Let a child be!

The EmbryLife Center offers a whole range of services for diagnostics and treatment of both female and male infertility. Our specialists use American IVF technology: we work according to guidelines that have shown proven results in thousands of US patients. This technology has implicit excellent laboratory equipment capabilities, in strict compliance with ASRM (American Society for Reproductive Medicine) and ESHRE (European Society of Human Reproduction and Embryology) requirements.

EmbryLife is the only clinic in Russia that has been accredited by the American Association of Embryologists.

(812) 327-50-50

35 Sadovaya St., St. Petersburg, Russia

Sitemap

Send request

Male infertility. Male factor of infertility (MF). Male infertility treatment.


Psychological difficulties of accepting the diagnosis “male infertility”

According to statistics, male infertility has become significantly more common in recent decades. While a quarter century ago, the male factor accounted for one-third of all family infertility cases, nowadays it is half of all cases. Male infertility is different from the same diagnosis by women not only in terms of physiology, but also in terms of the psychology of perception of the inability to become a father. The problem that in most cases can be solved becomes aggravated by psychological denial, unwillingness to undergo diagnosis and treatment, developing into an outright denial, which entails family problems and also problems in relationships with friends and work colleagues. All this may be avoided by treating the difficulties like a man, that is reasonably, trying to find a fitting solution to the situation.

Male infertility

Services for examination and treatment for male infertility

  • Advice by a urologist/andrologist
  • Sperm analysis without morphology
  • Sperm analysis with morphology determination
  • MAR test

If no spermatozoa are detected in the ejaculate, our specialists use testicular biopsy methods making it possible for men who were previously regarded as infertile to have children, even those men with a single (!) spermatozoon in the aspirate.

Obtaining spermatozoa by surgical methods

  • Percutaneous epididymal sperm aspiration (PESA)
  • Microsurgical epididymal sperm aspiration (MESA)
  • Testicular epididymal sperm aspiration (TESA)
  • Combined microsurgical testicular sperm extraction (TESE)
  • Open testicular biopsy 

In some cases, the spermatozoa are incapable of fertilization, and the only way to overcome this problem is using micromanipulations with gametes (ICSI). ICSI ensures that the ovum will be impregnated by the spermatozoon that has been pre-selected by the embryologist according to its reproductive attributes. In the EmbryLife Clinic, the probability of getting a good embryo with ICSI is 95%.

the structure of the male reproductive system

Reduced sperm quality

According to the results of sperm analyses conducted in Europe, in the last 50 years, the quality of male sperm has changed, and the change was not for the better. The ejaculate* volume has decreased one and a half times, and the spermatozoa concentration - almost two times. Moreover, even in healthy men, significant variations of sperm parameters have been reported, which reduces the probability of fertilization. Spermograms of a healthy fertile-age man were studied for two years, with weekly ejaculate* collection and exclusion of unfavorable factors. The results convincingly demonstrated a significant spread in spermatozoa concentration, up to abnormal levels.

The ejaculate is a fluid discharged during ejaculation (sperm).

Male infertility classification:

According to current classification, male infertility is first of all subdivided into:

  • primary (congenital) male infertility
  • secondary (acquired) male infertility

Congenital male infertility:

Congenital male infertility is most frequently caused by:

  • developmental defects of the genitals, primarily, the testes
  • various genetic disorders in the chromosomal sets and their fragments

Acquired male infertility:

The most frequent causes of acquired male infertility include:

  • varicocele
  • genital surgery and injuries
  • sexually-transmitted infections
  • intoxication
  • autoimmune disorders, etc. 

Sperm head electron photomicrography with a magnification of 30,000 power. In the nucleus center, there is an abnormal vacuole that may be associated with DNA fragmentation.

Spermatozoon structure and quality

We have discussed above the most frequent causes of male infertility. But unfortunately, it is not always so easy to suspect male fertility disorders. Even in the case of the apparently good condition of male genital functioning, fertility problems cannot be excluded. So, you cannot do without a laboratory examination by an urologist/andrologist.

Menu
About