The poor infertile man

Male infertility is common, and is usually responsible for about 40% of all infertile cases. The commonest reason is the low sperm count, also known as oligospermia. What breaks my heart is the poor quality of treatment which these men get. Typically, they go to a...

Unnecessary testicular surgery for the infertile man

A common fashion these days in some IVF clinics is to do TESE-ICSI for men with severe oligoasthenospermia ( low sperm count). This is justified by saying that these men with " abnormal sperm"  have  high sperm DNA fragmentation, and this will result in poor fertilis...

Male Infertility Treatment - and why it does not work

Conventional treatment of male infertility in the past used a wide array of medicines to try to improve a low sperm count in the infertile man. These included : Gonadotropin injections ( HMG and HCG) These hormonal injections of gonadotropins are only useful in stimul...

The Man with a Low Sperm Count Oligospermia : Cause & Treatment

Many infertile men are obsessed about their low sperm count - and this seems to become the central concern in their lives. Remember that the real question the man with a fertility problem is asking is not: What is my sperm count or what is my motility ? But - are my spe...

Azoospermia

Azoospermia is the name given to the condition in which there are no sperm in the semen. The semen looks normal, and the diagnosis is made only when is it is examined under a microscope in the lab. Azoospermia , as the name suggests , refers to the condition in which t...

The Man with Abnormal Sperm Morphology Teratozoospermia: Cause & Treatment

While the commonest cause of male infertility is a low sperm count ( the technical term for this is oligospermia), some men are infertile because of abnormal looking sperm . This is called teratozoospermia (terato=monster). Many infertile men have sperm samples which h...

The Man with Poor Sperm Motility Asthenospermia: Cause & Treatment

While the commonest cause of male infertility is a low sperm count ( the technical term for this is oligospermia), some men are infertile because of poor sperm motility. Normally, at least 50% of sperm should be motile; and this should be good quality progressive mot...