Often in couples who have problems with conceiving a child, it is women who blame themselves for infertility. In fact, 40% of couples infertility is associated with the male factor. In their practice, the specialists of the ISIDA clinic encounter male infertility in a couple no less often than with female infertility.
What is male infertility? This is a decrease in the fertilizing ability of spermatozoa. Why does it occur? The reasons may be different: congenital anomalies, infectious and inflammatory diseases, environmental exposure, injuries. Examination for infertility in a couple usually starts with a man – it’s faster, easier and cheaper. The first analysis that the doctor prescribes is a spermogram.
A spermogram is a laboratory analysis of a man’s sperm, which is carried out in order to assess the fertilizing ability of seminal fluid. In addition, the spermogram makes it possible to assume the presence of chronic, inflammatory, and sometimes oncological diseases in the male reproductive system. If the spermogram indicators do not correspond to the norm, the method of assisted reproductive technologies is individually selected on the basis of a comprehensive examination of the couple.
Over the past 20 years, significant progress has been made in the treatment of male infertility. The development and practical application of in vitro fertilization has played a particularly important role in this. It is this method of treatment that has become the best solution to the problem of infertility, which was previously considered incurable.
However, the IVF method has very limited possibilities in infertile couples whose problem is caused by the male factor. The inability of spermatozoa to independently penetrate into the egg leads to the impossibility of in vitro fertilization. That is why in the ISIDA clinic, in addition to IVF, other modern methods are also used for the treatment of male infertility: intrauterine insemination (IUI), ICSI and TESE methods:
1. Intrauterine insemination is performed in cases when a woman is healthy and the fallopian tubes are passable, and a man’s sperm counts after treatment are sufficient to fertilize an egg after they are injected directly into the uterus. Fertilization occurs naturally in a woman’s body. IUI allows you to achieve pregnancy in 25-30% of cases, as it happens in natural conditions.
2. ICSI and TESA make it possible to achieve egg fertilization and pregnancy even in the most severe forms of male infertility. ICSI is indicated in cases when the level of pathological spermatozoa in the sperm is increased and they have low mobility. And the TESE method is used when there are very few or no spermatozoa in the sperm. With this method of treatment, a testicular biopsy is performed and spermatozoa are isolated directly from the resulting tissue.
The use of modern assisted reproductive technologies and the invaluable experience of ISIDA clinic specialists have allowed many families to cope with the problem of infertility and experience the joy of parenthood!