Treating known medical causes of male infertility

Treating known medical causes of male infertility

Male infertility can be caused by abnormal enlargement of veins in the scrotum (varicocele), urogenital infections, the presence of anti-sperm antibodies, sexual/ejaculatory inadequacy, congenital disorders such as Kallmann’s syndrome or Klinefelter’s syndrome, acquired urogenital abnormalities, and endocrine disorders. In varicocele, removal of veins by surgery is recommended for large veins. However, treatment doesn’t always result in improved fertility. 

Congenital disorders, sexual/ejaculatory dysfunction and urogenital abnormalities are mostly treated by counseling and sperm harvesting, followed by in vitro fertilization. Once the exact culprit for an endocrine disorder is identified, hormone replacement therapy is initiated. Treatment can last for 6 months to 3 years, depending on the nature and severity of the disorder.

 

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REFERENCES

National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health Surveys

Male fertility, a critical review (Micronutrient Initiative. Investing in the future: A united call to action on vitamin and mineral deficiencies. Global Report 2009).

Iodine in pregnancy