Male infertility is 25% to 30% of all cases of infertility and contributes, in combination with female factors, to another 30%. Causes of male infertility include the following:
- Testicular torsion or trauma
- Seminal tract infections
- Antisperm antibodies
- Hypogonadotropic hypogonadism
- Gonadal dysgenesis
- Obstruction of the reproductive channels
Many advances have been made in the ability to diagnose and treat fertility problems. It is essential that a complete and accurate diagnosis be made to determine the appropriate course of therapy. The Andrology Laboratory offers several diagnostic tests, including semen analysis, sperm penetration assay and anti-sperm antibody test.
In terms of treatment, the options will depend on the causes and the couple’s preferences. Medical therapy and surgeries can sometimes improve the male’s fertility. In more than half of the cases, male infertility is an unknown cause and could have resulted from damage to the testicle before birth or after that from genetic alterations or environmental causes. Effective treatments can also be intrauterine inseminations (IUI) or IVF with intracytoplasmic sperm injection (ICSI).