Male Sterility

Male sterility has defined as an inability to impregnate or the state of being unable to produce offspring. The definition
itself is sterile. "Sterile". It's a word that brings tremendous pain to many wanna be parents and relief to those who do
not. What causes it? How often does it occur? Is there any treatment?

Causes

In industrialized societies, sterility has been attributed to the delay in marriage and delay in the decision to have
children. In other words, men and women are getting married later and deciding to have children later, some in their late
30's and early 40's. The optimal time for a woman to have children is in her mid twenties. (Having children in her 40's
puts both her and the baby at risk for several problems.)

Principle Causes of Male Sterility (andrological pathologies)












































Environmental Factors that Cause Sterility

While there are many environmental causes for male sterility, these are among the most common factors:

    1) Pesticides are the number one environmental cause for sterility because they are harmful to sperm
    production. Did you know that they are in almost everything you put in your mouth? That's why my wife and I grow
    an organic garden.

    2) Ionized isotopes in the atmosphere ranks second. They are there because homo sapiens (that us) have
    irradiated the planet, fall-out from nuclear mishaps (Chernobil) and bombs (Hiroshima and Nagasaki) over the
    past fifty years or so. But they weren't the only nuclear mishaps or bombs. How much more can tissue possesses
    a high cellular chemical transformation and how much more considerable is the damage of radiation! A testicle
    produces 120 million new cells a day!! Therefore, it is extremely sensitive. It is not by chance that testicular
    tumors have reached a vertiginous level in the last 20 years!

    3) Estrogen in meat consumed by men. If you are a heavy meat eater then be aware that consuming excessive
    amounts may reduce sperm production or damage developing testicles.

    4) Sexual habits increase minor genital infections including prostatitis, vescicolitis, and urethritis. Common
    bacteria or germs that are neglected can become chronic. Plus, a man's undiagnosed or treated genital
    infections may pass to his spouse, causing obstructive damage to the female tubes.

    5) Cigarette smoke. Smoking cause harm to the mobility of spermatozoa and it is progressive. So if you smoke
    or breath second hand smoke, stop if you're trying to have a baby.

    6) Other factors include: sedentary lifestyle including hours driving (so truck drivers beware), excess fat in the
    diet, and frequent and chronic infections of the prostate.

Diagnosis

Like any other disorder, early diagnosis may prevent irreversible conditions. To get the necessary therapy, an accurate
diagnosis is required:

    1) Patient history. A patient's history can be tantamount in revealing not only his habits, but his parents as well.
    Habits that affect sterility include: smoking, alcohol consumption, illicit drugs or narcotics, sleep, exercise, sexual
    activities, profession, food choices, place of residence.

    2) Semen examination. This is carried out in a lab that your physician sends you to and you should always have
    at least two. Lab tests can be inconclusive or false positives, false negatives, etc.

    3) Spermioculture. This is to research any previous infections of the seminal paths.

    4) Ecograph of the testicles, prostrate and seminal vesicles. This will basically give the clinical specialist a view of
    the testicles, prostate, and seminal vesicles which could have a deformity or blockage.

    5) Eco-Color - Scrotal Doppler. A doppler is the only reliable means of diagnosing varicocele. Up to 20% of
    male sterility is caused by varicose veins, do not skip this test.

    6) Immunological tests and chromosomal mapping.


Incidences

In the US, approximately 20% of couples have difficulties with fertility or sterility. One in five couples. Out of the 20% of
couples, 40-50% are due to male sterility.  

Therapy

Therapy or treatment obviously is based on diagnosis. Possible treatments include: pharmaceuticals and/or surgery.

Assisted Reproduction

The most frequent causes of male infertility are a major reduction in the quantity of spermatozoa which requires study
to develop an effective treatment. If treatment fails, alternative methods should be explored and discussed with your
physician.
Causes
Medical terminology
% of men study (600)
Varicose veins of the testicles
Clinical varicocele
19.3
Infection of the seminal tracts
Prostatitis, epididimitis, vesciolitis,
urethritis
14.7
Reduction in the testicular
development
Testicular hypotrophy w/o evident
cause
11
Testicles that come back to or go up
from the abdomen
Testicular retractibility, former or
active
8.8
Small testicle placement is too close
to the abdomen w/ a consequent
augmentation of temperature
(sensitive to heat and cold)
Scrotal hypoplasia w/ a high location
of the gonads
8.5
Small varicose veins of the testicle
Infraclinical varicocele
7.3
Drug related sterility
Environmental, professional,
iatrogenic
3.3
Testes that have not descended in
the scrotal sac at birth
Former criptorchidism of one or both
testicles
2.7
Low level of testosterone from
endocrinological causes
Secondary hypogonadism
0.9
Inflammatory and infectious factors
that compromise the seminal
pathways impeding the leaking of
spermatozoa from the testicles
Acquired obstruction of the seminal
pathways or tracts
0.6
Presence of antibodies against the
spermatozoa after local infections that
take place for a long time w/o
diagnosis
Immulogical factors
0.6
Absence of testicle in the scrotal sac
due to being retained in the abdomen
Chriptorchidism
0.6
Chromosomal causes
Dysgenic causes
0.3