In the statistics on childless couples, male infertility goes up to 45% being no less important issues than female`s one. Infertility is diagnosed if, over the course of a year of regular sex life, without the use of any contraceptives, the couple could not conceive a child. The most common factors causing infertility for men are:

  • varicocele (40%);
  • mechanical damage and injuries of the genital organs (12%);
  • complications of infectious diseases (10%);
  • congenital or acquired pathologies of the reproductive system (hypogonadism, cryptorchidism, hypospadias);
  • inflammatory processes of the reproductive system;
  • hormonal disorders;
  • autoimmune diseases leading to the production of antisperm antibodies.

Consider the most common causes of infertility for men.

 

Varicocele

Varicocele is varicose veins of the spermatic cord. More common it occurs on the left. This is due to the inflow of the seminal vein into the renal with the left side. Prolonged venous blood stasis provokes ischemia, sclerotic changes in the testicle, differentiation of spermatogenic epithelium is disturbed. In the absence of timely treatment, a reduction in total spermatogenesis is possible. Among the causes of secondary infertility, varicocele is 80%.

 

Hypospadias

This is a congenital anomaly of the development of the penis, in which there is underdevelopment factor, a change in shape, size, movement from the normal position of the opening of the urethra. Physical changes occur due to shortening of the urethra. The disease is treated by means of surgical intervention.

 

Hypogonadism

Congenital or acquired testicular failure, accompanied by a decrease in the level of androgens and a characteristic clinical picture. A lack of sex hormones leads to a lack of libido, depression, impaired potency. The forecast is quite favorable. In most patients, using hormone therapy, it is possible to normalize the level of androgens in the serum.

 

Cryptorchidism

This is a congenital disease characterized by partial or complete undescension of the testicle into the scrotum. As a rule, the disease is detected and successfully treated in early childhood. If the operation is not performed on time, the androgenic function is impaired, which leads to impotence.

 

Infectious diseases

A number of diseases of an infectious nature (especially those related to the so-called children's infections) with untimely or improper treatment cause testicular tissue damage, leading to a violation of spermatogenesis. Often, such changes are irreversible. Most often recorded violations of the male reproductive system after suffering mumps.

 

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