likely to increase the chances of male infertility include:

  • Smoking and drinking
  • Drug abuse
  • Being obese or overweight
  • Depression and stress
  • Being exposed to toxic substances
  • Overheating of testicles
  • Personal history of undescended testicles
  • Severe trauma to the genital tract
  • Family history of fertility disorders
  • Taking certain medications
  • Being detected with certain medical conditions

Cutting-edge diagnostic procedures offered at Vimhans Nayati

Advanced diagnostic procedures offered at Vimhans Nayati for the diagnosis and assessment of male infertility include:

  • Review of medical history and physical examination – Our experts will ask questions related to your sex life and medical history as well as assess your overall health
  • Semen analysis – Semen sample of the patient is evaluated to determine any abnormality in the sperm quality, quantity and motility
  • Scrotal ultrasound – It involves the use of high-frequency sound waves to detect any structural abnormalities in the testicles and surrounding organs
  • Transrectal ultrasound – It involves the use of a lubricated wand to examine the prostate and seminal vesicles
  • Hormone testing – It helps to detect the hormonal abnormalities and disorders that may be contributing to your infertility
  • Post-ejaculation urinalysis – Urine sample of the patient, collected post ejaculation, is examined to check for the traces of sperm. This helps to detect retrograde ejaculation
  • Genetic tests – It helps to detect any changes in the Y chromosomes
  • Biopsy – Biopsy helps to detect any malignancy that may be involving the organs of the genital tract
  • Sperm function test – Sperm function test helps to determine how well your sperms thrive post ejaculation
  • Sperm function test – Sperm function test helps to determine how well your sperms thrive post ejaculation

State of the art procedures offered

The broad range of treatment options offered at Vimhans Nayati include:

  • Surgical interventions to treat problems like varicoceles or remove obstructions from the genital tract
  • Antibiotic treatments for treating infections
  • Medication and counselling for addressing problems related to sexual intercourse
  • Hormonal treatments to treat hormonal imbalance and abnormalities
  • Assisted reproductive techniques or ART to help couples step into the world of parenthood.
  • These include procedures like in vitro fertilization (IVF) and intrauterine injection (IUI)

Chairman Neurosciences And Director Clinical Services

Dr. Shamsher Dwivedee

MBBS, MD, DM (NEUROLOGY)

He is one of India’s most renowned neurologists with a rich experience of over 3 decades in clinical neurology.

  • Part of the team which performed the first DBS program of South East Asia.
  • In 2013 he established the Multiple Sclerosis Clinic at Vimhans.
  • He had established College of Clinical research at Vimhans. He initiated Diplomat National Board (DNB) programme in Neurology at Vimhans & PSRI.
  • Has to his credit largest number of clinical trials in India for various neurological disorders.
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Head - Neurointervention & Principal Consultant Neurosurgery

Dr. Sumit Goyal

MBBS, DNB (NEUROSURGERY), FINR (FOUNDATION ROTHSCHILD PARIS, FRANCE)

He is an accomplished neurosurgeon, with over 15 years of hands-on experience in the field. He is one of the few neurosurgeons who is also trained in neurointervention.

  • Senior Consultant, Department of Neurosurgery and Neuro-intervention at PSRI Hospital, New Delhi
  • Associate Consultant, Department of Neurosurgery Sir Ganga Ram Hospital , New Delhi
  • Assistant Professor at Ganga Ram Institute of Post Graduate Medical Education and Research (GRIPMER)
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