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Though about 40 percent of infertility cases are because of a medical problem with the man, detecting the reason for male infertility is often difficult. Fortunately, we can now use assisted reproductive techniques to achieve conception.

The Change 

In the past , infertility was blamed wholly and solely on the woman. This may have been to protect the fragile male ego, because the male psyche equates fertility with virility, and views failure to father a child with shame. This is why male infertility has usually been a taboo topic; and the unique problems which the infertile man has to deal with are rarely discussed.

This is what one my patients has to say about male infertility; and the place of the infertile man in Indian society today.

" As infertility and its treatment are related to procreation and the preservation of family chain, it remains a sensitive area in Indian society. The family would try its best to resolve an infertility issue. Compared to infertile female, an infertile male would be under different type of stress as he also has the pressure of carrying forward his family generation and he himself is responsible for it.

More Awareness

Thankfully, the fact that India is a male dominated society helps - men do not face that type of rejection as a women would. The former get better sympathy and understanding. The male infertility issue is being more openly discussed but not very widely. 

The Challenges 

  • Detecting reasons for male infertility is often difficult and sometimes there is no specific reason. This causes the treatment process to be difficult and experimental
  • Doctors would need to try various options before getting success or declaring failure
  • Accordingly treatment periods tend to be long, with different medications and often stretch more than 2 years
  • If allopathy fails then its time to switch to ayurved or homeopathy ~ which also consume a long amount of time
  • Due to the length of the treatment, the process is a wait and watch one - to keep waiting for the cure
  • All this wait, experimentation and medication makes a male feel more frustrated and if he encounters failure then he feels doomed after many years of treatment
  • If all this fails to succeed, then the male can switch to assisted reproductive techniques.


The Fact 
For assisted reproductive techniques, there is low awareness and high cost (not everyone can afford it) attached to it. Further, the Indian mindset is not yet fully open to such techniques due to ethical/moral issues." Studies today show that 40% of infertility is because of a medical problem with the man.

The vast majority of men have simply no way of judging their fertility before getting married (unless, of course, they have had a premarital affair and fathered a pregnancy the ultimate proof of male fertility !).

Rarely, however, some men may know they have a fertility problem - for example, a sexual problem of impotence, which prevents consummation of the marriage; or one of hypospadias (in which the urethra is located at the base of the penis and the semen cannot be put in the vagina); or undescended testes (in which both the testes are not in the scrotum).

When testing a couple for infertility, the man must always be tested first. Tests for the woman are far more complicated, invasive and expensive - it is much simpler to find out if the man has a problem.


Read more- Male Infertility Tests Beyond the Semen Analysis


Summary 

Though about 40 percent of infertility cases are because of a medical problem with the man, detecting the reason for male infertility is often difficult. Fortunately, we can now use assisted reproductive techniques to achieve conception.

 

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