We've been talking about semen analysis. Let's talk about some myths and beliefs about male factor infertility; the first is that a man cannot be infertile maybe because of the fact that he is a man or because his parents were not infertile, this we have already proven to be false.
Another is the fact that because a man produces semen, it automatically means it can fertilise an egg, this we have also proven to be false.
A common belief is the idea of determining the viability of sperm just by looking at it and calling it 'thick' or 'watery sperm'. Only through a seminal fluid analysis can you determine the viability of sperm.
If a man has a problem with fertility, what kind of doctor should he see? Though you can see any doctor e.g. a general physician, The best doctor to see is a urologist, this is a specialist in the male urinary and reproductive organs, this is especially important if there is eventually a need for surgery. Other specialists that may need to be seen include an endocrinologist when there is a hormonal problem and a geneticist though the latter may not be available in this country. Do not visit quacks.
In very few cases, male infertility may be due to problems with ejaculation - this could be drug induced or due to other factors. If due to a drug e.g. a hypertensive drug, a substitute drug may be considered. Men with hormonal problems can benefit from hormonal drugs which will help production of sperm.
When infections are found antibiotics may be prescribed.
Sometimes surgery may need to be done e.g. to correct a varicocele. A varicocele is essentially an abnormal enlargement of the veins in the scrotum, it is a cause of male infertility.
If all fails an option that can be considered is Assisted reproduction e.g. in vitro fertilization. I hope all your questions on male infertility have now been answered.
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Join me tomorrow as we discuss female infertility.
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