INFERTILITY ON THE RISE
Many couple wonder why pregnancy does not occur even with frequent intercourse! As fertility specialists it is not an easy task to convince them there are several factors to achieving pregnancy. Unhealthy lifestyle with improper diet is playing a large part in infertility. These factors may cause oxidative stress which impacts the functional capacity of the sperm and ovarian reserve. In recent times there is a rise in male infertility. One in three couples are affected with male fertility. Childhood mumps, varicocele, smoking and gross obesity may be contributory factors .A small percentage may also be of genetic origin. A simple semen analysis along with a physical examination and a few blood investigations will provide us with a definitive answer .
Athough they look normal on semen analysis , functionally they are inadequate. Sperm production is thermosensitive and any factor which increases the intratesticular temperature may cause low sperm counts. Laptops with heat generation and cell phones with low frequency radiation play a large role.
Management depends on the number of sperms , their movement speed and appearance.A course of medication for 2-3 months can be offered to patients with abnormalities in the above mentioned factors .
When medications fail , An IUI (Intrauterine Insemination) can be performed.It involves washing the impurities away from the semen sample and injecting the best selected sperms directly into the uterus , increasing the chances of fertilisation , thus pregnancy .In patients with Azoospermia (no sperms in the semen sample) we can surgically retrieve the sperm using advanced micro procedures (MESA/TESA/TESE) and individually fertilise the eggs (retrieved from the wife ) and place the embryos back into the uterus . This revolutionary technique is called ICSI (Intracytoplasmic Sperm Injection).These techniques require immense skill and experience.