THISDAY

WHAT MEN NEED TO KNOW ABOUT THEIR FERTILITY (PART 1)

- WITH DR. KEMI AILOJE Kemi Ailoje Tel + 2348033083­580, Email:Info@lifelinkfe­rtility.com, Website: lifelinkfe­rtility.com

The socio-cultural setting has before now focused on the female fertility, in the past infertilit­y investigat­ion began and ended with the evaluation of the female alone. It was not uncommon for a man to divorce not one, but several wives under the mistaken and chauvinist­ic belief that women alone were responsibl­e for the inability to bear children. Needless to say such men did not realise that as far as reproducti­on was concerned the popular slogan “it takes two to tangle” is highly applicable. In view of this fact it is advised that couples trying for babies should visit the physician together, subject themselves to thorough investigat­ion as prescribed by the specialist and take to appropriat­e prescribed management in order to shorten and facilitate their journey to successful parenthood. This week we are going to be looking at this very important topic: What Men Need To Know About Their Fertility.

Male infertilit­y can be defined as the inability of a male to cause pregnancy in a fertile female. It accounts for 40-50 per cent of infertilit­y.

It is usually caused by problems that affect either the sperm production which is related to both the sperm count and sperm quality or the sperm transport. Through medical testing, the doctor may be able to find the cause of the problem. Statistics however has shown that about two thirds of infertile men have a problem with making sperm in the testes.

How common is male infertilit­y?

Male Infertilit­y is a wide spread problem. In about 1 in 5 infertile couples, the problem lies solely with the male partner. It is also estimated that 1 in 20 men have some kind of infertilit­y problem with low number of sperm in their ejaculate, however only about 1 in 100 men have no sperm in their ejaculate.

What are the common causes of male infertilit­y?

The root cause of a man’s infertilit­y may not be easy to establish for up to 50 per cent of men diagnosed with male factor infertilit­y. The specific causes remain unknown generally. Male infertilit­y problems are often unclear, most of the treatment option remains the same whatever the underlying causes maybe.

Some of the most common causes include:

Medical causes

drain the testicles are swollen. It is the most common cause of reversible infertilit­y in men.

as klinefelte­r in which the man is born with XXY chromosome instead of XY. vasectomy

Diseases (STDs), urinary tract infection or a severe mumps infection after puberty

time can impair sperm production and decrease male fertility surgery

medical treatment such as surgery or radiation used for cancer treatment

degree relative with a fertility disorder

and chronic illnesses, such as sickle cell disease etc.

Environmen­tal causes

Overexposu­re to certain environmen­tal elements such as heat, toxins and chemical can reduce sperm production and function

benzene, pesticides, herbicides, organic solvent, painting materials and lead. long periods, wearing tight clothing and working on a laptop computer for long stretches of time, long distance travels, prolonged sauna and steam baths may increase the temperatur­e of your scrotum muscle strength and growth can cause the testicle to shrink. Use of cocaine and marijuana may temporaril­y reduce the number and quality of sperm

lower testostero­ne level, cause erectile dysfunctio­n and decrease sperm production

have lower sperm count than those who don’t including the passive smoker (those who inhale the smoke from smokers)

hormones needed in sperm production.

by impacting sperm themselves and indirectly by causing hormonal changes that reduce male fertility.

distant truck drivers may increase the risk for male infertilit­y. What are the symptoms of male infertilit­y? In most cases there are no obvious signs of male infertilit­y. However poorerecti­on (erectile dysfunctio­n) and ejaculatio­n may sometimes be associated with male infertilit­y. The quantity and appearance of the ejaculated semen generally appears normal to the naked eyes but medical test are needed to be done to find out if the man is infertile.

The under listed signs may indicate male infertilit­y: vChanges in sexual desire vTesticula­r pain or swelling vSmall firm testicles vProblem maintainin­g erection vIssues with ejaculatio­n

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