Emergency Cases
Salamanca Guanajuato
464 116 2012
San Miguel de Allende
415 111 6819
Please contact in case of emergency or to request a consultation.
Male Infertility
Infertility is defined as the inability to achieve a pregnancy naturally after on year of sexual intercourse without the use of contraceptive methods.
Male infertility is usually caused by a variety of conditions.
Some of them can be identified and treated, such as hypogonadotropic hypogonadism; others are diagnoses, but do not have a specific treatment, such as genetic alterations or testicular atrophy. 30 – 40% of patients with spermiogram abnormalities, physical examination and laboratory test fail to identify a specific cause of infertility, classifying their patients as carriers of idiopathic male infertility.
The different sperm retrieval techniques, which obtain gametes from different regions of the male reproductive system, have made possible for couples with severe male factor without specific treatment to achieve pregnancies and offspring.
Some of the most common causes of infertility could be:
Physical problems of the testicles
Blockages of the tubes that carry semen
Hormonal problems
History of high fever or mumps
Genetic diseases
Environment or lifestyle factors
Varicocele
Ejaculation problems
Being in treatments such as chemotherapy or radiation
Evaluation to diagnose infertility may include:
Medical and sexual history
Physical exam
Two spermiograms
Endocrinological profile
Post- ejaculate urine analysis
Testicular or transrectal ultrasound
Genetic evaluation
Specialized test
Symptoms and Diagnosis
The main sign of male infertility is the inability to father a child, There may be no other obvious signs or symptoms.
However, in some cases, an underlying problem such as an inherited disorder, a hormonal imbalance, dilated veins around the testicle, or another condition that blocks the release of sperm, can cause signs and symptoms. Signs and symptoms you may notice may include:
- Problems with sexual function, ejaculation and fluid
- Pain, swelling or lumps in the testicular area
- Recurrent respiratory infections
- Inability to smell
- Abnormal breast growth (gynecomastia)
- Sparse facial or body hair or other signs of chromosomal or homonal abnormality
- Sperm count below normal
