What to expect during a male infertility evaluation

An infertility evaluation will start with a complete reproductive, medical and surgical history. The doctor will ask about your sexual health and history, past illnesses, fertility treatments, surgeries or testicular exposure to heat, radiation and chemicals.

During the physical exam, a doctor will assess the build, hair distribution, breast development and external genitalia of the patient. The doctor will pay special attention to the size and consistency of testicles and the structures inside the spermatic cord (the series of long tubes that connect the testicles to the body). 

The semen analysis will include:

• Ejaculate volume - how much fluid is in the sample
• Sperm concentration - how many sperm are in the sample
• Sperm motility - how well the sperm can move
• Sperm morphology - the shape of the sperm 

Ideal Results for a Semen Analysis

According to standards set by the World Health Organization (WHO), the ideal semen analysis results include:

• Ejaculate volume: 1.5 to 5.0 mL
• Sperm Concentration: More than 15 million/mL
• Sperm Motility: More than 45% motile
• Total Motile Sperm Count: More than 20 million
• Sperm Morphology: More than 5% normal (using the Kruger Strict system, which rates how likely it is that sperm can fertilize an egg)
• Leukocytes (white blood cells) to look for infection or inflammation
• Anti-sperm antibodies, which the body’s immune system may create in response to sperm
• Reactive oxygen species (free radicals that damage sperm)
• Sperm DNA integrity to see if there is damage to the sperm’s genetic material

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

What you need to know about male infertility

Male fertility – the ability to produce and deliver sperm – is impacted by a variety of medical, environmental and lifestyle causes.

• Medical causes of male infertility. Several physiological factors can negatively impact sperm production, motility and delivery. One of the most common is a varicocele, a swelling of the veins that drain the testicle. Varicocele reduces the quality of the sperm. Other factors may include infections, blockages caused by tumors, chromosomal defects, or hormonal imbalances.It’s important to know that many of these factors are treatable, or don’t interfere with the ability to retrieve sperm for use with assisted reproductive techniques such as in vitro fertilization.
• Overexposure to certain environment conditions can negatively impact male fertility, too. Some industrial chemicals, heavy metals, radiation and/or heat may inhibit sperm production. Damage from environmental factors may be reversible by reducing or eliminating exposure.
• The use of anabolic steroids, cocaine, marijuana or other illicit drugs may reduce sperm count and quality. Excessive alcohol use may also reduce sperm count and cause erectile dysfunction, and tobacco use can inhibit sperm production as well. Stress and obesity can impact sperm and cause hormone changes that inhibit fertility, too. The good news is that lifestyle changes can often improve male fertility.

How is male infertility diagnosed?

The first step towards determining if and how male infertility is a factor is a general exam and semen analysis. During the general exam, the doctor will gather patient history, evaluate current health condition and do an external examination of the male genitals.

The patient will also be asked to provide a semen sample. The sperm will be evaluated for motility, shape and number, and the sample will also be tested for the presence of infections.

Patients may require additional tests, too. Those tests may include ultrasounds, hormonal or chromosomal testing or urinalysis.

Patients can prepare for meeting with the doctor by following all pre-appointment or testing guidelines, including restrictions on ejaculating for at least two days prior to the appointment. Patients should also gather medical history, and ask male family members if they have any conditions that have interfered with their fertility. Make a list of all medications and current conditions and medications or dietary supplements, and a list of lifestyle factors or environmental factors that could influence fertility.


How can men protect their fertility?

Men can protect their fertility by protecting their overall health: avoid illicit drugs and the use of tobacco products, drink alcohol in moderation or abstain entirely, maintain a healthy weight with diet and exercise, and reduce stress. Limit exposure to excessive heat, radiation, chemicals, heavy metals and other toxins.

How can men stay healthy during infertility treatment?

Infertility treatment can be stressful, both on individuals and on the relationship, and that stress can have a rebound effect that exacerbates fertility issues. Communication and boundaries are key. Talk about and agree upon how much you are willing to invest financially and emotionally into the process. Connect with each other, and seek support from friends, family or a professional counselor. Support groups can also be very helpful. Turn to healthy options for stress management, including prayer, meditation, and exercise.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Male Infertility – Causes for Male Infertility

Causes of male infertility include overall health and certain physical or hormonal conditions that can affect delivery, quantity and quality of sperm. Generally, the first step in determining cause of infertility in the male involves semen and sperm analysis. Some causes of infertility in men include:

• Sperm abnormalities­: Size, shape, volume, and motility (movement ability) are important factors in male fertility.
• Infection: Sexually transmitted diseases (STDs) or inflammation of the prostate or testicles.
• Varicocele: An enlarged vein in the man’s scrotum that can affect sperm quality.
• Hormone imbalance: Hormonal levels that are too low or high may cause a problem with sperm quantity or quality.
• Blockage of the sperm duct:­ The vas deferens transports sperm for ejaculation, and sperm will not reach the egg.
• Retrograde ejaculation: This causes sperm to travel backwards into the man’s bladder during ejaculation rather than out through the tip of the penis.
• Undescended testicles (cryptorchidism): If not corrected, this can lead to low sperm production.
• Injury or trauma: this can cause damage to the testicles and production of sperm.
• Problems with sexual intercourse: Psychological and/or physical factors may make intercourse difficult or impossible for some men, as can erectile dysfunction (ED), hypospadias, premature ejaculation, and painful intercourse.
• Cancer of the reproductive organs: Cancer can cause infertility, as can cancer treatments such as radiation or chemotherapy.

General Health Issuses

General health issues that affect male fertility can be caused by:

• Age: Older men may be less fertile.
• Diet: Body cells, including sperm cells, cannot function properly in an acidic and toxic environment. When the diet is nutrient poor and chemically loaded, the body eventually becomes toxic and disease follows. Specific issues include excessive caffeine intake and deficiencies in such nutrients as vitamin C, selenium, zinc, and folic acid.
• Lifestyle: Excessive stress, anxiety, lack of sleep, and exercise all adversely affect fertility. Infertility itself can sometimes become a long-term, discouraging problem, therefore producing more stress.
• Substance abuse: Alcohol or drug dependency can be associated with poor health and reduced fertility.
• Diseases: Those affecting reproduction can be infectious, such as STDs and viral infections like mumps, or they can be inflammatory, autoimmune diseases like multiple sclerosis. Certain conditions, such as diabetes, thyroid disease, Cushing’s syndrome, or anemia may affect fertility.
• Environmental exposure to pesticides and other chemicals: Herbicides and insecticides may cause female hormone-like effects in the male body and may be associated with reduced sperm production and testicular cancer. Lead exposure may also cause infertility.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Poor sperm & lifestyle impact male infertility

For many men, infertility is often related to low sperm count, poor sperm motility or poor morphology. These can prevent sperm from doing its part, swimming to and penetrating the female egg in the fallopian tube awaiting fertilization.

Not enough sperm production can cause male infertility. Hormonal imbalances can be the problem. It’s important for a fertility specialist to either identify or rule this out as the cause. Medications can sometimes solve this problem.

Similarly, sperm that does not have the proper quality can also result in male infertility. A sperm’s morphology usually denotes poor fertilization quality. Sperm’s motility, its ability to move through the female reproductive system to reach the egg for fertilization, can also lead to male infertility. This can include the ability to attach itself to the egg once it has reached it.

The following factors can contribute to male infertility causes as described above.

Weight

Being underweight or overweight can impact male fertility—especially when these issues are related to malnutrition and physical inactivity. Changing your diet and getting more exercise can improve your fertility, help you maintain a healthier weight and bring hormones into balance.

Lifestyle

Aside from diet and exercise habits, several lifestyle factors can affect male fertility. Drinking alcohol, smoking cigarettes or marijuana, and not managing stress can possibly reduce fertility by lowering sperm count or causing abnormal development of sperm. Exposure to excessive heat can affect sperm production and function. Exposure to environmental toxins in the workplace could be a risk factor for infertility as well.

Blockages

In some cases, there may be a blockage that prevents otherwise healthy sperm from getting into the ejaculate fluid. The blockage may have no symptoms and be repairable through surgery. Causes may include infection, injury or congenital defects.

Varicoceles 

Varicoceles are similar to varicose veins and they develop in the scrotum, causing increased temperatures that can reduce sperm production. Symptoms may be present, though the condition could go unnoticed until infertility is diagnosed.

Other factors may be involved, such as:

• Diseases involving the heart, liver and kidneys, as well as cancer
• Trauma to testicles
• Surgery in the groin area can reduce blood to the testicles
• Erectile dysfunction, the inability to maintain an erection through ejaculation.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Male infertility tests and diagnosis

Most infertile couples, usually have more than one cause of infertility. Therefore, they have not managed to conceive even after a year of trying. Men who have issues that may result in infertility, do not show any signs or symptoms and need to get tested. In some cases, the cause of infertility may not be identified.

Diagnosing male infertility involves:

• A clinical examination with a complete medical history physical examination- to rule out any physical cause for infertility or clinical signs of any hormonal dysfunction.
• Semen Analysis- This is the most common male fertility test. What is checked is:
  • Sperm count
  • Motility of the sperm-the ability to swim
  • Velocity or forward progression of the sperm
  • Morphology of the sperm-size and shape of the sperm
  • Total semen volume
  • The liquefaction of the semen- the change from the normal gel-like state at ejaculation to a liquid state

A sample of semen is collected by masturbating and ejaculating into a special container at the doctor’s office or by using a special condom to collect semen during intercourse. The semen should then be examined within a few hours, to achieve the most accurate results.

After your semen is collected, it is sent to the laboratory to measure the number of sperms present in it and to check for abnormalities in its shape. The laboratory will also check for signs of infections in your semen. Very often, the sperm counts fluctuate from one specimen to another. In many cases, semen analysis tests are done over a period to gain accurate results. If your sperm analysis is normal, your doctor might recommend you to do a thorough test of your partner, before he conducts any more male fertility tests on you.

Your doctor may also recommend a few additional tests to help identify the cause of infertility. They are:

• Hormone testing: Hormones that are produced by the pituitary gland, the hypothalamus and testicles, play a vital role in the sexual development and sperm production. Abnormalities present in other hormonal or organ systems might also cause infertility. However, a blood test measures the testosterone level and other hormones that can cause male infertility.

• Genetic Tests: If your sperm concentration is extremely low, there could be a possibility of a genetic cause. However, in such cases, a blood test can reveal if there are changes in the Y chromosome which can lead to male infertility. Genetic testing can also be ordered to diagnose numerous congenital or inherited syndromes.

• Ultrasonography: Performing an ultrasonography test on the man’s scrotum helps to find out if there is any obstruction in the testicles. It can also be used to check the presence of varicocele or other abnormalities with the supporting structures of the reproductive system.

• Analysis of the urine: Presence of some amount of sperm in the urine indicates that sperms are travelling into the bladder instead of coming out. This helps to determine whether the person is suffering from retrograde ejaculation or not.

• Testicular biopsy: This involves collecting samples from the testicles and conducting tests on it. It helps to identify problems with the sperm production processes. However, it is not commonly used to identify fertility problems.

Issues with fertility can be easily treated with various tests or minor surgery. Though in some cases, where infertility is caused by genetic issues, it is important to seek an expert’s advice to get the right information and treatment.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Impotency vs. inFertility in Males

Male fertility issues may be the result of:

• Low sperm count, low quality, low motility of sperm
• Not producing any sperm
• Physical inability to ejaculate semen from the body

Impotency

Impotency is a man's inability to achieve and maintain a penile erection to perform sexual intercourse. This condition is also referred to as erectile dysfunction (ED). For a man to achieve and maintain an erection, several systems in the body must work together, including the nervous system and cardiovascular system. Should any of these systems be compromised, achieving and maintaining an erection becomes difficult. Impotency is often the result of the following health issues:

• Heart disease or other vascular issues
• Emotional or mental health issues such as depression
• Stress
• Diabetes
• High blood pressure
• Medications
• Obesity
• Abuse of drugs or alcohol
• Nerve damage

While the condition does make it difficult for a man to have sex, it does not mean that a man is unable to produce sperm to conceive a child. A man can produce healthy sperm even if he is impotent.

Male Fertility

A man’s fertility describes his ability to produce quality sperm in quantities able to fertilize an egg. If a couple has tried to get pregnant for more than one year, they are deemed to be infertile and should seek medical treatment. In one of three cases, both the male and female partners are impacted by fertility issues. A number of things cause infertility in men, including:

• Treatment for cancer
• Chronic diseases such as diabetes
• Alcohol or drug abuse
• Untreated sexually transmitted diseases
• Abnormalities in the male reproductive organs
• Genetic issues
• Injury to the male reproductive organs
• Illness experienced as a child with a high temperature

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Understanding Male Infertility

In at least half of male infertility cases, doctors cannot identify an exact cause. For the remaining cases,infertility is either due to environmental, genetic or other identifiable factors.

Common Environmental Causes of Male Infertility:

• Excess heat, for example due to the male’s occupation, such as truck drivers, welders, or firefighters, or habits, such as excessive use of the hot tub or tight clothing.
• Drugs, including certain antibiotics and prescription medicines, anabolic steroids, alcohol, marijuana.
• Toxicants, such as pesticides, herbicides, heavy metals, lead, mercury, or paint
• Stress
• Excess exercise, including bicycling
• Chronic disease, such as anemia, malnutrition, cancer, neurological disease, or  diabetes
• Dietary deficiencies, such as zinc, vitamin C, folic acid
• Varicocele, a condition in which the veins enlarge inside the scrotum
• Diseases of the male genital tract, including infection, cancer, trauma, or retrograde ejaculation
• Surgery on the male genital tract, such as for the treatment of undescended testicle, or hernia
• Obesity

Genetic Causes of Male Infertility:

• Mutations inside the genes that determine the male sex, called the Y-chromosome
• Other irregular changes in the genes. For instance, some men have a condition called Klinefelter’s XXY syndrome in which they have an extra copy of the female-sex determining genes (the X chromosome)
• Hormonal issues, such as: diabetes, high levels of the milk-producing hormone prolactin, or problems with the hormone-producing organs like the thyroid or adrenal gland

Male Infertility Treatments:

Not all male infertility is permanent or not treatable, it is not uncommon for men to treat infertility through one or a combination of actions.

• Avoiding damaging environmental factors, such as smoking, heat exposure, heavy exercise, toxicants, certain drugs, or excessive alcohol
• Reducing stress
• Taking medications,which include antibiotics (if an infection is suspected); fertility medications (Clomiphene, Human Chorionic Gonadotropin (hCG) or LH/FSH injections)
• Vitamins, such as folic acid, zinc, or L-carnitine
• Antioxidants
• Alternative medicine. However, certain types of herbs may be harmful. Acupuncture is generally not harmful or helpful.
• Surgery, such as reversing a vasectomy or repairing a condition called varicocele, in which the veins inside the scrotum become enlarged
• In vitro fertilization, which is usually done via a process called Intra-Cytoplasmic Sperm Injection (ICSI)

For male infertility treatment, low sperm count, azoospermia get free online consultation today

Are fertility apps a useful tool for tracking ovulation?

We love our phones and enjoy using apps, which probably explains why there are over 100 fertility apps available that claim to help women predict their fertile days and optimize their chances for getting pregnant. With so many apps to choose from, what’s the best option for a woman who is trying to build her family?

Researchers and physicians, intrigued by the many fertility apps on the market, decided to conduct studies to determine whether or not these apps were truly effective.

Recently, a study published in the Journal of the American Board of Family Medicine investigated 95 fertility apps, studying 30 apps in-depth, and researchers found that only six actually helped a woman accurately track her cycles. According to this study, the fertility apps that were based on fertility awareness-based methods were the most accurate, not the apps that used basal body temperature to track ovulation.

Women should not rely solely on even the most accurate fertility apps for tracking ovulation; instead, we suggest employing fertility awareness-based methods.

Here are some fertility awareness-based methods that we know to be helpful:

• Track your menstrual cycle on a calendar each month.
• Note changes in your cervical mucus. Cervical mucus that has the consistency of egg whites usually accompanies ovulation.
• Purchase an over-the-counter ovulation kit. Kits such as First Response and Clearblue Easy detect surges in your LH, or luteinizing hormone, which occurs approximately 24 to 36 hours before you ovulate.

Employ each of the methods above to help you track ovulation and determine the optimal days to have sexual intercourse. To learn more about fertility awareness-based methods for tracking ovulation, contact us. Our goal is to help you have the family of your dreams.

Genetic Disorders and Infertility

Genetic disorders can have a huge impact on every aspect of our health, including fertility. Since it’s hard to treat an illness that is written into your DNA, it can be difficult to overcome these conditions. Let’s take a look at how genes can affect fertility in both women and men.

Genetic Causes of Male Infertility

Genetic disorders in men affect the production of sperm and sexual development in general. For example:

• Kallman syndrome also affects men and results in low levels of testosterone, LH, and FSH, the hormones responsible for fertility. Almost all men with Kallman syndrome also experience decreased libido and erectile dysfunction.
• Y chromosome microdeletion is a genetic disorder that can result in low sperm count, no sperm production, or abnormal sperm morphology and motility. Some men with this disorder may have small or undescended testes.
• Men with Klinefelter syndrome have smaller testes than average and produce less testosterone than normal. This leads to delayed or incomplete puberty, infertility, and other physical symptoms.

Treatment is also available for male genetic disorders. Often, these involve collection of what sperm is available, as well as hormone replacement treatments. For example:

• Hormone replacement can treat the decreased libido and erectile dysfunction of Kallman syndrome, as well as potentially stimulate fertility.
• In about two-thirds of cases of Y chromosome microdeletion, some sperm can be extracted from the testes and used in assisted reproduction. Sperm production in these cases may also respond to the natural lifestyle changes often suggested for men without the condition.
• While testosterone treatments can help with many of the physical effects of Klinefelter syndrome, it typically won’t improve fertility. Some men with the condition may have minimal sperm production, in which case sperm may be extracted for use in other procedures.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

 

Male infertility due to smoking

Smoking is a very common cause of male infertility. There are many reasons why men take up smoking. The most common effect of smoking on a male reproductive system is the adverse effect it has on semen health. Smoking not only decreases the quality of the semen making the sperm very weak, but it also affects the motility of the sperm and the morphology of the sperm. The motility of the sperm is its ability to swim. Sperm that are not able to swim cannot reach the female uterus for a natural conception.

Sperm morphology is the shape of the sperm. Sperm that are abnormally shaped usually have head and tails defects. Due to this the sperm may not be able to penetrate the egg, even if they are able to reach it,thereby reducing the chances of conception considerably. IVF procedure like ICSI runs a high risk of failure with abnormally shaped sperm.

Smoking also affects sperm DNA. Studies found that there was increased DNA fragmentation in the sperm of smokers.Sperms with damaged DNA could result in problems with fertilization and embryo development.

Smoking lowers your libido.

Your sex drive is affected when you smoke regularly. You are not inclined towards having sex. This in itself reduces your chances of conceiving naturally. If that is not enough you are also at high risk for erectile dysfunction with smoking. Many males are not aware that their manhood is at stake here. They may not find it strange that the desire for sex is no longer the same. Many men even attribute it to age.

Smoking affects IVF

It is not only the health of the female partner but also that of the male partner that affects the IVF procedure. In fact passive smoking for women is as bad as if she herself were smoking. The IVF procedure can be greatly affected by male smoking as the quality of sperm is very poor. This greatly reduces the chances of IVF success. Without being able to produce healthy sperm you may be advised to opt for donor sperm.

Smoking increases the chances of a miscarriage

What most couples are not aware of is the fact that if the male partner smokes it increases the risk of having a miscarriage.Damaged sperm DNA due to smoking can lead to miscarriage. The loss of a baby through miscarriage can be devastating for expecting parents.

Sperm takes 3 months to grow. When you are planning a family it is advisable to stop smoking at least 3 months in advance. This will help the quality of your sperm to improve. The success rate of IVF is greatly affected by sperm quality.  With good healthy sperm your chances of IVF success is improved.
Men who smoke as a stress buster need to understand that nicotine does not reduce or relieve stress. Instead smoking causes depression besides a number of health ailments including liver damage, heart problems and male infertility.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Male Factor Infertility Facts

Epididymis: Portion of the male genital tract next to the testis where sperm maturation is partially accomplished. Receives sperm from the testis and continues as the ductus (vas) deferens.

Male Factor Infertility: 30-40% of infertility is a result of problems with sperm production or motility.  Sometimes there is blockage of release of sperm.  Male factor infertility is most often treated with IUI or IVF and referral to a specially trained urologist.

Retrograde Ejaculation: A condition that occurs when, at orgasm, the ejaculate (sperm and semen) is forced backward into the bladder rather than through the urethra and out the end of the penis.

Semen: The fluid containing sperm (the male reproductive cells) that is expelled (ejaculated) through the end of the penis when the man reaches sexual climax (orgasm).

Sperm: The male reproductive cells. With ART (assisted reproductive technology), there are methods so that very few sperm are actually needed to produce embryos.

Sperm Antibody Test: In some couples blood, semen and/or cervical mucus contain substances which hinder sperm action through an allergic or immune reaction.

Spermatogenesis: The process of producing sperm, the male reproductive cells.

Testosterone: The male hormone that is essential for sperm production and the development of male characteristics, including muscle mass and strength, fat distribution, bone mass, facial hair growth, voice change, and sex drive.

Urologist: The type of doctor who is specially trained to treat problems of the male and female urinary system and the male sex organs.

Undescended Testicle: A condition in which the testicles do not descend from the abdomen, where they are located during development, to the scrotum shortly before birth. Also called cryptorchidism.
Vas deferens: The long, muscular tube that travels from the epididymis into the pelvic cavity, to just behind a man's urinary bladder. The vas deferens transports mature sperm to the urethra in preparation for ejaculation.

Varicocele: A varicose vein around the ductus (vas) deferens and the testes. This may be a cause of low sperm counts, motility and morphology and lead to male infertility.

It's all about the sperm AND it's all about the male reproductive system that produces them. For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Study Shows Men Produce Healthier Sperm in Cooler Months

Did you know men have healthier sperm in the winter and spring? I didn’t, but I wonder if that is the reason my in vitro fertilization (IVF) cycle in April 2010 was successful.

A new study published in the American Journal of Obstetrics and Gynecology examined semen samples of 6,455 men, between January 2006 and July 2009, who were being treated for male factor infertility. Researchers found higher count, higher motility, and fewer men exhibiting morphology problems when the sample consisted of sperm made in the cooler months. A sperm production cycle takes approximately three months, so sperm produced in the fall was likely collected in the winter and sperm produced in the winter was likely collected in the spring. Sperm quality showed a steady decline into the summer and fall months, sperm which would have been produced in the spring and summer months.

Scientists theorize the decrease in sperm quality is attributable to warmer temperatures which slow down the production of healthy sperm. Previous animal studies have not only linked poor sperm quality to increased temperatures, but also hormone variations and exposure to daylight as well; biological changes that occur as a seasonal effect.

This data is a most important consideration for couples undergoing fertility treatment as doctors can advise male patients to be especially mindful of heat exposure, and can encourage other fertility-boosting behaviors. It is not likely that fertility doctors will encourage couples to try to conceive only during winter or spring months.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Obesity Can Hurt Male Fertility

A new study by researchers in India is showing that obesity can hurt male fertility.  Researchers at a fertility center in India analyzed sperm samples from over 1200 men and found that men who were obese (body mass index greater than 30) had lower semen volumes, lower sperm counts, lower sperm motility, and a higher percentage of abnormally shaped sperm.  The findings are published in the medical journal, Andrologia.

This is not the first study to show an association between obesity and impaired fertility.  In fact, there have now been many reports showing that obesity can be detrimental to both male and female fertility.  There are many reasons why this may happen. First, fat cells produce hormones, namely estrogen.  When men have an excess number of fat cells, there is a disruption in the normal ratio of estrogen and testosterone in their bodies.  This can lead to impaired semen parameters.  In addition, the increased weight they carry can lead to higher temperatures surrounding the testicles.  Excessive heat exposure can adversely affect sperm production and motility.

For men who are struggling with fertility, it’s important to recognize that body weight may play a role.  If their body mass index is 30 or greater, weight loss may help promote improved sperm production and function. A study from Utah showed significantly higher pregnancy rates in obese couples who enrolled in an intense weight loss program. This program consisted of a low calorie diet, exercise, weekly physician visits, and twice weekly counseling sessions.

Weight loss is not an easy task to accomplish.  If you’re struggling with weight loss and having a difficult time conceiving, it may be beneficial to speak with your physician about what resources may be available to help you.  Also, please visit our Lifestyle & Fertility page, which has some great information about diet and lifestyle changes that may help.

How the Food Habits influence Fertility

Fertility is influenced by the quantity and quality of eggs and sperms. Ageing process affects both the quality and quantity and hence the chances of conceiving will reduce with ageing process. In old days, ageing process was the only thing to be worried, but the modern lifestyle and changed food habits make things more complicated.

• Highly nutritious food is needed to keep the body healthy and at the same time it is needed to have high fertility chances. Poor diet will certainly reduce the quality and to some extent the quantity of sperms and eggs even in the younger people.
• Good blood supply should be maintained to ovary and testicles to bring more nutrients, oxygen and hormones to optimize their functions. Hence the diet should be the one which supports this need.
• Testosterone production inside the testicles should be promoted to have good semen quantity, sperm numbers, sperm motility and sperm morphology. Certain health supplements can help in this regard. However, it is necessary to take the advice of a medical practitioner is necessary before selecting the supplement.
• Antioxidant capacity of semen and of the cells and fluid surrounding the egg will decrease as the age increases. Besides, potent oxidants will get accumulated by eating food articles cooked at high temperature such as grilling barbecuing etc. This can happen due to the high consumption of sugar too. It is always better to avoid such food articles or at least the consumption of such foods will be minimized.
• Sperms need antioxidants in high levels in the surrounding seminal fluid. Hence one should include such food articles in the diet. An expert dietician can help in this regard.
• However common potent antioxidants such as berries, green tea etc can be included in the diet. Although chocolates and red wine are potent antioxidants they are not advisable to women due to presence of excess caffeine and alcohol respectively.
• High level of Vitamin C and Vitamin E can reduce the chances of DNA fragmentation in sperms. Hence it will be helpful if the food articles containing these vitamins are included in the daily diet. However it is better to avoid consuming Vitamin E if aspirin is being consumed daily as it will increase the effects of aspirin on blood clotting.
• Both sperm and eggs require high level of energy to function and hence good fat should be included in the diet properly to produce more energy.
• However, consuming fat in excess quantity is not advisable as it may end up in obesity which is a major reason of increase in the number of infertility.

To follow a strict and healthy diet is necessary to lead a healthy life. Similarly, a healthy diet is needed to maintain the fertility chances too. Whenever planning for a diet, the best thing to do is to consult some expert dieticians for advice. They can suggest you a well balanced diet. Once the diet has planned, one should follow it strictly.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Delayed Pregnancy, Pills and Infertility

Birth control or delayed pregnancy does have its effect on fertility – which is definitely not to say that these factors necessarily lead to infertility. But yes- delayed pregnancy does engender complications of some sort or the other.

The problem is you are likely to get contradictory views when you look up the internet or just ask random medical professionals. Before you browse further through the post you should be aware of the fact that it is important to consult a reliable and reputable pregnancy clinic besides stepping up self-education. So let us walk you through the facts about the possible link between delayed pregnancy, birth control and infertility. Read on to be duly informed in this regard.

Delayed Pregnancy and Infertility

Now, let us start off by clarifying that you can become a mother even when you are 40. So, anyone who has opined otherwise is definitely wrong. What, however, is right is that there are risks involved in most of the cases of delayed pregnancy? As per reports, cases of “40+ pregnancy” have actually quadrupled over the last three decades. The number of cases of women becoming mother’s post 35 has also risen. As per ONS (Office of National Statistics) data which came out in the year 1982 more than 6,500 live births were reported in England and Wales to ladies aged above 40.

In the year 2012, however, the figures rose to more than 29,000. Needless to say, this paradigm shift in common “motherhood age” is directly attributed to the simultaneous shift in priorities of modern women. They are more career-oriented than their earlier counterparts as a result of which they choose a grave responsibility like motherhood at a much later stage in their life.

Are chances of pregnancy affected by pills?

However, medical experts have warned against the risks of delayed pregnancy as (especially pregnancy at 40). Mothers who are trying to conceive at 40 brook high chances of not becoming pregnant at all or experiencing miscarriages. The aforementioned ONS data further revealed that around 10 percent of moms aged over 40 delivered premature baby.

Pills and Infertility 

It is difficult to gauge the impact of birth control measures on child birth by simply talking to women who have availed them. The views are as contradictory as they can get. While some would be of opinion that taking pills has actually gone to regulate their menstrual cycle, there are others who believe that the synthetic hormones have had an adverse effect on their ovaries. There are mothers who also believe that the pills should be washed off their systems before they attempt to become mothers. The experts however opine otherwise. Though these women believe that ovulation starts only after several months of taking these pills, there are experts who actually believe that ovulation should begin in a few weeks – and that pace of return of fertility is not at all slowed down because you had taken pills at some point of time. Mothers when they go off pills are advised to get done with their monthly batch and then prepare themselves to get pregnant.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

IVF babies are no different from Naturally conceived babies

Are there any biological differences between IVF babies and naturally conceived babies? Are IVF babies born with birth defects? These are a few questions people need to be aware of before opting for IVF as an option for their infertility treatment.

IVF is highly misunderstood, people have pre-conceived notions and myths in mind regarding the procedure and about the resulting child from the treatment. Its high time to bust the most common myth that IVF  babies are different from naturally conceived ones. Although this holds true that the conception of the IVF babies is not natural, but the advanced technology and medical expertise has made the results of the artificial conception at par with the natural one.

Although this holds true that in IVF, the embryo is not formed inside the female body, the eggs a and sperms are fused in controlled laboratory conditions by expert embryologists. Instead of a Fallopian tube, the fertilization happens in a test tube.

Once the embryo is produced by the fusion of sperm and eggs in the lab, it is transferred to the womb where it is carried and nourished like a naturally conceived baby. So, there is no difference in the physical and mental attributes of the babies.

People believe that the babies born with the help of IVF are artificial, they must know that ART stands for Assisted Reproductive Technology and not Artificial Reproductive Technology and so the babies are as healthy as naturally conceived ones.

Since infertility is a common condition these days, couples are opting for IVF when they are failing to conceive naturally after years of trying. Fertility issues in either or both of the partners makes it impossible. To get pregnant without medical help. But because of some ignorant people, it is seen in a bad light.

Since IVF babies are as healthy as other babies, nobody can tell a difference between an IVF baby and a naturally conceived baby. For all the couples facing fertility issues, it is crucial to do research and gain knowledge about it instead of blindly believing to what people has to say. They must consult an expert IVF specialist to clarify all their doubts they have in mind.


For a free expert advice from the leading fertility specialist Dr. Hashmi, contact today.

Do’s and Don’ts for Boosting Fertility

The real value of fertility is known to the couples struggling yet failing for years to experience the joy of parenting.

Do’s:

Stay in shape

Maintaining a healthy body weight is utterly important to ensure easy and smooth conception since infertility issues occur in people who are either underweight or overweight. Eating a healthy and nutritious diet with lots of fruits and vegetables and restricting the amount of sugar intake along with a regular exercise routine must be followed for staying in shape.

Stay calm and stress free

Busting stress via yoga, meditation and other therapies is the best way to boost fertility. Stress hampers the fertility by degrading sperm quality in men and ovulation in women. Talking to your close ones, going on vacations, taking out time for yourself are a few ways to be stress free and calm.

Include necessary Vitamins

Including vitamin supplements becomes necessary in order to boost one’s fertility. Your doctor may prescribe some supplements according to your requirements like zinc supplements for men to boost sperm production and testosterone levels and Folic acid supplements for women to ensure a smooth pregnancy without any birth defects.

Dont’s:

No Smoking

Smoking in any form direct or passive is injurious to one’s fertility. Quitting is the best option for both men and women since it is the main reason behind DNA fragmentation in sperms and premature labour, low birth weight and miscarriage in women.

Restrict Alcohol and caffeine

Caffeine and alcohol are known to have hazardous effects on fertility. In men, caffeine lowers the fertility by degrading the sperm quality and in women it is the major reason behind miscarriages. On the other hand, alcohol hampers the fertility by increasing the probability of birth defects.

Painkillers or Fertility Killers?

Women who are trying to get pregnant should always consult their doctor before taking any painkiller or over-the-counter medicines.These medicines are known to hamper ovulation by suppressing the hormones which help the fallopian tubes to release the eggs.

For a free expert advice from the expert infertility specialist Dr. Hashmi, get online consultation today.

How to Diagnose Infertility

Infertility is a condition when the person is unable to conceive and achieve a healthy pregnancy. Infertility can also be considered as the biological inability of either of the partner to contribute to conception or when the female partner is unable to carry pregnancy for a full term.
There are many factors that can lead to infertility. The factors that can lead to infertility depend on an individual’s life style and eating habits. Infertility is reported in both men and women and can be cured on early diagnosis.

Infertility Testing or Infertility Diagnosis

The main purpose of an infertility evaluation is to know the problem in achieving successful pregnancy. The diagnostic procedure differs in both men and women.

Male Evaluation

Evaluation of male infertility involves the following:

Semen Analysis

2-5 ml volume is taken for semen analysis. Sperm count greater than 20million per ml and motility is tested under semen analysis. The semen also contains few white cells.

Post Coital Test

During this test a presence of motile sperm in the cervical mucus of the female partner is tested. This test is generally done 6-12 hours after the intercourse around the time of ovulation.

Hormonal Determination

Hormonal levels are tested through certain blood tests when the semen analysis shows less than optimum results.

Urological Evaluation

During this test, male external genitalia are examined to look for varicocele.  Varicocele leads to a delay in blood supply in testicular veins resulting in increased temperature in the testes. The increased temperature in the testes affects the quality of sperm and its motility.

Female Evaluation

During female evaluation the following factors needs to be considered apart from seeing the ovulation pattern.

Cervix

Cervix is the opening present between the vagina and endometrial cavity. During ovulation, clear mucus begins to develop on and around the cervix. This mucus is similar to egg white in appearance and it makes it easier for the sperm to travel into the endometrial cavity to fertilize the eggs.  Absence of mucus development on and around the cervix makes it difficult for the sperm to travel to the endometrial cavity.  This test is done only 6-12 hours after the intercourse around the time of ovulation.

Endometrium

Endometrium is the lining of the uterus that is examined with endometrial biopsy. During biopsy a sample of the lining of the uterus is taken and 2 days prior to the menstrual flow.  A urinary pregnancy test is done prior to this procedure.

When the test is negative a tiny catheter is inserted into the endometrial cavity and suction is used to obtain a small strip of the uterus lining.  Endometrial dating is performed in the pathology lab and the results are correlated with the next menstrual period that occurs in the next few days.

Endometrial biopsy indicated the progesterone deficiency that may be associated with the recurrent pregnancy losses and infertility. Endometrial biopsy also helps in evaluating the quality of ovulation and the hormone production that surrounds the whole menstrual cycle.

Tubal Factor

Fallopian tubes are the two structures that are present on either side of the uterus that carries the eggs from the ovaries into the uterus. Hysterosalpingogram is used to determine the health of the fallopian tubes. This procedure is generally done in the week after your menstrual period. There are two ways to perform this test:

• A small cannula is applied on the tip of the cervix
• A catheter is passed into the uterus for injecting the dye into the endometrial cavity and the fallopian tubes.

X-ray machines are used to monitor the passage of dye into the endometrial cavity. With the help of this dye pathologists can determine the presence of fibroids, scar tissues or endometrial polyps.

Fallopian Tubes and Peritoneal Factor

The health of the fallopian tubes and the peritoneal factor is generally examined. Diagnostic laparoscopy can also be done under general anesthesia. Using a laparoscope your gynecologist can examine the presence of fibroids, scar tissues and endometriosis. Laparoscopy is mainly used to examine the pelvic organs and diagnose the infertility in women.

Ovarian Factor

The history of your menstrual periods is carefully studied to check the duration, frequency and regularity of your periods. Blood test is done to check whether your ovaries are able to release the hormones that are required to achieve pregnancy.

If you or your partner is facing fertility issues, you can consult the the infertility specialists in Amroha, UP. You can treat the infertility issues with successful results.

How to Improve HIS Fertility in 12 Steps

His diet is  very important when trying to get pregnant. Following these 12 steps will help you improve his fertility.

1. Healthy Diet: Eating right is about more than just consuming enough vitamins and minerals. The proper diet will keep the body at a healthy weight. Being overweight or obese can impact his fertility on the negative.
2. Supplemental Zinc PLUS Fertilaid For Men: There is some evidence that Zinc and other essential vitamin levels  being low can contribute to lower fertility. Baby Capsule For Men has enough zinc plus a proprietary formula and packs the additional effect of being great for the immune system.
3. Tight Underclothing: The old favorite - boxers versus briefs. In the case of his fertility, the answer is a resounding boxers. The testicles need room to expand and contract with the heat. If they are forced into a pair of tight undergarments, they can produce less sperm which will not be a good choice for fertility.
4. No Heated Car Seats: Many people have read about the effect of tight undergarments on sperm count, but few think about the heat of the car seat. Heated testicles mean lower sperm counts and less effective fertility. In the summer months, allow the car to cool a bit before sitting down to drive. If the car comes with heated seats, turn the heat off.
5. No Alcohol: Drinking excessive amounts of alcohol can reduce sperm counts dramatically. If a man is trying to conceive, limit alcohol intake to a small amount each day. If alcohol consumption can be stopped all together, that is an even better choice.
6. No Smoking: Recent health studies have proven that smoking can harm male fertility. The sperm of a smoker is less likely to pair up with an egg than the sperm of a male who does not smoke.
7. Testosterone Levels: Most fertility specialists will have the patient try every natural treatment before treating for low testosterone levels. If the levels of testosterone are below normal, infertility can be a symptom and can be treated.
8. Drug Use: Use of over the counter drugs and illegal drugs can greatly affect the sperm count and ability to bind with the egg. Drugs can decrease testosterone levels and impact erectile and ejaculatory function.
9. Bike Safety: If you love to ride that bike and want to have children, safety is a number one concern. Bike riding not only increases the heat near the testicles, but it can lead to dangerous testicular injury.
10. Nix Oral Sex: The acid in saliva can kill sperm. If oral sex is performed before intercourse, the saliva can actually prevent a number of sperm from living long enough to make it to the egg for conception.
11. Lead and Chemical Testing: Lead poisoning or high lead levels can impair fertility in men. There are also a number of other chemicals that can decrease sperm levels and sperm mobility. A fertility specialist will be able to test for any and all chemical that could harm male fertility.
12. Be Patient With Sex: If the male has lower than normal sperm counts, it is important to wait between sessions of intercourse. While the healthy male can often reproduce the sperm ejaculated within 24 hours, the male with low sperm counts may need a bit longer. Waiting one or two days between intercourse may be the best option. 

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Lab-Made Sperm Cells Offer New Approach To Male Infertility Treatment

Infertile men around the world may soon find relief from the fact they aren’t naturally able to impregnate their partners, because lab-grown sperm cells will be able to do it for them. In a world first, French scientists say they’ve grown fully functioning sperm.

For nearly 15 years, scientists have been trying to grow sperm cells in the lab in order to help the tens of thousands of men who are unable to conceive on their own. But on Friday, researchers from the biotech company Kallistem announced that by the end of 2014 they had successfully grown “complete human spermatozoa in vitro” using patients’ testicular biopsies “containing only immature germ cells, or spermatogonia,” the company said in a statement, according to AFP.

“This research paves the way for innovative therapies to preserve and restore male fertility, a major issue with global impact; numbers of spermatozoa have declined by 50 percent over the last 50 years,” the company continued.

Spermatogenesis, the process by which mature, motile sperm cells are produced, is a complex process that takes up to 72 days. All of these cells grow from spermatogonia, the undifferentiated male germ cell. But while many of these germ cells develop into the mature cells we all know, others replicate to fuel that development. Kallistem claims it’s been able to do this in the lab, and that from the testicular biopsy, “it will be possible to obtain spermatozoa that will be cryopreserved until the man wishes to father a child.”

The company says the procedure, with a market value of about $2.58 billion, may help as many as 50,000 infertile men each year. Pre-clinical and clinical trials are slated to begin over the next two years. During these trials, the company will have to determine how effective the process is in humans, as it wasn’t excluded that men who suffer from a complete lack of sperm have “genetic anomalies, which would also prevent in vitro spermatogenesis,” said Nathalie Rives, manager of a fertility clinic in France, according to AFP.

Though the breakthrough research was received with optimism, experts cautioned that it hadn’t yet been published in a peer-reviewed journal, and thus should be considered with caution.

In the U.S., infertility affects 18 percent of the roughly 4.7 million men who ever visit a fertility doctor in their lifetime. While it affects more women, both men and women suffer from being unable to conceive as it takes a psychological toll on their well being. This new research may alleviate some of that pain.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Blockage of the reproductive tract

If the man has a blockage in the ducts that carry the sperm, he can have surgery to correct it. Another option is assisted reproductive techniques using sperm retrieved directly from the testes.

Vasectomy (male sterilisation) is a specific type of blockage. Vasectomies can be reversed in up to 85 per cent of cases, but the more time that has passed since the vasectomy, the less likely it will be that fertility can be restored.

Hypothalamic or pituitary deficiency

In a small percentage of cases, male infertility is due to problems in the hypothalamus and pituitary gland (parts of the brain that regulate hormone production). In this case, the man would be offered hormone treatment. Most men will eventually develop sperm in the ejaculate, although it might take one to two years of treatment to achieve normal fertility.

Varicocele

A varicocele is a dilated vein in the scrotum. Many men with varicocele have a low sperm count or abnormal sperm shape. The reason a varicocele affects the sperm may be related to a higher than normal temperature in the testicles, poor oxygen supply, and poor blood flow in the testicles.

Varicocele can be treated surgically, but surgery does not always improve fertility and is not recommended for most men unless the varicocele is large. An alternative to varicocele repair, and the recommended approach, is assisted reproductive techniques, usually intracytoplasmic sperm injection.

Assisted reproductive techniques

If the semen has a low sperm count, no sperm, abnormal sperm, or sperm with poor motility (movement), assisted reproductive techniques often help. For some infertile couples this will be the only way to achieve a pregnancy.

Testicular biopsy

If there is no sperm in the ejaculate (azoospermia), it can sometimes be directly retrieved from the testicles. You would normally have a local anaesthetic and a small needle is used. You might also need minor surgery, which would involve a cut in the scrotum. If sperm is found, it will be used for ICSI. The fertilization rate for this procedure is similar to IVF.

Sperm harvesting using this technique is straightforward, with a small risk of bruising, bleeding and infection.There is some evidence that children of couples who become pregnant after IVF or ICSI have a slightly higher rate of birth abnormalities, although these conditions are rare and the overall risk of having a child with a birth anomaly is low. If you are in this situation, your fertility specialist should discuss this potential risk with you.

When male infertility cannot be treated

Couples affected by non-treatable male infertility may consider artificial insemination using donor sperm. Donor sperm may be obtained from a sperm bank, which screens men for infections and certain genetic problems, and provides a detailed personal and family profile.The decision to use donor sperm (from a known or unknown donor) can be complicated and difficult. Counseling may be helpful and is highly recommended.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

How is male infertility treated?

Treatment depends on what is causing your infertility.

Fertility help

This treatment involves helping your partner get pregnant. This may be through:

• Artificial insemination. This method puts many healthy sperm at the entrance of the cervix or right into the partner's uterus. The sperm can then make their way to the fallopian tubes.
• IVF, GIFT, and other techniques. In vitro fertilization (IVF) and gamete intra-fallopian transfer (GIFT) work like artificial insemination. Your provider collects your sperm. Then he or she mixes your partner’s eggs with a lot of high-quality sperm. He or she may mix the eggs and sperm in the lab or in your partner’s fallopian tube.
• Intracytoplasmic sperm injection (ICSI). Your provider injects a single sperm into an egg. Fertilization then takes place under a microscope. Your provider puts the fertilized egg in your partner’s uterus.

Medicine

Hormone treatment may help you if you have a hormone disorder causing your infertility. Hormone imbalances can affect how sperm develop. They may be caused by a problem in how the hypothalamus, pituitary gland, and testes interact. Treatment may include gonadotropin therapy or antibiotics.

Surgery

Your provider may use surgery to fix problems that keep sperm from being made, matured, or ejaculated. Surgery to remove twisted, swollen veins in the scrotum (varicocele) can sometimes improve the quality of sperm.
Check with your healthcare provider with any questions or concerns you have about your condition.

Key points about male factor infertility

• Male infertility means a man is not able to start a pregnancy with his female partner.
• Male infertility can have many causes. You may not make enough sperm or healthy sperm. You may have a genetic problem like cystic fibrosis. You may have a blockage in your genital tract.
• You may be more likely to have male infertility if you have had genital infections, injury to your testicles, or early or late puberty.
• Treatment depends on what is causing your infertility. Treatments include artificial insemination, medicines, and surgery.

For male infertility treatment, low sperm count, and azoospermia get free online consultation today.

Drug therapy—hormonal and non-hormonal—for male infertility

Some cases of male infertility are caused by too much or too little of certain hormones. Problems originating in the hypothalamus and pituitary gland can also cause male infertility. We treat this with hormone therapy or other medications. If the male infertility problem is caused by an infection, we prescribe antibiotics.

Surgical intervention

In rare cases, we may refer you to a urologist for a physical examination and possibly surgery to correct problems such as an undescended testicle, an obstruction or a varicocele.

IUI-related procedures

After an abnormal semen analysis we can use lab techniques to “wash” the seminal plasma and improve the concentration of normally shaped, motile sperm. These sperm are then transferred to the uterus via an intrauterine insemination (IUI). For more severe cases of sperm abnormalities, this treatment is inadequate, and our Manhattan fertility doctor will discuss IVF with you.

IVF-related procedures

The invention of intracytoplasmic sperm injection (ICSI) has revolutionized the treatment of male infertility. Now we can achieve high rates of fertilization in patients who previously would have had little hope of conceiving. This treatment for male infertility is particularly successful for men who have a low sperm count or a blockage in the reproductive tract. During the procedure, a single sperm is injected directly into the egg. After one to five days in the laboratory, the fertilized egg will be transferred to the female’s uterus in a fresh or frozen IVF cycle.

Even men who have a complete absence of sperm in the ejaculate have hope of fathering children through a simple procedure called testicular sperm extraction (TESE). During this procedure, sperm is extracted directly from the testicle. The extracted sperm is used for ICSI, followed by an IVF procedure.
Men who are seeking treatment for male infertility can rely on our Manhattan fertility clinic for compassionate care and counseling.

The staff at our fertility clinic understands that male infertility can be discouraging, but we offer hope through treatment for male infertility. From the moment you come to us for an evaluation until the day you receive treatment, you will be treated with kindness and the utmost care and expertise. Contact us today to learn more about your options.

Infertility in Men Treatment

Any fertility treatment may be expected to have an effect on semen quality roughly three months after it is started, as this is the length of time required for a single cycle of spermatogenesis, or sperm production. If neither surgical nor medical therapy is appropriate, assisted reproductive technologies are possible.
In choosing a treatment plan, consideration should be given to each couple's long-term goals, financial constraints, and the results of the female partner's evaluation in addition to male factor findings.

Specific Therapy

The most successful medical therapy for male infertility involves reversing chemical, infectious or endocrine imbalances. This is called specific therapy, and it is usually successful because treatment is based on the correction of well-defined problems.
Examples of this include:

• Treatment for acute prostatitis, epididymitis or varicocele
• The replacement of the pituitary hormones — follicle stimulating hormone (FSH) and leutinizing hormone (LH) — for radiation or surgically induced pituitary disease
• The administration of testosterone in men with hypoandrogenic hypogonadism

Empiric Therapy

Another kind of treatment, called empiric therapy, attempts to correct rather ill-defined conditions. The use of clomiphene citrate, tamoxifen or ProXeed for low sperm density or motility are examples of this form of therapy.

These treatments often have limited success because the generally intact mechanisms within the body tend to counteract the intended effect. In other words, hormonal treatments based on the principle that "if some hormone is good, then more is better" are destined to failure and should be avoided.

Assisted Reproductive Technology

Treating specific illnesses may or may not treat the fertility problem. At least 10 percent of infertility problems are due to unknown causes and another 30 percent are due to problems in both the male and female partners.

In addition to medication and surgical infertility treatments to treat specific health conditions in men and women, a new class of treatments — called assisted reproductive technologies, or ART — has been developed. The most common ART is in vitro fertilization, or IVF, but new procedures can enhance the IVF process or address other infertility conditions. These procedures for men include:

• Intracytoplasmic sperm injection (ICSI)
• Sperm extraction procedures, such as:
• Vasal aspiration
• Epididymal aspiration
• Testicular sperm extraction
• "Mapping" the failing testes
• Ovum donors and embryo or semen freezing

Intracytoplasmic Sperm Injection (ICSI)

Intracytoplasmic sperm injection, or ICSI, is a technique developed to help achieve fertilization for couples with severe male factor infertility or couples who have had failure to fertilize in a previous in vitro fertilization attempt. The procedure overcomes many of the barriers to fertilization and allows couples with little hope of achieving successful pregnancy to obtain fertilized embryos.


The technique involves very precise maneuvers to pick up a single live sperm and inject it directly into the center of a human egg. The procedure requires that the female partner undergo ovarian stimulation with fertility medications so that several mature eggs develop. These eggs are then suctioned through the vagina, using vaginal ultrasound, and incubated under precise conditions in the embryology laboratory. The semen sample is prepared by spinning the sperm cells through a special medium. This solution separates live sperm from debris and most of the dead sperm. The specialist picks up the single live sperm in a glass needle and injects it directly into the egg.

Through the ICSI procedure, many couples with difficult male factor infertility problems have achieved pregnancy. Fertilization rates of 70 percent to 80 percent of all eggs injected are currently being achieved, and pregnancy rates are comparable to those seen with IVF in couples with no male factor infertility.

Sperm Extraction Procedures

Intracytoplasmic sperm injection has revolutionized the treatment of male infertility. The sperm requirement for egg fertilization has dropped from hundreds of thousands for in vitro fertilization (IVF), to one viable sperm required for ICSI when combined with IVF.

This has led to the recent development of aggressive new surgical techniques to provide viable sperm for egg fertilization from men with low or no sperm count. This also has pushed urologists beyond the ejaculate and into the male reproductive tract to find sperm. Presently, sources of sperm in otherwise azoospermic patients, or those with no ejaculated sperm, include the vas deferens, epididymis and testicle, using sperm aspiration techniques in which the sperm is suctioned from the organ.

Sperm aspiration techniques involve the use of minor surgical procedures to collect sperm from organs within the genital tract. These techniques are indicated for men in whom the transport of sperm is not possible because the ductal system that normally carries sperm to the ejaculate is absent, such as with the congenital absence of the vas deferens, or unable to be reconstructed.

Most recently, sperm has been fairly reliably extracted — 60 percent to 70 percent of the time — from the testes of men with sperm production problems of such severity that no sperm is found in the ejaculatory ducts.

It is important to realize, however, that IVF technology is required to achieve a pregnancy with the vast majority of these extraction procedures, and success rates are intimately tied to a complex and complementary program of assisted reproduction for both partners.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Sperm grown in laboratory raise hopes of male infertility treatments

Mouse sperm were grown using a technique that could also help preserve the fertility of boys undergoing cancer treatment. Scientists have grown sperm in the laboratory in a landmark study that could help preserve the fertility of cancer patients and shed fresh light on male reproductive problems.

Fertility experts called the work a "crucial experimental advance" towards the use of lab-grown sperm in the clinic and a stepping stone to the routine creation of human sperm for men who cannot make the cells normally.

Though the procedure would be illegal in Britain under current legislation, sperm grown in the laboratory, if proven safe, could be used to help infertile men have children through standard IVF treatments.The procedure could also benefit boys with cancer who are too young to produce sperm but are at risk of being made infertile by radio- or chemotherapy.

While men can have their sperm frozen before cancer treatment, the latest research suggests boys could have testicular tissue removed and kept in cold storage for use in later life.Japanese researchers cultivated small pieces of tissue from the testes of baby mice on a gel bathed in nutrients. After several weeks they collected viable sperm from the tissue.

The sperm appeared to be completely healthy and were used in IVF treatments to produce 12 live mouse pups that went on to have young of their own. Seven of the mice were born after sperm heads were transferred into 23 eggs using a technique called round spermatid injection, and another five were born after 35 eggs were fertilised using intracytoplasmic sperm injection (Icsi), a common IVF procedure.

Importantly, the scientists retrieved healthy sperm from tissue that was cultivated after being frozen for up to 25 days, suggesting that cold storage did not harm the cells. The work, reported in the journal, Nature, is the most successful attempt yet to grow mammalian sperm from testicular tissue in the laboratory.

"One of the problems I face, as a urologist, is that we do not have any effective ways to treat patients suffering from male infertility due to defective or insufficient sperm production," said Takehiko Ogawa, who led the study at Yokohama City University Graduate School of Medicine. "Most of these problems are for unknown reasons."

Using the technique, he said, scientists will be able to study the process of sperm production in detail and help elucidate the glitches that cause infertility.

Marco Seandel and Shahin Rafii at the Weil Cornell Medical College in New York said the work was "a crucial experimental advance along the thorny path to the clinical use of sperm" grown in the lab. They warn, however, that the fertility of mouse pups born from the lab-grown sperm was a "crude indicator" of their health, and that subtle genetic changes in the sperm "could be pivotal for the wellbeing of subsequent generations".

Allan Pacey, a senior lecturer in andrology at Sheffield University, said: "It is not totally clear how sperm are formed and why in some men it doesn't work properly. This could help discover new drugs or treatments to stimulate infertile men to produce more or better sperm. It also may help preserve the fertility of some males."

The study was a small but important step in understanding how sperm are formed which may, in time, lead to us being able to routinely grow human sperm in the laboratory. It is clearly important to make sure that any sperm produced are safe and give rise to healthy offspring when used, and that they in turn have healthy offspring. We need to be cautious with this kind of work.

For male infertility treatment, low sperm count, azoospermia get free online consultation today.

Super food for better sperm

There are select foods that are essentially good for sperm production and sperm quality. There is no other way to increase sperm count and improve sperm quality than through food. Some of the foods that men should include in their diet more often are:

Red Meat: The age old saying that ‘a man needs meat’ has a lot of truth to it. Red meat is a super booster for male health. Red meat is the best source of protein. It also contains leucine. This is an amino acid which is very helpful in building muscles. Muscles in a male are not just for showing off but constitute the very essence of a man body. A male body has been designed to contain large amounts of muscle. Hence a proper muscular development is important for male health irrespective of his lifestyle and job profile. Lean red meat has low proportions of fat and is similar to chicken. The high cholesterol red meat story is taking a back seat as it has been found that it is other lifestyle factors that lead to cholesterol and not the red meat they consume. A good daily diet that comprises of red meat ensures good fertility health as well.

Shellfish: Slurping oysters straight out of their shells is thoroughly enjoyed by some men and deemed disgusting by others. Oysters are pearls for male fertility. The high zinc content and the other material that oysters and other shellfish are made up of is probably the best food for a male suffering from poor sperm quality. So the next time you see a guy revelling in downing oysters you know for a fact he has no fertility issues. Including shell fish in your diet several times a week can greatly help to boost your fertility health. Shell fish is also good for the heart, muscles and reproductive health in general. If you are wondering how you can boost male fertility – shell fish is your answer, it boosts the production of sperm. Zinc supplements are also good for male fertility. Shellfish especially oysters also act as an aphrodisiac. Crabs are another sperm booster and can be eaten in a number of ways.

Tomatoes: In some cuisines like Indian and Italian cuisines tomatoes are an essential ingredient. This red fruit that is used more like a vegetable and has multiple health benefits. Tomatoes are good for the heart; they are excellent for the blood and play a vital role in male fertility as well. Having a few tomatoes a day as salad and in your food is excellent for your health and wellbeing. Tomatoes contain lycopene, which is an antioxidant with huge benefits for male fertility. It helps the sperms to swim better, makes them more active and improves their shape and structure. Men who eat a healthy portion of tomatoes on a daily basis will definitely not suffer from poor sperm motility.

Chocolate: As much as has been said about avoiding chocolates for the sake of your teeth and their fat content. There are many other positive aspects of chocolate like helping with blood circulation. Chocolate is also believed to keep blood pressure and cholesterol levels in check. Good blood circulation also ensures good erection; in contrast poor blood circulation could lead to erectile dysfunction. Dark chocolate can also increase your sperm count and your semen volume as it contains the required amino acids. Chocolate contains the right kind of flavonoids and eating an ounce a day is healthy. Over indulging in chocolate can lead to unwanted weight gain. So it is advisable to have chocolate on a daily basis but in a limited proportion.

Fish: Not just any fish but more specifically fatty fish like salmon, sardines, herring and halibut and a rich source of omega 3 fatty acids. These fish have a healthy fat. Healthy fat is the kind which will protect you from heart disease. Eating fatty fish at least 2 or 3 times a week is excellent for health in general as well for fertility health as it increases the blood flow to the genitals. Omega 3 is good for male fertility and is known to increase sperm count. Fish also contains other minerals and vitamins which help in improving the sperm.

Walnuts: These nuts are good for you in numerous ways. Walnuts boost brain power. It is no coincidence that a walnut looks like the brain. This has a serious significance there. Walnuts are packed with omega 3 and many other vitamins that are very good for health. These nuts are also excellent for male fertility. Walnuts improve sperm shape, size, swimming abilities and vitality. Sperms with good morphology, which is the shape and size, are able to penetrate and fertilise the female egg easily. Walnuts are also good for increasing sperm count. A certain minimum number of sperms are required for fertility. Sperms with good swimming skills are able to reach the female egg in time for ovulation. Eating 7 or 10 walnuts a day can do you a world of good in many aspects. Other sources from which you can get Omega 3 fatty acids are salmon and crabs.

Garlic: Most Indian cooking contains a portion of garlic in the vegetable dishes and lentil preparations. Garlic has excellent health benefits and some men even believe in eating a few garlic pods in the morning with water. The secret of garlic is in its two ingredients allicin and selenium. Allicin helps to increasing the blood flow especially to the sexual organs. A good blood flow is essential for an erection. Allicin also has special properties which protects the sperm. The selenium is an antioxidant which plays an important role in improving the sperm motility.

Broccoli: A Vitamin A deficiency is the main reason for poor sperm motility and low male fertility. Vitamin A deficiency results in sluggish sperms with not much motivation to move. Broccoli is a rich source of vitamin A. Other foods with a good content of vitamin A content are spinach, carrots, red peppers, sweet potatoes and apricots. You can choose which form of vitamin A you would like to have. Or you could alternate your source of vitamins with a daily change. Broccoli has other antioxidants which makes it a super food and essential to include in a daily diet.

Lentils: Men also need folic acid as much as women do. Lentils contain high quantities of folate which is a natural source of folic acid. A diet that is rich in folate can help prevent chromosomal abnormalities in the sperm. Men that have high percentage of sperm with chromosomal abnormalities need to increase their intake of folic acid. When sperms have chromosomal abnormalities the embryo that is formed is weak due to the abnormalities of the sperm and hence usually does not survive. A good daily serving of lentils can help to provide a regular supply of folic acid. Lentils also act as a source of fibre and are rich in proteins. There are a variety of lentils and one can alternate between them to get all the different nutrition.

Asparagus: A high quantity of Vitamin C is found in Asparagus. This is a great tool to protect the sperm from damage. Asparagus also has properties to increase the volume of sperm and the sperm motility. This means that the sperms will become more active and can swim better. Sperm need to be good swimmers as they have a long way to swim in the female reproductive tract to find the female egg that they are supposed to fertilise. Asparagus also has some qualities that can help to protect the human body from the harmful free radicles.

Blueberries: Eating a handful of blue berries as a fruit is the best way to get a good dose of the resveratrol antioxidant that is found richly in blueberries. You can also have blueberries with yogurt, in a smoothie or with your cereal. These berries are an excellent source of quercetin which helps to keep the sperm healthy and active. A regular diet of blueberries can increase sperm count and keep the sperm motility at optimum levels.

Pomegranate: For a surge in testosterone you should eat pomegranates. Testosterone is a male hormone which helps to improve the quality of the sperm. Pomegranates fall into the category of super foods due to its rich content of antioxidants. It helps to boost blood circulation and promotes an increased sex drive. You can eat pomegranate as it is. The pomegranate seeds also have a rich nutritional value. Some people prefer to have pomegranate juice. Pomegranate tastes great with salads as well.

Bananas: This fruit is rich in potassium besides a number of other properties. Bananas are known to boost libido. It has an enzyme called bromelain which is a sex hormone. An increased sex drive is great for sperm vitality. Men who have a low sex drive tend to have sluggish sperms. The vitamins A, B1 and C found in bananas also helps with a better sperm production. Including banana in your daily diet can be really good for health. Bananas are tasty and can be eaten as is. You can also have a banana shake or chopped banana with yogurt or cereal.

Ginseng: One of the best aphrodisiacsis ginseng. This root has been used down the ages for boosting male fertility. It increases testosterone levels and in turn improves the quality of the sperm. Ginseng also increases the blood flow to the genital area and some people believe it can help people with erectile dysfunction as well. Ginseng is had best with tea. One can add the dried and powdered ginseng root to tea or the fresh root can be boiled along with the tea water. Ginseng is one of the most famous Chinese herbs and has many other health properties as well.

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