In recent years there has been a sharp increase regarding the unlikelihood of spontaneous fertilization, this is due to a number of male and/ or female factors. A couple are considered infertile when they are unable to conceive naturally after a year. According to scientific research, about 15% of couples are unable to conceive naturally. Male infertility accounts for 40% of infertility cases due to underlying disorders.
Unexplained fertility is a phenomenon defining 15% of infertile couples that undergo all required tests, without reaching a diagnosis from a physician. Modern medicine at Herzliya Medical Center successfully addresses these problems.
Causes of Male Infertility
In the complex mechanism of the male reproductive system, a few possible factors lead to the development of male infertility, the main reasons are:
Hormonal dysfunction as a consequence of congenital or acquired disorders of the endocrine glands
Genetic mutations that lead to anatomical or physiological disorders of male genital organs
Erectile dysfunction and premature expulsion or difficulty
Neurological diseases, including the effects of trauma and spinal and pelvic injuries
Consequences of infectious and inflammatory diseases of the male genital organs and prostate
Metabolic disorders
Autoimmune diseases
Cryptorchidism (undescended testicles)
Varicocele - varicose veins in the testicle
Hypospadias - abnormal exit opening of the urethra
The impact of drugs, including the uncontrolled use of anabolic steroids
The impact of alcohol, smoking, and household chemicals containing heavy metal salts
Exposure to ionizing radiation
Obesity
Prolonged overheating of the testes associated with a sedentary lifestyle, the specifics of some professions and some sports (cycling)
Male Infertility Diagnosis
In Israel at Herzliya Medical Center, patients undergo a full diagnostic assessment to establish the cause of male (or female) infertility. The main methods diagnosing male infertility:
Compiling a comprehensive medical history and physical examination
Full Fluid analysis, establishing the number, shape and motility of sperm
Antisperm Antibody Test
Laboratory studies of hormone levels in the blood
Full biochemical blood tests for the presence of metabolic disorders
General and bacteriological analysis of the urine, as well as microscopic examination of the urine for the presence of sperm, indicating inappropriate expulsion
Genetic studies on the presence of chromosomal mutations
Ultrasound examination of the genital organs, as well as a study on the method of Doppler blood vessels of the joystick and scrotum
Study of erectile function
Aspiration biopsy of the testicle with a needle
Treatment of Male Infertility in Israel
Once a diagnosis has been made, specialists at Herzliya Medical Center can then provide a detailed consultation as to an effective therapy. The main treatments available for male infertility at HMC are:
Drug therapy to balance hormonal levels and to stimulate the production of sperm. This is effective in the majority of cases of congenital or acquired hormonal dysfunction
Surgical intervention of varicose veins, hypospadias, narrowing duct will restore reproductive function, impaired as a consequence of these diseases
Medical and alternative treatment for erectile dysfunction
Treatment of acute and chronic infectious diseases, taking into account the sensitivity of microorganisms to antibiotics
Treatment of autoimmune disorders
Artificial insemination (in vitro fertilization, IVF) is usually recommended when the aforementioned treatment options are unsuccessful. At Herzliya Medical Center we also offer the intracytoplasmic sperm injection (ICSI), in the cases of poor quality sperm, the sperm if artificially injected into the cytoplasm of the egg. In contrast to the classical procedure of IVF, ICSI fertilization allows for a minimal number of sperm (obtained by testicular puncture), this is also regardless of their degree of mobility.
The treatment outcome of reproductive disorders depend on the accurate diagnoses of both primary and secondary dysfunction causes.
The wealth of experience and professionalism of the specialists at Herzliya Medical Center ensure quality treatment and a strictly personal approach in the diagnosis and treatment of male infertility. The availability of advanced medicine in Israel (and at HMC) allow for effective solutions in addressing the majority of infertility cases.
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