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Honor Society of Nursing (STTI) answeredThere are several treatment options that may be used to increase men's fertility, depending on the cause of the infertility. If medical problems are causing too little sperm or defective sperm, sometimes the problems may be corrected through surgery or through hormone therapy. If the problem can't be corrected through surgery or medication, doctors may be able to use certain lab procedures to help the man's sperm fertilize eggs. These types of procedures are called assisted reproductive technology, and this may include in vitro fertilization (taking sperm and using it to fertilize an egg in a laboratory setting, then putting the egg back in the uterus), various methods to retrieve sperm (electric stimulation to produce ejaculation, surgical sperm aspiration, etc.). Different methods work for different people, so there's no guarantee that any one treatment will be effective. Talk to your doctor about treatment options.
Of course, first it is necessary to diagnose the cause of infertility. For almost all men, the first step is a careful analysis of all factors that could potentially be harmful to his infertility. Oftentimes, small changes in lifestyle or medical conditions can help optimize a man's fertility potential. For men with hormonal abnormalities, these can often be addressed with medications. For men with varicoceles and other anatomical abnormalities, small procedures can often be of benefit. For men with a blockage of sperm transport, or problems with the direction of ejaculation, reconstructive procedures and sometimes medications can restore fertility.
Even if a precise cause isn't found, your doctor may be able to recommend treatments for your infertility.
In most cases of infertility, the female partner also will need to be checked and may need treatment. Sometimes, treatment of the female partner may help compensate for male fertility problems.
Treatments for male infertility include surgery, antibiotics if there is an infection of the reproductive tract, or addressing potential issues such as erectile dysfunction or premature ejaculation.
Your doctor may opt for hormone treatments and medications in cases where infertility is caused by high or low levels of certain hormones or problems with the way the body uses hormones.
Sometimes male fertility problems cannot be treated.
Creighton Likes, MD, Reproductive Endocrinology & Infertility, answered on behalf of Greenville Health System
Treatment options for male infertility are dependent on the cause. Treatment can range from lifestyle changes, i.e. weight loss, smoking and/or alcohol cessation, etc. to medications and vitamins, or a referral to a urologist for a complete exam and blood work. If the cause of male infertility has a surgically correctable problem, i.e. hydrocele, varicocele, or previous vasectomy, a urologist would be able to help in that regard, too.
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Treatment of male infertility depends on the cause of male infertility. Problems with infertility are generally classified as hormonal, testicular-disease related, problems with sperm transport after the testicle to the penis, or unknown, which includes infection like sexually transmitted diseases, swelling, or autoimmune conditions, to name a few.
Most commonly, infertility is due to an unknown cause (40-50%). Next, testicular disease causes (30-40%) of infertility. With that being said, treating the cause of infertility will cure most infertility. For testicular sperm production problems, hormone replacement can help to increase sperm production. Additionally progesterones can be used to counteract estrogen or low progesterones levels in men with infertility. There is also assisted reproductive technologies that can be utilized to surgically extract sperm from ejaculation and conduct in vitro fertilization or intracytoplasmic sperm injection to produce a conception.
Treatment options include:
- Surgery - Minor outpatient surgery (varicocelectomy) is frequently used to correct dilated scrotal veins. Studies have shown that repairing them results in improved sperm movement, concentration and structure. In some cases, obstructions causing infertility can also be surgically corrected.
- Medication - Drugs are effective in treating retrograde ejaculation and hormonal abnormalities. Pituitary hormone deficiency can be effectively treated with drugs such as clomiphene or gonadotropins.