Originally posted 2022-11-04 05:59:09.
Infertility is defined as the inability to conceive after one or more years of regular, unprotected coitus.
Some of the major factors essential for conception with respect to males are:
- The count, shape, and size of healthy spermatozoa (sperms) must be taken into account.
- Spermatozoa must undergo the essential transformations and be placed high in the vagina or close to the cervix.
- Sperms must possess adequate motility to ascend via the cervix and into the uterine cavity and fallopian tubes.
What Causes The Failure To Deposit Sperm High In The Vagina (coital problems)?
- Erectile dysfunction
- Ejaculatory defect- Premature, retrograde, or lack of ejaculation
- Sperm abnormality- Loss of motility (asthenozoospermia), aberrant sperm morphology (round-headed sperms, teratozoospermia), Aspermia (failure of emission of semen), Oligospermia (less than 20 million sperm per millilitre), Azoospermia (no spermatozoon in the semen), and Necrozoospermia (dead or motionless spermatozoa).
- Errors in seminal fluid- Errors in seminal fluid include a high or low ejaculate volume, a low fructose concentration, a high prostaglandin concentration, and excessive viscosity
What Causes Male Infertility?
- Defective spermatogenesis – Spermatogenesis is the process of sperm production. In addition to a good hormonal balance, this necessitates a temperature 1-2 degrees below normal body temperature (the primary reason why the scrotum is located “outside” the body).
- Congenital– Birth abnormalities, such as undescended testes, inhibit spermatogenesis.
- Autosomal (chromosomal) diseases In autosomal (chromosomal) illnesses such as Kartagener Syndrome, ciliary function (mobility) and sperm motility are lost.
- Hypospadias – Hypospadias is a congenital abnormality in which the opening of the penis is on the underside as opposed to the tip, preventing sperm from being deposited high in the vagina.
- Thermal factor – An elevated scrotal temperature, such as that caused by varicocele, may inhibit spermatogenesis.
- Infections – Chronic bacterial or viral systemic infections have a negative effect on the quality of sperm.
- Other factors Other causes include debilitating diseases in general, malnutrition, obesity, smoking, excessive alcohol and substance abuse, endocrine factors, immunological issues, physical obstruction in the efferent ducts, and iatrogenic factors such as radiation and antidepressant medicines.
How Can One Identify Male Infertility?
As well as providing the couple with reassurance and an explanation, proper investigations must be conducted to detect and correct any abnormalities, as well as to promote fertility.
For the purpose of determining the sperm’s health, routine blood and urine tests, as well as postprandial glucose levels, are necessary.
The most crucial test to rule out male infertility is sperm analysis. Sperm count, motility, morphology, viscosity, and viability can be determined here.
Doctor-recommended in-depth analyses of hormones, fructose content, and microscopic examinations are also possible.
Infertility Treatment With Ayurveda
According to Ayurveda, infertility is defined as Vandhyatwa – the inability to conceive by a couple of mature age, with proper coitus, during an acceptable phase of ritu-chakra (menstrual cycle), on a consistent basis for over a year.
Charakacarya attributes the aforementioned causes to flaws in the bijamsha (spermatozoa and ova). In addition, he notes that clarity and normalcy of’manas and hridaya’ (the mental state), properly functioning vayu (nervous system), acceptance of shukra (semen) by the yoni (vagina), i.e. deposition of semen high in the vagina, proper aahara (food and digestion), vihaara (good conduct and lifestyle of the couple), vichaara (thought process, mental stability), and bala
Causes of male infertility according to Ayurveda
- Shukra dosha (Defects in semen- volume, morphology, motility, sperm count, obstruction in the genital tract or erectile dysfunction)
- Ativyayama (overexertion leads to vitiation of the vata dosha, which is the number one cause of infertility) (overexertion leads to vitiation of the vata dosha, which is the number one cause of infertility)
- Aahara dosha (improper food habits, not consuming a balanced diet, in turn leading to defective digestion, vitiation of the tridoshas-vata, pitta and kapha, which causes malnutrition)
- Vihara dosha ( abnormalities in lifestyle- over exercise or not exercising at all, late nights, alcohol overconsumption etc.)
- Loss of balance or strength– debilitating diseases, trauma to genital organs, muscle weakness, infections, or stricture causing obstructive pathology, which may result in infertility.
- Manasa doshas – refers to mental stress, inability to concentrate, which may result in premature ejaculation or impotence.
Psychological Impact Of Male Infertility
Infertile couples are distressed by their inability to procreate. Men and women react to infertility differently. For men, infertility causes anger, despair, resentment, feelings of worthlessness, anxiety about potency, masculinity, and sexual inadequacy. Infertility is known to induce marital disagreement and stress, which in turn may lead to erectile dysfunction and exacerbate men’s fears.
It is essential to recognise the distinction between infertility and impotence. Infertility is the incapacity to become pregnant. Infertile males typically believe they cannot perform sexually, which causes them to question their masculinity. This prejudice must be addressed. Chronic impotence is the inability to maintain a long-lasting erection. Infertile guys are not necessarily impotent.
While it is reasonable for the couple to sense a loss of identity, low self-esteem, and lack of confidence, they must receive proper counselling, treatment, and reassurance to help them through the process.
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