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Male Infertility
INTRODUCTION
Male infertility is a common problem in approximately 15% of couples attempting their first pregnancy. Conception is usually successful within twelve months in 80 85% of couples who use no contraceptive devices, after this time, if there is no success, the couple is considered infertile. Studies over the last 0 years have proven that the male is the infertile partner in at least 50% of couples having trouble conceiving. It has been proven that the longer a couple remains subfertile, the worse the chance for a suitable cure and a decrease in the chance of the couple to conceive.
COMMON CAUSES OF MALE INFERTILITY
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There are many causes of male infertility and most can be treated by minor surgery or lifestyle changes. These include
Varicoceles
Varicoceles are dilated veins in the scrotum. These are the same as varicose veins you can get the legs. These veins are swollen because blood does not drain properly and pools. This pooling reduces the production of sperm. This condition is the most common form of male infertility and can be reversed by minor surgery.
Abnormalities in Seminal Fluid
If the seminal fluid is too thick it can be difficult for the sperm to penetrate the woman's reproductive tract. Moving sperm can be separated from dead sperm and seminal fluid and placed directly into the uterus by means of a catheter. This is called Intrauterine Insemination (IUI)
Ductal Problems
Sperm is stored in the seminal vesicles then deposited into the urethra. The sperm must pass through the ejaculatory ducts to get to the seminal vesicles. If these ducts are blocked or obstructed little or no sperm will come through. Males can be born with bilateral congenital absence of the vas deferens, obstruction of the epididymis, which may be caused by a hernia or scar tissue from an infection. Ducts can be repaired or unblocked if possible, but can also be harvested and used with Invitro Fertilisation (IVF) to attempt a pregnancy.
Cryptorchidism
When a baby boy is born with the testes not fully descended into the scrotum. The testes are very sensitive to temperature and if they have not fully descended into the scrotum before adolescence, they will stop the production of sperm altogether and may become malignant. If after one year they have not descended, they will have to be brought down by surgery.
TECHNOLOGY USED TO OVERCOME THIS PROBLEM
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