Лечение мужского бесплодия Male infertility is a huge layer of diseases, the result of which is the inability to conceive a child. Treatment options also exist a lot, so the choice of method, first of all, depends on the cause. However, there are general guidelines that every patient carrying out infertility treatment should follow:

  • To give up smoking.
  • The refusal of alcohol, and full, dangerous for the childbearing function is considered to be a dose exceeding 60 grams per day.
  • Regular sex, 3-4 times a week.
  • Eliminating chronic stress - more sleep, walk in the fresh air, more positive emotions.
  • Moderate exercise - cycling, swimming, etc., have a positive effect on blood circulation in the male organs.
  • Fighting obesity, meaning not only overweight, but also waist volume. Abdominal obesity (deposition of fat on the abdomen, see how to remove the abdomen of a man ) adversely affects the production of male sex hormones, and, consequently, has a bad effect on potency and the possibility of conception.
  • The exception to the overheating of the testicles is spacious underwear , refusal to visit the bath and sauna, you should not drive in a car with the seat heating turned on.
  • Take multivitamins (see vitamins and minerals necessary for men ).

Conservative treatment

1. Treatment of infections of the genitourinary system.

In accordance with WHO recommendations, infections of the male genital sphere include:

  • Urethritis is an infection of the urethra.
  • Prostatitis is an infection of the prostate gland.
  • Orchitis is an inflammation of the testicle.
  • Epididymitis - inflammation of the epididymis.

According to recent studies, the elimination of microbes in the male reproductive system does not increase the likelihood of conception, but it is necessary to fight infection. Urethritis is usually dangerous for a sexual partner, and orchitis or prostatitis can lead to azoospermia (no sperm in the semen) or a deficiency of male sex hormones.

Treatment should be carried out taking into account bacteriological examination of the pathogen. At the first stage, fluoroquinolones (ofloxacin, pefloxacin, norfloxacin) or tetracyclines (doxycycline) are prescribed, then, according to the results of the antibiogram, treatment is corrected. Macrolides (roxithromycin, clarithromycin, azithromycin) demonstrate a good effect; also, cephalosporins (cefotaxime, ceftriaxone) are still relevant. The course of treatment lasts from 3 weeks. up to a month, its effectiveness must be monitored.

2. Hormone therapy.

  • Substitution - is to fill the existing, in some forms of infertility, the deficiency of male sex hormones - androgens.
  • Blocking - the introduction of large doses of androgens, resulting in the production of sperm is blocked, after the abolition of the drug spermatogenesis is restored, and the sperm has the best, in terms of the possibility of conception, characteristics.
  • Stimulating - the introduction of small doses of androgens, which have a positive effect on metabolic and immune processes in the body.

Hormones can be used both in injectable form and in pill form, but skin gels and creams are becoming the most popular.

Do not forget about the side effects of androgen therapy: an increased risk of cancer, sodium retention in the body, followed by an increase in blood pressure, baldness, acne.

Surgical treatment and alternative fertilization methods

Unfortunately, conservative therapy is ineffective, it increases the likelihood of conception by an average of 6%, so surgical methods for treating male infertility are becoming increasingly popular.

  • Varicocele - expansion of the testicular vein. This disease is treated only surgically. If the operation is performed for infertility, preference is given to the creation of microsurgical venous fistulas, to improve the outflow of blood from the testicle.
  • Artificial insemination - the introduction into the uterus of male sperm, otherwise called artificial insemination. It is used mainly when it is impossible to perform normal sexual intercourse with normal ejaculation. Also used in immunological conflict, when sperm is not able to overcome uterine mucus. Sperm is injected into the cervical canal, or directly into the uterus. Before the procedure, usually used drug stimulation of ovulation.
  • Obstructive azoospermia - the absence of sperm in the ejaculate (erupted sperm) due to obstruction of the vas deferens. Microsurgical interventions are used to restore the patency of these same ducts.
  • In vitro fertilization (IVF) - is used when other methods of treatment have been ineffective. At the same time, the fusion of the egg and sperm is carried out in artificially created conditions, and the ready embryo is placed in the uterus. Very promising, though not cheap method.

In conclusion, I will say a seditious thing. Thousands of children live in orphanages. If you are not able to conceive your child, it may be worth thinking about warming the orphan with parental warmth.

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