Male Infertility
Treatment
Treatment options for infertility, depends upon the cause and
may include :
Drug Therapy
This medication treatment
is to improve sperm production, treat hormonal dysfunction, cure infections
that compromise sperm, and fight sperm antibodies.
Electroejaculation (EEJ)
Electroejaculation or Rectal Electroejaculation (REE) is a treatment in
which electric stimulus brings about ejaculation to obtain semen. It is collected
and prepared for use, usually in artificial insemination. This procedure is
usually done in men with neurological problems.
Artificial Insemination (AI) It is performed when the male has a low sperm count or a high number of abnormal
sperm or the woman has sperm antibodies present in her cervical mucus. Sperm
is treated in the laboratory to increase the chances of fertilisation. Large numbers
of sperm are then inserted directly into the uterus for easy access to the f Fallopian
tubes. It procedure is also used when couples are producing sperm and eggs, but
have a problem bringing them together. In this situation, the sperm and eggs
are physically placed together in the woman's womb and then left for nature to
run its course. The advanced procedure of artificial insemination is called In- vitro
fertilization.
Epididymal and testicular sperm extraction / Surgical Sperm
Aspiration
It is the treatment for male containing azoospermia and spermatic cord abnormalities.
The treatment technique involves removing sperm from part of the male reproductive
tract such as the epididymis or directly from the testis using a needle and
fertilisation is performed by Intracytoplasmic Sperm Injection (ICSI) . Usually
enough sperm can be collected so that samples can be frozen for later use if
required.
In Vitro Fertilization (IVF):
It is occasionally used for men with oligospermia. IVF, is the most effective form of ART, refers to the fertilization taking place
outside the body in a laboratory. The procedure involves retrieving mature eggs
from a woman, fertilizing them with a man's sperm in a dish under controlled
conditions in a laboratory and implanting the embryos into the woman's uterus
(womb) three to five days after fertilization. IVF treatment commonly known as
'test tube baby' is used to treat infertility blockages of the fallopian tubes,
endometriosis, abnormal sperm, and some cases of unexplained infertility.
Intracytoplasmic Sperm Injection (ICSI):
This consists of a microscopic technique (micromanipulation) in which a single sperm is injected directly into an egg with a microscopic needle to achieve fertilization.
ICSI is usually done in people with poor semen quality or lack of sperm in the
semen which is caused by an obstruction or testicular failure. In some cases,
sperm may be surgically extracted from the testis or epididymis.
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