Sterility
We speak of infertility as a couple-related situation in which pregnancy does not occur after 12 months without contraception, when both partners are healthy, or after 100 coitus.
We speak of infertility when pregnancies are achieved but do not reach full term. Infertility is therefore a couple's situation.
Male infertility can be caused by low sperm production, abnormal sperm function or a blockage that prevents sperm delivery. Illness, injury, chronic health problems, lifestyle choices and other factors can cause male infertility.
Men who cannot conceive may feel stressed and depressed, but there are several ways to treat male infertility.
What are the causes of infertility?
Infertility may be due to environmental, systemic, gonadal, seminal, ejaculatory, semen or sexual intercourse problems.
How is the male study carried out in a couple with infertility?
We take a comprehensive medical history, paying close attention to the sexual history. We also carry out a general and very detailed physical examination of the genitals and prostate. We request a laboratory study and a testicular ultrasound scan.
What to expect from laboratory tests in the male study?
General, hormonal and semen analysis: We can find general health damages or hormone alterations, which can be treated or serve as a prognosis.
The study of semen (SEMINOGRAMME carried out in our laboratory with digital analytical techniques), will be able to show:
- A normal semen, so we suspect a female or mixed cause.
- An altered semen, either in the number of spermatozoa or in their speed, or in the proportion of normal spermatozoa.
What to expect from testicular ultrasound in the study of the male?
It will give us information about the volume of the testicles, or alterations of the testicular tissue. In this way we will know about possible alterations in blood supply, both arterial (ischaemia, atrophy) and venous (varicoceles). The frequency of testicular tumours is higher in men with sterility.
When is a testicular biopsy indicated?
It is indicated for semen alterations that are not due to hormonal problems and has a dual purpose:
- Study the testicular tissue to find out what has happened and make a diagnosis.
- Take advantage of the fact that we have a window into the testicle and try to obtain testicular spermatozoa to keep them frozen (cryopreservation). This technique is called (TESE).
What are the treatments and approaches to male infertility?
Depending on the analysis, you may need treatment for a general problem, or for a hormone problem. Depending on each particular case, in our clinic located in Las Palmas de Gran Canaria, a protocol adapted to the patient's problem is established.
If seminal infection is present, treatment will be antibiotics. In the case of varicocele, varicocele surgery is indicated. In cases where sterility is due to vasectomy, vasectomy reversal with microsurgery of the seminal duct will be indicated.
If the sperm count is too low for spontaneous pregnancy to be expected, Assisted Reproduction Techniques should be used.
- Artificial insemination with recovered conjugal sperm (AI).
- Intraoocyte Sperm Injection (ICSI).
- When there is a total absence of sperm, the indicated technique is Artificial Insemination with sperm from an anonymous donor (AID).
Our specialists
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