Can Urologist Treat Male Infertility

Infertility in men - causes, examination and therapy

What is the inability to conceive?

Healthy couples get an average of eight to ten months pregnant after they stop using contraceptives. In some cases it may take longer, but this is normal. One is considered to be unable to conceive if, despite regular sexual intercourse without contraception, it is not possible to conceive a child within one year.

This situation can be psychologically very stressful for the man. Those affected often plague self-doubts and the unfulfilled desire to have children can also lead to tensions in the partnership. It is all the more important to consult a doctor directly in order to find out the causes of the previous infertility.

What are the reasons for infertility?

In most cases, decreased sperm quality (OAT syndrome) is the cause of a man's infertility.

The number of healthy sperm it contains is decisive for assessing the quality of the ejaculate. In order to be able to fertilize a mature egg, the majority of the sperm cells in the ejaculate must be normally shaped, mobile and survive as long as possible.

If the sperm quality is poor, there are too few, many deformed or immobile and barely viable sperm in the seminal fluid. The World Health Organization provides precise information on how many sperm must meet which conditions in order to be considered healthy and fertile.

The following factors can negatively affect the quality of the sperm:

  • pants that are too tight
  • poor (low-vitamin) diet
  • nicotine
  • frequent consumption of alcohol
  • drug consumption
  • high ozone pollution
  • Radiation exposure (for example from frequent x-rays)
  • frequent contact with environmental toxins
  • frequent sauna visits
  • Obesity
  • extreme underweight
  • excessive competitive sport
  • stress
  • certain drugs
  • Testosterone intake

There are many other causes of male infertility as well. These include:

  • congenital malformation or underdevelopment of the testicles
  • Circulatory disorders of the testicle
  • Varicose veins in the testicles
  • Undescended testicles in infancy
  • Mumps infection in childhood
  • Injuries to the testicle and / or vas deferens
  • Inflammation (of the testicles / epididymis, prostate or urethra)
  • Hormonal disorders (testosterone deficiency, thyroid or adrenal disorders)
  • Metabolic disorders (cystic fibrosis, also called cystic fibrosis)
  • Immune disorder (antibodies against your own sperm)
  • Cancer diseases and their treatment (radiation, chemotherapy)
  • Erectile dysfunction
  • Testicular tumors

Which examinations are carried out?

After the detailed questioning about acute or previous illnesses, drug treatments and lifestyle habits, a physical examination is carried out. The testicles and epididymis are scanned and, if necessary, an ultrasound examination of the prostate and urinary tract is carried out.

The most important examinations to get to the bottom of the causes of infertility in men include the sperm analysis and hormone diagnostics.

The spermiogram is used to assess the quality of the sperm. A sperm sample is required for this, which should be given after a 7-day abstinence. This sample can be used to determine, among other things, the total number, shape and mobility of the sperm as well as the pH value of the seminal fluid. During the hormone test, the hormone content of testosterone and other hormones relevant to testicular function (FSH, LH) in the blood is examined.

How is male infertility treated?

Treatment for male infertility depends on the cause of the infertility. In the case of physical causes, drug treatments are used; in the case of psychological causes, psychological counseling and therapy offers are more suitable.

On the other hand, if the vas deferens are stuck together or severed, the sperm cannot pass through. An operation is required here to make the vas deferens passable again. One of the most common causes of infertility in men is varicocele, i.e. varicose veins on the testicles or spermatic cord. They too can only be treated surgically.

Treating doctors: Dr. Armbruster and Dr. gardener

As specialists in urology, Dr. Armbruster and Dr. Gardener contact for couples or men with an unfulfilled desire to have children. Whether this is due to reduced sperm quality or some other cause can be found out through detailed discussions and extensive examinations.

Different treatments are recommended depending on the cause. In the practice's own outpatient operation center, the two experienced doctors can perform surgical interventions directly on site.