The problem of infertility or infertility tends to be referred to as a woman’s problem. The reality is not so. Both men and women can each have problems with the reproductive organs that can affect their fertility levels. About 30 percent of infertility cases are caused by male infertility.
There are two possible causes of infertility: male infertility is a major problem for partners to conceive. The second possibility is that infertility occurs along with pregnancy inhibitors from the side of women who also have fertility problems.
Fertility checks for men are as important as women. Although most men feel reluctant to check, perhaps because of embarrassment, in fact, it is important to do quickly to ensure the problem of why your wife can not get pregnant.
For this examination, men who feel they have problems with fertility may consult a specialist in urology and andrology. Doctors will identify problems as well as actions that may help to overcome the condition.
Possible Causes of Male Infertility
Problems that trigger male infertility can be caused by various things, including hormonal, physical, and psychological disorders.
This condition is characterized by hormone levels that are too high or low so affect fertility, among others:
Hypothyroidism. Low thyroid hormone levels can reduce the quality of semen, testicular function, and disrupt libido.
Hyperprolactinaemia. Prolactin hormone conditions are high. This condition found 10-40 percent in men who are not fertile. High levels of prolactin can reduce the production of sperm and sexual desire, as well as causing impotence.
Hypogonadotropic hypopituitarism. The low production of follicle stimulating hormone (FSH) and lutenizing hormone (LH) from the pituitary gland. It causes disruption of sperm development and decreased sperm count in the testes. This situation can trigger male infertility.
Congenital adrenal hyperplasia, occurs when the pituitary gland is suppressed by an increase in adrenal androgen hormone levels. It causes in low sperm production, less active sperm motion, and the number of sperm cells that are not really well developed.
Panhypopituitarism. Total pituitary fault failure where there is growth hormone deficiency, TSH (thyroid stimulating hormone), and LH and FSH levels. Symptoms include testes of normal or small size, impotence, and decreased sex appetite.
Male fertility problems can be caused by a variety of physical problems, ranging from disruption of sperm production process or delayed sperm travel from the testes to the tip of the penis. It Can be marked by low sperm count or abnormal shape and size of sperm. Here are some physical problems that generally cause male infertility:
Infection and disease. Several types of certain infections and diseases, such as inflammation of the testes and testes can interfere with the production or sperm conditions. Even the possibility of blocking the course of sperm. Among urinary tract infections and sexually transmitted diseases such as gonorrhea and syphilis.
Varicocele. The occurrence of dilation of blood vessels in the scrotum and prevent blood flow well. Varicocele is present in about 15-40 percent of men who are evaluating fertility problems.
Abnormalities of the sperm channel. Tubes that carry sperm or sperm can be damaged due to injury or disease. Some men experience blockages in the testes that store sperm or resistance to one or both channels that carry sperm from the testes.
Torsion testis. That is the condition in which the testes rotate in the scrotum in extreme, usually can be seen from the onset of swelling. Torsion testis can cause impaired blood flow inside the testes.
Genetic disease. Although not commonly found, diseases such as cystic fibrosis or certain congenital abnormalities can cause male infertility.
Retrograde ejaculation. This disorder causes the semen to enter the bladder, instead of getting out of the penis during ejaculation. Possible causes are complications from prostate, bladder, or urinary tract surgery. Besides, it could be due to side effects of certain drugs or diabetes.
Physical and psychological combination disorders
Some sexual problems in men are related to psychological conditions. Although the actual psychological and physical disorders difficult to separate. Here are some of them.
Impotence can be caused by one or a combination of several factors. It used to be a psychological problem. However, recent research calls this a physical problem, which is then exacerbated by psychological problems such as stress, anxiety, low self-esteem, and depression.
Premature ejaculation. When a man cannot control the ejaculation response after penetration of at least 30 seconds. Premature ejaculation becomes a fertility problem when ejaculation occurs before the penis is actually inside the vagina.
Incompetence ejaculation. This psychological condition makes a man unable to ejaculate during intercourse but can do so during the masturbation.
Possible Other Causes
In addition to some of the causes of male infertility, there are other possibilities:
Cancer and tumors. Both can affect the reproductive organs directly or through disorders of glands that release reproductive hormones, such as the pituitary gland.
Certain treatment of long-term corticosteroids, certain anti-fungal drugs, testosterone replacement therapy, cancer drugs or chemotherapy, and some other drugs that can interfere with sperm production and reduce male fertility.
Previous Surgery procedure. Some surgeries can cause complications that inhibit sperm discharge during the ejaculation, including vasectomy, inguinal hernia repair, scrotum and prostate surgery, and major surgery to treat cancer in the testes and anus.
Factors That Can Increase Infertility Risk
In addition to the above causes, various lifestyle factors and overall health can also contribute to fertility conditions, especially the amount and health of sperm. These factors include:
- Use of drugs.
- Often wearing underwear that is too tight.
- Growing age.
- Smoking habit.
- Excessive consumption of alcoholic beverages.
- Exposure to harmful substances, such as pesticides, mercury, heavy metals, benzene, and borium.
If you and your partner have been regularly having sexual intercourse for a year without contraception and have not been pregnant, you and your partner can consult a doctor. Male infertility or infertility can occur to anyone and most cases can be overcome with appropriate actions and treatment from a doctor.