Лечение мужского бесплодия Male infertility is a huge layer of diseases, the result of which is the inability to conceive a child. There are many treatment options, so the choice of method, first of all, depends on the cause. However, there are general recommendations that every patient who carries out infertility treatment should follow:

  • To give up smoking.
  • Refusal of alcohol, moreover, a complete, hazardous to reproductive function is considered a dose in excess of 60 grams per day.
  • Regular sexual intercourse, 3-4 times a week.
  • Elimination of chronic stress - sleep more, walk in the fresh air, more positive emotions.
  • Moderate physical activity - a bicycle, swimming, etc., positively affects blood circulation in the male organs.
  • Fighting overweight, this means not only excess body weight, but also waist volume. Abdominal obesity (deposition of fat on the abdomen, see how to remove the abdomen for a man ) adversely affects the production of male sex hormones, and, therefore, poorly affects the potency and possibility of conception.
  • The exception to overheating of the testicles is spacious underwear , refusal to visit the bath and sauna, you should not ride in a car with the seat heating turned on.
  • Taking multivitamins (see vitamins and minerals needed for men ).

Conservative treatments

1. Treatment of infections of the genitourinary system.

In accordance with WHO recommendations, male infections include:

  • Urethritis is an infection of the urethra.
  • Prostatitis is an infection of the prostate gland.
  • Orchitis is an inflammation of the testicle.
  • Epididymitis is an 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 the sexual partner, and orchitis or prostatitis can lead to azoospermia (lack of sperm in the semen) or deficiency of male sex hormones.

Treatment should be carried out taking into account the bacteriological study of the pathogen. At the first stage, fluoroquinolones (ofloxacin, pefloxacin, norfloxacin), or tetracyclines (doxycycline) are prescribed, then, according to the results of the antibioticogram, treatment is adjusted. Macrolides (roxithromycin, clarithromycin, azithromycin) demonstrate a good effect, and 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.

  • Replacement - is to replenish the existing, with some forms of infertility, deficiency of male sex hormones - androgens.
  • Blocking - the introduction of large doses of androgens, as a result of which sperm production is blocked, after the drug is discontinued, spermatogenesis is restored, while sperm has the best characteristics in terms of conception.
  • 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 forms and in tablets, however, skin gels and creams are most popular.

Do not forget about the side effects of androgen therapy: increased risk of cancer, sodium retention in the body, followed by increased 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 of 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, the creation of microsurgical venous anastomosis is preferred to improve the outflow of blood from the testicle.
  • Artificial insemination is the introduction of male sperm into the uterus, otherwise called artificial insemination. It is used mainly when it is impossible to have a normal sexual intercourse with normal ejaculation. Also used in immunological conflict, when sperm are not able to overcome uterine mucus. Sperm is injected into the cervical canal, or directly into the uterus. Before the procedure, as a rule, drug stimulation of ovulation is used.
  • Obstructive azoospermia - the absence of sperm in the ejaculate (spewed semen), due to blockage of the vas deferens. Microsurgical interventions are used to restore the patency of these ducts.
  • In vitro fertilization (IVF) - used when other treatment methods have been ineffective. At the same time, the merger of the egg and sperm is carried out under artificially created conditions, and a ready embryo is planted in the uterus. A very promising, albeit not cheap, method.

In conclusion, I will say seditious thing. Thousands of children live in orphanages. If you can’t conceive your child, maybe you should think about warming the orphan with parental warmth.

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