Dr. Tahira Kazmi
“If you want a child, you should have your husband’s tests first.” This is the phrase that is said to a couple suffering from infertility. The reason is clear. There is only one test to be done, if it is normal, then you are free. Before getting your semen or reproductive fluid checked, there are some things to keep in mind. Such as a gap of three or four days between getting your semen checked and having sex or masturbating.
The semen should be taken from the laboratory where the test is to be done. If the first test is abnormal, then another semen test is required to draw a conclusion.
Now the question arises, “What is semen?” So, semen is the substance that a man releases as a result of sexual intercourse.
The amount of it in a single discharge is equal to one teaspoon.
Most people think that if there is a problem with sperm, then there should be a decrease or increase in this substance as well. This idea is wrong. This substance grows mainly with the help of the prostate gland and some other glands, whether there are sperm in it or not. The World Health Organization has organized the characteristics of normal semen in relation to infertility in this way. Sperm count 15 to 20 million/mm, sperm motility 40%, normal sperm shape 4%.
By reading this report, anyone can see whether it is normal or not. Remember one thing, a normal report should not contain pus cells. Whenever there is something wrong with the semen report, it is labeled with a special name, so that it is easy to understand and treat.
Oligospermia :
When the sperm count is less than the specified number.
Azoospermia:
When the sperm are completely absent.
Aspermia:
No sperm at all.
Hypospermia:
Low sperm count.
Tritospermia:
Abnormally shaped sperm are found in the semen.
Asthenospermia:
Low sperm motility.
Necrospermia:
All sperm in the semen are dead.
Leucospermia:
When a significant amount of pus cells are found in the semen.
“What should be done?”
If the semen is normal, then the man is discharged, but if it is not normal, he needs to undergo further tests. For example, the amount of hormones in the blood, chromosomes, ultrasound of the testicles and biopsy of the testicles, etc.
“Who should I see?”
Male infertility will be treated by a urologist and urologist. Basically, the treatment is done according to the cause, which has been revealed in the results of all the tests. This is called Treat The Cause.
Azoospermia is of two types. Obstructive Azoospermia and Non-Obstructive Azoospermia. In obstructive azoospermia, as the name suggests, sperm are produced but cannot reach the semen due to some complication.
Whenever there is an infection in the testicles and their adjacent ducts, there is an injury, there has been an old operation, or the ducts become thick. In this case, the sperm cannot come out. As a result, the semen will be released, but without a barrier free of sperm. There is a long list of causes of azoospermia. These include congenital absence of testicles, testicular smallness due to abnormal chromosomes, testicles being in the abdomen at birth, testicular tumors, radiation, hormonal deficiencies, infection of the testicles, inability of the testicles to produce live or normal sperm, abnormal dilation of the vessels that carry blood from the testicles, diabetes, and kidney diseases.
In male infertility, if the sperm count does not improve even with treatment and pregnancy does not occur, then such couples are advised to undergo IVF or test tube baby. There are several disadvantages to test tube baby treatment. One is its high interest fee (approximately five to six lakh rupees), and the other is that the treatment is not 100% guaranteed to be successful. Even in very good centers, the success rate does not exceed forty percent.
And the most important thing is to understand that the IVF centers that have grown like mushrooms have definitely not caused this trouble in your love. This is a business and unfortunately many incompetent people are also running this business, without thinking that the aspirations and savings of many people fall victim to their incompetence. A basic recipe, by following which some improvement may occur. Lose weight, especially the stomach. Make exercise a part of your routine. Quit smoking. Eat simple food (without oil and sugar). If you are using alcohol, then stop. In response to all these things, think of that worn-out phrase, do not say “So-and-so also does all this, but he did not suffer from infertility.”
