Causes of male
infertility
Back
sterility man often either disorder in sperm count (few in number or absence) or
the weakness of movement or to the large Chohadtha or weak ability to
fertilization (although in numbers and strength of the movement), also cause
infertility reasons for not entering the semen to the wife as the weak
erection,
or for other reasons unknown in rare occasions.
Attributed
the small number of sperm or the lack of it either to double production in the
testis or sperm duct obstruction leading to the outside.
*
Embolism:Cause
a blockage spermatic duct, which leads to sperm abroad in
infertility.
If
there is a blockage in the spermatic duct, withhold sperm inside the channel or
within the testis (depending on position of the blockage), which leads to the
absence or lack of numbers in the semen. We
note that the blockage does not prevent the liquid from the exit, but only
prevents sperm, where the fluid out of the seminal vesicle, prostate, and not
from the testicle.
Embolism
occurs and infertility as a result of infections, surgical errors or
defects.
* Seminal tract
infections result:
Enemy nationalityUrinary
infection (due to reflux Paul microbes into the spermatic duct)Enemy
general (as a result of the transmission of the microbe of infection elsewhere
in the body to channel the sperm through the blood or other)Schistosomiasis.Tuberculosis.Obstruction
and infertility occurs in these cases as a result of the accumulation of pus and
fibrous tissue (caused by inflammation) in Hungarian and around it, which leads
to Ansdadeh, in addition to a narrow channel by muscle contraction of the
membrane in the wall under the influence of microbes that irritate the
wall.
Surgical errors:
Are
some surgeries in the inguinal region (the sperm into the passage channel and
the lower abdomen on the right or left hand), and surgery of varicose veins and
inguinal hernia. Also
conducts other surgeries in the scrotum while also passing spermatic duct.
If
you made this surgery, however, is concerned, can be infected sperm channel
بالانسداد result of exposure to injury, leading to infertility. And
highlights this problem in particular in the process of inguinal hernia repair
in children, which gets 27% of them obstruction leads to
infertility.
Birth defects:
Sometimes
that does not create spermatic duct from the ground up. And
in this case related to testicular body by Oeitha vessels and be full of
activity, but the sperm do not go out to the semen and the absence of the vas
deferens (spermatic duct). This can
happen up in both testicles or in one.
Can
be accompanied by not creating the channel not to create sperm seminal vesicle,
a gland that secretes seminal fluid, which leads to decrease the amount of fluid
(in addition to being free of sperm). Can
also be accompanied by this disappearance or atrophy in one of the
kidneys.
And
birth defects leading to infertility, a vesicle overgrown at the meeting point
of the two channels Alntin channels bombers urethra into the prostate gland.
This
vesicle press channels bombers, leading to partial or total blockage of sperm in
the channel, in turn leads to the disappearance of sperm and lack the amount of
semen.
* Testicular
damage (laziness production)
Varicose veins
Varicose
disease of testicular veins (vein is a blood vessel which discharge waste-laden
blood). This
disease leads to widening the veins and blood stasis, loaded with waste and
waste that are harmful to the testicle. Of this waste carbon
dioxide, heat, and others. And
in the upper grades of varicose veins, blood Ertdja in reverse direction from
top to bottom, blaming hormone adrenaline clutch of the arteries, which leads to
decreased blood flow loaded with oxygen and food to the testicle. That is how
varicose lead to infertility.
In
the case of testicular varicose, testicular damage irritation begins, and
produce a number of sperm is much higher than usual, and then begins the sperm
count and movement to fall to below the normal level, and distortions abound and
less than the size of the testis and less hardness, the end of testicular
atrophy (full damage). And
it is not necessary to have this is accompanied by pain or certain symptoms, but
can be detrimental to varicose veins clandestine Bal_khasip.
Consists
of varicose veins on the left side often, and sometimes on both the left and
right, and are rarely varicocele on the right side only. Increased
incidence of varicocele on the left side due to several reasons, including the
fact that vein left my head, making its content of blood rising to the top of
heavier and slower movement by gravity if the person standing. Slow
moving blood accumulates and helps breadth varicose vein and
be.
Reasons
to be varicocele whatever terms: the cause is unknown, but there are different
theories about the cause, including the genetic factor leading to weak blood
vessel walls, consisting of collagen. And imbalance in this article. Double
wall leads to expansion of the vein due to its content of blood. Excludes
from the varicose veins that occur on the right side without left, and are often
the result of the body of the compressor in the abdomen, pressed the veins and
prevent the rise of blood.
Symptoms
of varicocele: varicose veins are often no symptoms, and discovered the damage
and affected testicle, and the complaint in this case is infertility.
In
some cases large varicose veins, the patient complains of pain in the testicle,
and in particular with the ongoing stand and walk for long distances.
However,
the occurrence of pain is the exception, not the rule. And
here lies the importance of pre-marital testing, which reveal the presence of
the disease so that was without symptoms.
Cryptorchid
Arise
testis of the fetus inside the abdomen, and then gradually fall to settle in the
bag at birth. If
testicular refuses to go down and concerned within the abdominal cavity or the
abdominal wall (undescended testicle), are susceptible to damage, tumors and
infertility.
The
corruption occurs, infertility and malignant tumors are a result of exposure
testicular high temperature inside the abdomen, or the pressure and injuries if
they are in the abdominal wall. Since
the temperature inside the abdomen much higher than in the
scrotum.
Cause
testicular attached either a defect in the genes (genetic material), or
endocrine disruption, or an obstacle to the road such as inguinal hernia.
In
rare instances, it can not create the testis of the
foundation.
Diagnosis: locate
testicular radiation television. If
he does not appear testicular resort to MRI or CAT scan, did not show up, it
does not mean they do not exist, because the aforementioned means is not
accurate in the diagnosis. Faisal
in this matter is to search for surgical abdominal lens, and is the most
accurate and the best routes. And
is a procedure does not take more than 30 minutes, through a hole in the border
ten millimeters, and no need to stay overnight in the hospital, and can be made
with this diagnostic procedure, the treatment of undescended testicle landed at
the same time.
Be
necessary to accelerate in the treatment of undescended testicle very seriously
in order to avoid damage or incidence of malignant tumors.
In some
cases, the testes no longer exist at all, any not Tkhalqa. And
the distinction between this case and the case of undescended testicle possible
test hCG stimulation test, where the man is injected hormone leads to activating
the testicle - if any - to the secretion of the hormone testosterone.
The
increased level of the hormone, means that the presence of the testicles.
And
that has not increased, we conclude that the testicles did
Tkhalqa.
And
at other times, testicular be in its natural place, but it is up and down
vigorously, sometimes Vtassad to the abdominal wall Vchabh undescended testicle,
then do not soon return to its normal position. Ascension
be the result of muscle contraction surrounding Bal_khasip, testicular and
respond to constriction and escalate if they are small or lightweight.
This case is
called: testicular animation.
Segregation
patient be sitting briefly in a squatting position for several minutes, during
which landing testis to its natural place, if not
outstanding.
Testicular
animation is prone to tumors, but they are susceptible to injury when their
ascent in the abdominal wall with seating and link belt and direct injury to the
abdomen. Different
doctors in the feasibility of surgery in this case, some فيراها necessary for
cosmetic purposes and to protect them from infection, while others deem
unnecessary because testicular susceptible even in its natural place.
If
you have been diagnosed with testicular moving at a young age, can wait several
years until testicular growth and increase its weight Vtstqr in its natural
place and do not respond to the surrounding muscle contraction. But
if continued unchanged until puberty, there is no prospect of stability and must
either be installed surgically Oalqpol intact with careful not exposed to
injury. The
use of hormones to increase testicular size and weight, it is a last
resort.
As
for the treatment of undescended testicle is surgical attempt Bailout, and
laparoscopic If the testicle in the abdominal cavity or surgical conquest if
they are in the abdominal wall. Landing attempt may succeed and
may fail. If
it fails, must eradicate undescended testicle because the left inside the
abdomen leads to the occurrence of malignant tumors and will not help in
procreation because testicular damage with its presence in the abdomen.
Testicular
eradication does not lead to impotence except in the case of the eradication of
both. Here,
have treatment at a dose of testosterone every three weeks for life to maintain
sexual potency. Inguinal hernia
repair should, if any.
Testicular
landing at a young age is very important because the probability of maintaining
reproductive capacity in this case, higher than if was testicular landing in old
age.Treatment
of undescended testicle using hormones to increase the weight of the testicle is
contained in the opinion of most doctors only if testes close to the scrotum
(the bag) and not in the upper abdomen, and if the disease is detected at a
young age.
Birth defects
There
are a lot congenital diseases coupled with damage (atrophy) of the testicles and
infertility. Notably
disease "Klinefelter" Klinefilter Syndrome, which causes the increase in the
number of chromosomes (genetic material found in the nucleus of every cell)
Pkromuzum one in this atrophy. Known
that the number of units of the genetic material (chromosomes) in every cell of
the man 46 chromosome. Increased
to 47 lead to infertility, where there is no sperm production in full (in most
cases)
And
birth defects also affects the pituitary gland, which leads to a lack of
anabolic hormones of the testis and thus to infertility. And
the pituitary gland is the maestro who controls all the glands in the body
through stimulating hormones secreted by the pituitary gland, every gland in its
stimulating hormone. Of
these diseases disease "Kalman" Kallman which prevents stimulating hormone
secretion of the pituitary gland of the brain, and thus lack the secretion of
anabolic hormones without glands, including the
testicles.
Lack of hormones
Produced
by the pituitary gland in the brain hormones governing the work of most other
glands in the body, and testis. Refrain
pituitary for secretion of hormones activated to produce sperm and notably
hormone FSH result of injuries to the head or tumors in the brain or birth
defects (as mentioned earlier) most notably disease "Kalman" Kallman Syndrom,
which prevents secretion stimulating hormone of the pituitary gland of the
brain, and thus lack
of secretion of anabolic hormones without glands, including the
testicles.
Infections
Some
infections lead to testicular atrophy, infertility, and most notably the
disease, "Abu Allkim" Mumps Orchitis and is the result of a virus that affects
mostly children and lead to inflammation of the salivary gland (in the jaw), and
accompanied by inflammation of the testicles (in 30% of
cases).
Radiation
Exposure
to radiation, either casual or consistently as in the treatment of tumors and in
some professions (such as radiology technician and atomic energy workers) to
testicular atrophy and infertility. The
extent of damage to the testicles depends on the radiation dose and duration of
exposure.Necessary
before radiation exposure that are stored some sperm cryo special equipment, so
used to impregnate the wife to later childbearing order, and because testicular
be subject to full damage. It
also recommends using gray insulation, which reduces the proportion of radiation
that reaches the testes.
Chemicals
Affected
testicle some chemicals, and on her head chemotherapy for tumors, and petroleum
products, and toxic emissions, and lead, and others. Oncology
patients are advised to store sperm before treatment Therapeutics chemical, and
advised workers exposed to harmful chemicals to conduct periodic tests to take
any medicine and refrain from exposure to toxic substance if there was a
reduction in the activity of the testis.
Heat
High
temperatures negatively affect the activity of the testis. For
example, exposed workers in the fields of iron and steel furnaces and heavy
transport to heat harmful Bal_khasip, and they revealed periodically to follow
the reproductive capacity and saved if began to decline.
Injuries
Cause
direct injury of the testis to laceration wall and out of their contents and
bleeding. In
case of injury should consult a specialist immediately testicle for TV and
radiation detection, to determine the extent of damage and the need for
immediate surgical intervention, and in order to preserve the remaining healthy
tissue. And
in severe cases can store some of the sperm emerging from infected testicular
cooling (when the incision). Surgical
repair is to stop the bleeding and sew the hole in the testis and empty assembly
bloody.
Testicular
torsion
Related
testicular body's blood vessels carrying blood to oxygen-laden and other
necessities of life (arteries) and another flying about waste and waste
(veins).
If
turned on its axis upper testicle Torsion, Taatdfr blood vessels around itself
so that it closes completely. This
results in the death of testis (atrophy) and consequent
infertility.
Testicular
torsion occurs without warning, and just be symptoms sudden pain. This
pain can occur as a result of other things is torsion, such as orchitis
(Epididymoorhitis), except that it is imperative to make sure there is no
twisting, and treatment, if any, and the seriousness of the complications
(testicular atrophy).
Should
Escarh doctor specialist immediately when a pain Bal_khasip, and because delays
in treatment lead to a loss of testicular fully .. Click here to see how to
diagnose and treat
Tumors
Lead
some tumors of the testicles to the erosion of tissue product of sperm, as well
as the spread of tumor in various parts of the body. And
lead others to the emergence of symptoms of femininity from breast enlargement
and sexual weakness and futility.
Diagnosis
is clinical detection and X-television and oncology indications, and are
materials that are measured in the blood, indicate the presence of tumor and
normal.
According
to the type of tumor, the treatment that ranges from surgical excision and
radiation therapy or chemotherapy, and all testicular hurt, necessitating
storing sperm cryo before treatment begins.
Twice the efficiency of
sperm
We
have mentioned that the sperm to move towards the egg to meet them, and then he
has to dissolve its outer wall with certain chemicals, then he has to rush into
it. Weaken
these properties in some diseases leading to infertility either as a result of
the non-arrival of the sperm to the egg, or his access to them but the inability
to penetrate due to lack of rapid movement tides. Add
to that the possibility of lack of enzymes dissolving the wall of the egg in the
vesicle Alokrozumih, which prevents penetration. These
properties are affected in some diseases such as varicocele, infections and
birth defects.
Antibodies
Are
antibodies secreted by the immune system of the body to attack microbes and
cancer cells, you paralyze the movement or to kill her. In
some cases, targeting the immune system of the sperm and secreted antibodies
him, which prevents it from movement and fertilization, and lead to infertility.
This
targeting occurs because of injuries, infections or sperm duct obstruction.
Are
diagnosed and the presence of antibodies using Indirect MAR test on a semen
sample.
As
can be excreted wife antibodies in the cervix, and are awaiting the arrival of
sperm to paralyze the movement.
Infections
Affects
negatively the presence of microbes on the number of sperm and their movement
and their ability to fertilize. And
be the result of toxins produced by microbes, or as a result of a violent
reaction from the immune system of the body in the form of cells Sididip and
antibodies. Can
also lead to severe infections testicular atrophy full, or to sperm duct
obstruction.
Source
of microbes is either enemy nationality of women to men or from men to women, I
believe inflammation elsewhere in the body, such as urinary tract or anus, and
so on.
Infections
are diagnosed select number Alsididah cells in my sample of semen and prostate.
If
exceeded the normal limit, we can deduce the presence of microbes. And
cells Alsididah not microbes, but are defensive cells of the human body.
And
in severe cases can make microbes farm, to test their sensitivity to various
antibiotics, to choose the right treatment.
Sometimes,
it is difficult to distinguish between cells Alsididah and primitive sperm
cells, and cells are found naturally in the semen. Certain
dyes used to differentiate between them, such as dye "peroxidase" so as not to
be misplaced diagnosis.
Congenital
malformations
Could
create a defect in human sperm prevents them from movement or fertilization.
For
example, prohibits sperm in some cases of vesicle commonly found on the preface,
which contain enzymes dissolving the wall of the egg, making it impossible to
penetrate. There
are also other congenital defects is concerned with the movement of the sperm,
where the defect is in the tail.
Are diagnosed each
of these disorder in a special way. For
third, tail defects are diagnosed using a microscope-mail, while deficiency is
diagnosed vesicle Alokrozumih test "Okrosen" Acrosin. It
is important to know that the distortions are allowed within forty percent of
the total number of sperm.
Inability
to deliver sperm to his place in the body of the wife
Must
be deposited semen in a particular place, higher genital tract wife next to the
cervix, natural sexual intercourse. If fertilization can not
sexually pain disorder. For
example, if you happened to ED, will not be delivering semen to his goal.
Also,
if there very quickly tossed so that ejaculation before the introduction of User
to the genital tract, and in the absence of ejaculation, and if any curvature in
the penis to prevent entry.
