Is it true that men can cause infertility?
In general, the reason for in both male and female is usually assessed by a doctor who is also an infertility treatment specialist. It is found from a wide range of patient histories and physical examinations that men can also be the cause a substantial number of infertility problems.
CAUSES OF INFERTILITY IN MALES
Most infertility problems in males are a result of abnormalities found in the reproductive system and the hormone testosterone and these problems can be caused by various factors such as:
• Abnormal spermatogenesis since birth.
• Inflammation of the testicles.
• Various endocrine system and urinary system disorders.
• Substances produced in the body due to immune disorders, substances that are detrimental to the quality of the sperm.
In addition to that, there are behavioral problems and other external factors such as alcohol consumption, smoking, stress, body weight, chemical use, radiation or types of chemotherapy and heat, etc. that can also cause infertility in men.
ANALYSIS OF THE SPERM QUALITY IN SEMEN
After the conclusion of the patient’s history taking process, the infertility specialist recommends analysis of the sperm for checking sperm quality. This also gives the couple an opportunity to plan their pregnancy before trying to conceive. In general, a semen test consists of the following steps:
1. Macroscopic Examination. This is an examination to assess the general characteristics of semen such as color of the semen and its turbidity. It is recommended by infertility specialists that semen volume should be above or equal to 1.5 ml, its pH should be above or equal to 7.2, its viscosity should not be over 2 cm, and the solubility of the sperm should not be more than 1 hour.
2. Microscopic Examination. This is an examination to assess the viability of the sperm, which should be above or equal to 58%, concentration of the sperm which should be above or equal to 15 million cells per ml, motility of the sperm which should be at least 40% with normal morphology, white blood cells and red blood cells.
Hence, it is abundantly evident that problem with sperm quality is associated with a pregnancy that’s very turbulent, difficult and full of worry. Therefore, it is very important that men take care of their health regularly and consult with a specialist doctor while planning to have a baby so that the pregnancy-to-child-birth path is pleasant and smooth.
Written by
Dr.Piyaphan Punyatanasakchai
Obstetrician and Gynecologist, Reproductive Medicine